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Way to reduce raised sugar level with INSULIN.

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Hello Sir, My mother is a diabetic patient. We monitor her sugar levels regularly and try to keep it normal. But, from last week Her sugar level is very high 300~330 (pp). No matter what we do to make it normal it is not coming low. We increased the insulin levels, reduced carbohydrate intake but none of these worked. She is feeling a bit drowsy in this week too(I guess its for the high sugar level).
Her current medications:
1.Glycinorm M40 - 1 at morning, Half Before launch, Half Before Dinner.
2.Humalog Mix 25 (insulin) - 22 Units at morning, 22 units at night.
As she had UTI last year we can't take the risk of keeping the sugar levels high for long period.
We need advice on what should we do now to reduce the sugar levels. Is medication change required?

Category: Diabetologist

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Dr. J Muthukrishnan
Category: Diabetologist
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 28 Doctors Online

Expert:  Dr. J Muthukrishnan
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Hello,
Thank you for your query at DoctorSpring.com
You haven't mentioned her fasting sugar levels.
She needs to be put on insulin basal at night and thrice premeal rapid insulin. Any infection needs to be excluded.
Kindly mention her fasting levels too.
Regards.


Patient replied :

Thanks for the reply sir. Her fasting sugar levels are between 200~250 for the last 6 days. Can you please prepare a medicne routine (prescription) for her.


Expert:  Dr. J Muthukrishnan
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Inj Glargine/Lantus 26U Bedtime
Inj Humalog/Lispro
10 before each meal, thrice a day
Keep checking Fasting sugars every alternate day, if more than 130mg/dl, increase Lantus by 2 Units, till fasting is 90-130mg/dl


Regards

Dr. J Muthukrishnan
Category: Diabetologist
Experience: 
Fellowships/Training: 
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
Dr. J Muthukrishnan and 4 other Medical Specialists are ready to help you

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