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Hi Doctor, I am a 53 year old male, insulin dependent diabetic and a hypertensive. To add to this I am having BI polar disorder. Sugar control is average or below. BP under control. Now my medicines Lantus 20 units at Bedtime, Novorapid 10 units before lunch Glycigon 80, two times a day, two tablets each time For BP Olmin 40 LN Bloc 20 pantoprazole with Domstal one time a day As far as Bipolar problem is concerned I am cleared by psychiatrist to take all the above with the medicines he prescribed. I consider this a sensitive matter. I am always in stress because of my Job, I am the GM or second in command of a large turnover construction company. My morning sugar is between 95 tp 110, but post breakfast after 2 hours is 225. After taking my lunch I take novorapid 10 units hence for few hours my sugar drops to normal range. Again in the evening it when Novorapid effect is gone it climbs to 250-275. Remains like that perhaps till I sleep after taking Lantus 20 units, again in the morning it is normal. HB1C today's test shows a reading of 7.0. What should I do to take this reading to 6.0.
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Mr. Lybrate-user, firstly, I congratulate you for having taken very good care of all those multiple problems you are suffering from. Secondly, I must commend the detailed manner in which you have described your present status. Thirdly, you have managed your diabetes pretty well. For your lifestyle & busy work schedule, an hba1c of 7% is quite good. You might be able to bring it down marginally, to 6.5% if you take care of your diet a bit more meticulously & exercise regulary. Beware of hypos when you exercise. All the best!
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