question: My pal who has been diagnosed w/ diabetes & the 40 something yr old fellow also is a regular (sometimes daily) user (a shooter) of methamphedamine . Well he is new to this an hasn t as of yet been regular w/ doing his insulin .He saw the dr yesterday an was given his perscription (they increased his from 10 to 14 units & increased his oral med dose to 1000 also) & was informed that if he sees readings above 500 to go to the ER. Many times he runs above 500 I hear. Well he has done meth tonight an has just done a reading an it is 565 an was gonna do his insulin (though his girlfriend suggests to hold off an do it at 7am instead of now @ 1am so to start doing it at the same time each day) but now w this high blood sugar reading what should we do ? He didn t wanna go to the E.R. an said it (his high reading) is probably cause he has recently just shot meth . So is he in need of the E.R.?