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Insulin Aspart Health Feed

Asked for male, 62 years old from Vijayawada
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Thank you Dr. insulin taken on 12-7-20: novomix 30/70--12 units before breakfast. 13 units novomix and before dinner13 units novomix. The results are: 13-7-20: fasting 136. Ppafter breakfast: 225…. Ppafter dinner: 239. Earlier my local Dr. put my on novomix 30/70 twice a day. Morning 22 and before dinner with 12 units. Butpps after breakfast and after lunch are around 225 to 250. After that local Dr. changed to 3 times novomix 30/70 with regimen 14,--14--13. Still pps after i and lunch are more than 225 only. My questions are :1) you stated novomix morning and before dinner with lantus. But this lantus is not taking care for 24 hours. My experience with lantus which is taken at night is working upto fasting level only. Due to my above experience, small doses of novomix after breakfast and dinner, will take care my high pp levels. For afternoon, you have not stated any insulin. Kindly review my case particularly keeping into account my high pp levels. Of course, if I take 3 times novorapid and onetime like tresiba, my levels may be alright. But 4 times punching my body with pain and often injections. 2) local Dr. stopped my gliptins like janumet or linagliptin when I stated losing of my muscle strength at thies area. As you stated, my injection area in abdomen or thies area not affected. If you say confidently, I can start any other medicine suitable to me if you suggest but my muscles should not be reduced. I am following strcy diet control with 1600 kilo cal. 3 months back my hba 1c is 7.4%. Pl advice and help me Dr. Regards prabhakara rao v vijayawada age 63 weight 73 kg.

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MBBS, MD Internal Medicine, PhD (Endocri...read more

Endocrinologist•Vellore
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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
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Mr. lybrate-user, There is brand by name "Mixtard 30/70 InnoLet 3 ml injection. Usually concerned company persons do visit and explain how to use the Insulin Pens. So while buying it from the local chemist ask him to send the particular company representative to demonstrate the usage. The cartridges are 3 ml while vial is bigger. So please get all the details before switching over. Pens are definitely much easier to use. Thanks.
Asked for male, 24 years old from Delhi
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C.S.C, D.C.H, M.B.B.S

General Physician•Alappuzha
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5 units taken in vial or form penis the same . You have to use correct type of syringe based on the content in vial U 100 or U 40
222 people found this helpful
Asked for male, 33 years old from Asansol
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Visiting Consultant - Rajiv Gandhi Cance...read more

Pediatrician•Delhi
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Hi you r a diabetic. Your injection site is not healthy. You need to follow a proper rotation technique for injection. Not at the same site always. The area you are referring need to be left for few days without injection. It will improve on its own. Take care.
239 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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Asked for Male, 56 years old from Visakhapatnam
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MD - Diabetology, Membership of the Roya...read more

Endocrinologist•Kochi
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Strictly speaking, diabetic should avoid alcohol completely. But if you insist on taking it, ensure that your blood sugars and all other parameters are normal. Then, you may take one 30 ml drink of hard liquor (usually containing around 45% alcohol) per day. However, if you are on Insulin, avoid alcohol.
Asked for male, 20 years old from Mandya
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Hubli-Dharwad
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Mr. lybrate-user P Bayer, Thanks for the query.
Both Insulins are similar, having a combination of rapid acting and slow acting insulins. There is hardly any difference. Thanks.
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