Mr. Lybrate-user, if any one has 500 mg blood sugar, then insulin injections are a must. There is no way to reduce that kind of sugar by any other means. Severe hyperglycemia causes severe glucotoxicity and insulin producing cells of pancreas are stunned, so there activity is seriously affected. To help them regain ability to produce insulin, immediate reduction is high glucose level by using insulin injection is essential. Once levels are well controlled, then one can shift on to oral anti-diabetes drugs say in about 3 months. But without using insulin or any other drug there no way to reduce such high sugar levels. Plus such high levels also hasten long term complications of diabetes. So my suggestion is please initiate immediate treatment. Thanks for the question.
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