I am 68 Years male, having diabetes since long back. Use of insulin was started from the year 2003, with 6 units of insulin 3 times daily. Gradually the intake of insulin increased, currently, I am consuming Mixtard 30/70 insulin 3 times a day with 20 units each time. Two years ago I underwent bypass surgery. Recently I have tested sugar levels from a lab (Fasting & after lunch) Reports are 142 Mg% & 242 Mg %.Along with this test, I have done HbA1c test and report is 10.2%, which is considered poor control .For deep monitoring, I have started testing at home at fasting, after breakfast, after lunch & after dinner. Observation is mentioned below. 14.12.2016 - 145, 310, 285, 240 15.12.2016 - 152, 317, 267 16.12.2016 - 129, 232, 207, 305 17.12.2016 - 156, 329, 248, 242 Kindly advise me, how much insulin should I take to keep blood sugar level in a normal range? Should I take rapid-acting insulin once in a day to maintain BSL in a normal range?

Diabetes

Sugar

3Doctors Answered

Dt. Riyaz KhanDietitian/Nutritionist5yrs exp

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Sir, your sugar levels are very high which can lead to damage of your organs. I think you can change your approach from 'More Medicines' to 'Less Carbohydrates' You should take a challenge to reduce your sugar levels without medicines. You should consult a dietician for a controlled diet. Life / Health is a precious gift. It should not be wasted over junk foods. Change your lifestyle and enhance your life.

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Dt. Apeksha ThakkarDietitian/Nutritionist12yrs exp

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Hello, A second opinion might be needed for your insulin dosage, Consult an endocrinologist for the same. Insulin intake with no control over diet and lifestyle will not give you control over the sugar levels. Manage your stress nad walk for an hour everyday.

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Dr. Nikhil PrabhuEndocrinologist9yrs exp

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Mixtard 30/70 is 12 hr insulin and should be given twice daily. Considering your current reports your post meal sugars are high throughout day. Ideally you should be on basal bolus regimen (glargine as basal and rapid acting insulins like lispro as bolus before each meals) alternatively some OHAs like voglibose or gliptins can be tried for post meal peaks. It is advisable to consult a good diabetologist for managing your sugars as more detail history needed for optimum control.

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