question: My husbands blood sugar is 385. He usually keeps it in a normal range with diet and oral meds, Actomet- plus, Janumet, and Prandin. He was recently hospitalized with acute renal failure due to dehydration and chronic use of Cataflam. The doctor stopped the Actomet-plus, and Janumet. He is continuing the Prandin and added Januvia. Would this warrant a visit to the ER or could it wait until office hours in 8 hrs?