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Could scrub typhus complicate diabetes?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My 55-year-old dad has type 2 diabetes. A few days ago, he developed a fever, chills, and body aches. At first, we thought it was the flu, but then we noticed a small black scab on his arm. His doctor suspects scrub typhus and started antibiotics, but his blood sugar has been running high, and he is feeling extremely weak.

Could this infection be affecting his diabetes, and should we be worried about complications?

Please help.

Thank you.

Hi,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

I am sorry to hear about your dad's condition. Scrub typhus, caused by the bacterium Orientia tsutsugamushi, can indeed affect blood sugar levels and overall health, especially in individuals with diabetes.

Infections like scrub typhus can cause stress on the body, leading to increased production of stress hormones such as cortisol and adrenaline. These hormones can raise blood sugar levels. Fever and inflammation from the infection can also contribute to higher blood sugar levels.

The body's response to infection can make it more challenging to control blood sugar levels. This can lead to fluctuations and potentially higher readings.

If your dad is feeling extremely weak and has a reduced appetite, it can be difficult to maintain a regular eating schedule, which is important for managing diabetes.

It is important to closely monitor your dad's blood sugar levels, ensure he follows his prescribed treatment, and seek medical attention if his condition worsens.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Medically reviewed byiCliniq medical review team

Published At April 4, 2025
Reviewed AtApril 8, 2025

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