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NOVOMIX-50

    Answered 10 years ago
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    M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.

    General Physician•Hyderabad
    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.
    Answered 10 years ago
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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
    Answered 10 years ago
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    Bachelor of Ayurveda, Medicine and Surge...read more

    Ayurveda•Zirakpur
    You seem ok with these med. Except occasional spurts in sugar levels. I would sincerely advise you to get support of some herbal combo along with these med. If you get response in few weeks, you may continue. Uncontrolled and sustained dm will effect your helath by way of neuropathy and retinopathy and other problems. Your diabetologist must have cautioned you.
    Answered 10 years ago
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    MD - Medicine, MBBS

    Cardiologist•Panchkula
    Yes you can switch to novomix. But under the supervision of your physician. As the dose has to be adjusted frequently.
    Answered 10 years ago
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    Diploma - Diploma - OLO - Rhino-Laryngol...read more

    Acupuncturist•Indore
    This medicne is a substitute for your insulin it cant cure you permanently u sure need acupressure point to avoid much use of all these medicines reduce your stress by taking long deep breadth in daily for 15 times, try it find the cause of stress and avoid stress first.
    667 people found this helpful
    Answered 10 years ago
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    M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.

    General Physician•Hyderabad
    By reducing the carbohydrate diet in the lunch&dinner
    By brisk walking
    By diet planning in consultation with dietician
    198 people found this helpful
    Answered 10 years ago
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    Bachelor of Ayurveda, Medicine & Surgery...read more

    Ayurveda•Navi Mumbai
    Hi, when u ask it mean your health is at better mode n requesting best! its best thing. Its drawback of modern medicine in spite of your good glycemic control u tend to land in nutritional set back n u may land in diabetic complications so like what u r facing now, maintain healthy habits of Balanced Exercise n Diet is turn key things. I request u to enroll for Rasayana (Rejuvenation ) therapy in ayurveda u' ll find difference
    273 people found this helpful
    Answered 10 years ago
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    PDDM, MHA, MBBS

    General Physician•Nashik
    If she is not eating insulin dose has to be adjusted. Razo 20 twice is high dose. Should be made once. Please consult privately for personalised management.
    Dr surbhi agrawal
    Consultant physician and diabetologist
    265 people found this helpful
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