Insulin Glargine Health Feed

You can take a basugine (glargine) substitute for lantus it comes in vial form and much cheaper.
Ask your diabetologist to shift you from rapid acting lispro (humalog) to regular insulin (actrapid) which is cheaper but you need to take it 30 mins before each meal as action is little slower.

YOu have to ideally take it half an hour before food and if it is not possible you have to and can take any time which is better than not taking at all

There is no" maximum dose" for insulin. In fact, it is one of the very few drugs that does not have a maximum dose. In other words, as long as you don't have hypoglycemia or other complications (eg: severe kidney disease) and your blood sugars are controlled round the clock, insulin is safe at any dose.

Hello, Thanks for the query.
Both Insulins mentioned are same. Only difference is one has 40 units per ml in the vial. The other has 100 units per ml in the pen. So if you are taking 6 units with 40 u/ml one, then 6 units need to be taken with the pen. You will have to fix the dosage on the pen, it will deliver that quantity only. Thanks.

only a red capped syringe is to be used when using 40iu/ml bottle.
and flex pen should be used directly as it is.
10 units of both are same if used this way.

Your sugar is not very high do regular exercise and diet control and check your HBA1c levels every 3 months.

Hello, Thanks for the query. In diabetes when required control is not achieved with single drug, multiple drugs are used. In T2 diabetes the beta cell mass is already down to 50 % by the time diagnosis is made. Then if severe hyperglycemia is present then there's further damage to remaining beta cells. In such situations Insulin injections are required along with oral anti- diabetic drugs. Thus the reason for using more drugs is to achieve better glucose control. Thanks.

Hello, Thanks for the query.
It is always advisable to take Insulin before meal. That will help in controlling glucose increase after food. But if it is taken after meal, there will be a considerable amount of glucose rise in the blood. So it will take much longer to control it. Thanks.

Stop all medicines and take medicine that I prescribed for you.
* Tablet Triglimiprex 1 half tablet morning and half tablet evening after food.
* Tablet Health ok one tablet after food daily.
* Capsule DV 60 k one capsule once a week
* For Depression use tablet migra off one tablet morning and one tablet evening

All the needle length you mentioned are ok.
Smaller needles are associated with less pain.
With 4 mm needle you need not have to make skin fold.