Insulin Aspart Protamine Health Feed

No tablet please, yes insulin novomix can be used two times in a day.
For detail we can discuss on line.

Dear Mr. lybrate-user rao,
I note that the problem is with the pp values. Even on the present regimen, your hb a1c is reasonable particularly if you have had diabetes for > 10 years. I would suggest you try the follwoinf dietary changes:
if your fasting values are > 120 and pp values go above 180, reduce the quantity of carbohydrate (rice, wheat, rava, maida) in each meal and increase the quantity of protein (dhal, egg white, fish or chicken. Monitor blood sugars with glucometer as follo...more

Thanks for the query.
Both fasting and Pp blood glucose levels mentioned are very high. It appears that present medication (particularly Insulin) is not adequate. It may have to be increased. Plus a look has to be given to his diet and extent of daily physical activity. You may have to first target his fasting level and bring it down to 110 mg or so by adjusting nigh insulin dosage. If you have any doubts please come in a private conversation then I will be able to give specific guidance. Th...more

It is a safe medication and nothing to worry because it is not a cause for kidney or liver disease

Dear lybrate-user I would suggest inj rzyodec 18 units in the morning after food and 16 units in the night after food along with linagliptin in the morning #besafe.

Agreed however pre workout normal or high level should not worry as it will settle within a few hrs with regular medication oral/injectable.

Once the patient is on insulin they have to be on insulin, only dose may vary.Some times you may have to add medicines in addition to insulin.From the details you gave it appears you DM is very badly managed.So visit diabetologist once in a month and plan medicines and their modification this is a must.You should also manage your wt & diet which will help you to avoid complications & will assist you to get reasonable health.

take sepia 01LM. 10 PILLS TWICE DAILY FOR 7 DAYS AND CONSULT AFTER THAT, with details of your blood sugar level.

Hi sir this is Dr. Verma here.
After knowing your weight and blood sugar levels and HbA1c, insulin type and dosage are to be settled.
You can consult me on private.

During initial period of diagnosis, insulin helps to bring down the sugar rapidly and to reduce your problems fast. Later the insulin can be switched to oral tablets. Now the usage of tablets will be less if you can stick to your diet and exercise.