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Drugs for diabetic people - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   i have type 2 diabete and am suppose to take 2 units of insulin if my sugar is above 200 and 4 if above 250 and use the sliding scale so i basically have no idea how that works
Doctor :   Hi xxx,
Doctor :   This is Dr yyy here
Doctor :   let me read your query.
Doctor :   ok
Doctor :   May i know your age, and how long have u have had Diabetes ?
User :   33 and i found out i had diabetes three months ago
Doctor :   what are the medicines that you are on?
Doctor :   other than insulin?
Doctor :   and how long have u been on insulin?
User :   my sugar level stays above 200 pretty much daily and has been as high as 680 i was prescribed metaform??sp but it makes me sick
User :   taking insulin for two months
User :   daily for the last month
Doctor :   metformin, is a good drug to stabilise the sugar levels
Doctor :   So about insulin, what doubts specifically do u have ?
User :   i am suppose to use the sliding scale but i have no idea what that means
Doctor :   sliding scale, - is used to regularise the usage of insulin
Doctor :   a high blood glucose means a higher dosage of insulin
User :   all i was told was that if above 200 take 2 units and above 250 take 4
Doctor :   if less than 120 - no insulin is needed
User :   ive never been less than 190
Doctor :   150-200mg sugar - take 1 unit
Doctor :   upto 250 - take 2 units
Doctor :   greater than 250 - take 4 units of insulin
User :   ok this afternoon i was at 300 i took 4 units and right now i am at 257 do i take 4 units again?
Doctor :   yes u can take 4 units again
Doctor :   4 units, is not a big dose, and u need not worry
Doctor :   this is just to replace the lack of insulin production in your body
User :   ok i just dont under stand what or how the sliding scale is suppose to affect my intake i read on the internet something that basically said my intake should increase
User :   something that contradicted what i was told and thought i was suppose to increase my dosage
Doctor :   what do u mean by intake ?
User :   dosage
User :   of insulin
Doctor :   yes, sliding scale, refers to dosage of insulin
Doctor :   it rises as the blood glucose levels rise
Doctor :   if your BGL is low, the required dose decreases
Doctor :   if its high the dose needed increases
User :   ok so how do i use it when taking my insulin lets say tommorow morning my level is 280 do i still just take 4 units
Doctor :   yes 4 units
User :   and if at lunch im at 330 just 4 units?
Doctor :   if less than 199, take 1 unit
User :   ok i understand now
Doctor :   if its above 300 u need to take 6 units
User :   ok
Doctor :   for every 50 mg increase in sugar, u need 2 units of insulin
User :   ok perfect
Doctor :   i hope u have understood my advice
User :   yes i understand now thank you
User :   one more question
Doctor :   you are welcome ,
Doctor :   sure proceed
User :   how hard is it on my body for my level to average around 200-220 daily for the last thirty days my level has averaed 248
Doctor :   it depends ont he diet
Doctor :   you eat
Doctor :   Hi Are u there ?
User :   yes i am back
Doctor :   ok
Doctor :   for the question you have asked ,
User :   the hospital told me to eat a diet of high carbs which made no sense to me so what i have been doing is tring to just eat a healthy diet
Doctor :   it depends, basically on, the diet you eat on a regular basis and regular exercise
User :   i am not really sure what I am suppose to eat i test myself several times a day just to get a feel for what does what to my levels
Doctor :   high carbs , increase the blood sugars , so u have to eat it moderately
Doctor :   reduction in high saturated fats, like cheese, butter, etc is needed as these are harmful
User :   ok can you suggest a website that i could reference for diet information
Doctor :   using olive oil, etc is good as they aheve high qty of unsaturated fats, thats good for u
Doctor :   give me a minute
Doctor :   WWW.WWWW.WW Doctor :   is a good place to start
Doctor :   other than this, there are a lots of sites on the net, where u can gain additional info as well
User :   ok well thanks i think that is it for now
Doctor :   thanks for consulting me
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