I am mske 45 diabetic since last 10 years. I always feels tired. I am taking diapride m2 twice daily and humalog 70/30 insulin 30 point morning and 20 in evening. My fasting is 170.

Dr. Sajeev KumarGeneral Physician34yrs exp

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Your diabetes is not under control which is why you feel tired. Check your fbs, 2hr ppbs and hba1c from a good lab and inform privately. Now you make humalog 30 units in the night also and take glucomet sr 1 gm twice daily and glimi 2 mg once in the morning and report. Did you mean diapride m2 two tabs in the morning, which is incorrect dosage.(that is 4 mg glimipride and 500 metformin) it is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (self-monitoring of blood glucose? smbg). Though difficult, this can be done by a glucometer and keep a record. Get an idea of fasting sugar (fbs) and 2 hours after food (ppbs) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ insulin will be needed. For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch.  

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