<s>[INST] my niece was disagnose with type 1 diabetes shes 21 yrs old. She was discharged from hosp today but originally was in ICU  becuase her sugar was 480.  When she was discharged her sugar was in the 200 range and now it is 434.  Is this a dangerous level...what shoulld we do. [/INST] Hello, Thanks for the query.In case of T1 diabetes the only treatment is to give Insulin injection in adequate dose. Along with that there has to be a close look at her diet and what kind of physical activities she is doing. Because only drug does not help. Blood glucose should be maintained  as follows : FBG: <100 mg, PP 150 to 160 mg and HbA1c% <6.8. So it is very necessary to check her blood glucose atleast twice a day. Close monitoring of insulin dose and glucose levels is needed. Thanks. </s>