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Insulin Aspart Protamine Health Feed

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M.D. Internal Medicine

Endocrinologist•Mumbai
Probably you are taking 80 units of insulin/day. Yes I can start you on cheaper insulin and it may control your sugars better with proper diet and excersize. However I may need your past history and treatment records.
Asked for male, 18 years old from Beawar
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, thanks for the query.
Injection degludec can be used with aspart meal time insulin in t1 dm quite effectively. So you can use both these if you desire so. Thanks.
Asked for male, 20 years old from Mandya
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Asked for male, 47 years old from Puri
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MBBS

General Physician•Mumbai
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For pain take tablet paracetamol 650 mg and plan Physiotherapy treatment and In a known case of diabetic we need to control sugar levels with medication , aerobic exercise and following a diabetic diet
17 people found this helpful
Asked for male, 60 years old from Faridabad
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MBBS, Diploma in Family Medicine, Fellow...read more

Diabetologist•Bhubaneswar
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Thanks for your Query.

As per your HbA1c, your blood sugar is under control as per your age.

Your recent Fasting blood sugar is high bcoz of dietary irregularities or skipping tablet which you only can confirm.

Thirdly for your neurological problem you need a balanced treatment strategy along with Preventive measures.

Need to see your current MRI for detailed information.

Continue your medications till then.

For further information and advis...more
Asked for male, 58 years old from North Goa
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MD (Physician), MD (Pulmonology)

Pulmonologist•Bareilly
Dear Lybrate user, repeat of breathing difficulty can be due to continuing chest infection.
Tests like cbc esr gbp and chest x ray can confirm the diagnosis.
Wishing good health.
196 people found this helpful
Asked for female, 16 years old from Imphal
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Hubli-Dharwad
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Lybrate-userji, it appears you have t1 diabetes, (if the age is 14 years), in that case only drug that can be used to control blood glucose is insulin injection. No other drugs are given for t1 diabetes patients. You need to increase the dose of insulin injections both in the morning and night.
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BAMS

Sexologist•Jaipur
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Ayurveda very good medicines for diabetes and weakness.
वात पित्त कफ दोष आयुर्वेद चिकित्सा के आधार हैं अतः रोगी की प्रकृति और दोष के आधार पर हम भोजन, परहेज, दिनचर्या ,योग और प्राणायाम के साथ कुछ आयुर्वेदिक दवाइयां लेने का परामर्श देते हैं और परिणाम बहुत अच्छे मिलते हैं परंतु उसके लिए व्यक्तिगत रूप से फोन अथवा वीडियो कॉल द्वारा बात करना आवश्यक है।
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I am type 1 diabetic for 15 years, on novo mixtard 30/70 twice a day until last month. For last two years, my hba1c is disturbed. Recently after making a regular note of the my blood glucose levels throughout the day, for two months now, my doctor switched me to novomix 30/70. Even after that, the blood glucose levels, specially after lunch, arnd 7 pm, were elevated. Please note that I took insulin at breakfast and dinner time. Then I started taking it three times a day, before each meal. Now the blood glucose levels are better after lunch, but very sporadic in the morning over the last one week. I am also having problems in controlling hypoglycemic episodes. I have had many instances, when, fot example, if my fasting blood glucose level came out to be 60, and I took 5-10 gms of glucose, it shot upto 250. I am shocked because the ada advises 15 gms of glucose in an hypoglyic event. I have observed this in general, that whatever I eat (i eat mainly low glcyemic foods), my body's glucose senstivity is so high, that my blood glucose levels shoot up enormously. I am also suffering from hypothroidism for three years now. Recently, my urine microalbuminuria levels came out to be 180 microgram/mg of creatinine (two readings, spaced out over a month). In addition to insulin, I am also taking thyronorm 75 mg soon after I wake up, glycomet 500mg before each meal, voglibose 0.2 mg after breakfst and lunch, nervz-b after brkfst, telmisartan 20 mg after breakfast and storvas 10 mg at night. Please suggest what can I do to have a tighter blood glucise control, advise if I need to make dietary changes, chanes in insulin type or any other medications.

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MBBS, DGO (cal)

General Physician•
The problem may lie in any of the three
i) the dose and type of insulin is not properly tuned or working and it is not cared by your consultant.
Ii) your diet is not properly planned and some how not matching your need or
iii) your lab is giving wrong reports. For first two you can discuss your diabetologist he is suppose to give you a logical answer acceptable to a knowledgeable person like you. You are quite an educated person and aware of your disease. Your awareness about diabe...more
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