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Novomix 50 Penfill 3 ml Health Feed

Asked for male, 33 years old from Asansol
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Hubli-Dharwad
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Mr. lybrate-user, Thanks for the query.
Insulin dose decided on the basis of blood glucose level both fasting and after food. Plus there are different types of insulins, it is not which one you are using. There are rapid acting and long acting insulins plus combination of both.
It is given in units per dose, not as ml. Taking excess insulin is not advised. It causes hypoglycemia. Thanks.
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Hubli-Dharwad
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Mr. Lybrate-user, if you have t1 dm, then only treatment is insulin injection, no other option. If you have t2 dm and still you have been given insulin that means your diabetes must have been really in bad control. Diabetes occurs either due to lack of insulin or resistance to its action (t2 dm), or due to total absence (t1dm). Best medicine for diabetes in fact is insulin, it has no real side effects, our own islets of langerhans in pancreas produce it.
Asked for female, 42 years old from Karnal
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MD - Medicine

General Physician•Delhi
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Diabetes is a non communicable chronic metsbolic disease. Increase thirst, increased frequency of urination are some initial symptoms of diabetes but it can vary from being completely asymptomatic to non specific symptoms like weakness, loss of weight, tingling in feet, dry mouth, blurry vision, burning during urination. You need to follow a healthy lifestyle to prevent such metabolic diseases. Type 1 usually occurs at younger age due to insulin deficiency and treated with insulin injections. It...more
Asked for female, 27 years old from Lucknow
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MD - Medicine, MBBS

Cardiologist•Panchkula
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If the insulin has been started because of the failure of oral medicines then generally one has to take insulin life long. At times insulin is given prior to some surgery or a person is shifted to insulin because of some complication, then the patient can be shifted back to oral drugs.
Asked for male, 35 years old from Sambalpur
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AUTLS, CCEDM, MD - Internal Medicine, MB...read more

General Physician•Faridabad
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what are your current sugar levels,,,only after the report it can be commented whether insulin can be removed or not.
Following are the tips to prevent onset/or control diabetes
1-Losing Extra Weight:-The most significant thing which can make a big difference to your health is to lose your extra weight. This will not only lower your blood pressure but also helps lowering your cholesterol too. For woman: waist of 80 cm or more & for man: waist of 90 cm or more are at risk
2- Constan...more
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Asked for male, 39 years old from Aligarh
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MBBS

General Physician•Delhi
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It's very essential to have a blood sugar level that can be controlled by oral medicines. If you're taking insulin it means your sugar is not under control. Get hba1c levels checked and also fasting and post prandial blood sugars at regular intervals. If the range is coming at an acceptable level you can be put on oral medicines.
Asked for male, 33 years old from Delhi
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M.D.(AM), B.A.M.S.(PB)

General Physician•
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Your age is suitable for insulin ,start walk daily at least for 45 minutes, for medicines you should take private consultation.
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Asked for male, 16 years old from Visakhapatnam
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MBBS, Diploma in Diabetology

Endocrinologist•Mumbai
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every insulin has it's time of action. for example human mustard 30/70 has 12 hrs of action or actrapid has 6-8hrs , novorapid 4 hrs humalog 4 hrs humalog mix25/75 has 12hrs lantus (glargine) has 24 hrs etc..
after it is finished then sugars will start rising again and need another shot.
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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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.
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