My mother is diabetic 2 patient. From last 12 years. She is taking insulins and diabetes was under control. However from last 6 months her sugar level are constantly fluctuating. Once it lower down to 15 nd after few days it was up to 700. Doctor changed insulin dosage etc but we are still struggling with fluctuations for 2 days it remains controlled after every 3 rd day it goes high up to 350 in the morning. Evening time suddenly it goes down to 110 sometimes 220. Please suggest.
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This may happen in a few patients (who had DM for a longer period of time ). Please discuss the problem with the doctor and let your mother keep her moral high because it is a temporary phase. There is no need to go for perfect control. Aggressive changes in the treatment plan may not help the body to accommodate. It needs patience and perseverance (both for the patient and their relatives ). Frequent episodes of hypoglycemia are also are not good for the patient. The sugar control can be done in gradual steps so that blood glucose does not come down drastically at any given time (with regular monitoring while eating her regular balanced diet ). Give ample time for her body to respond naturally. A good counselling can help the patient to cooperate more positively without any panic or anxiety. You can contact me for further clarification.
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