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Suggest Treatment For Fluctuating Blood Sugar Levels
Question: Even though I increased long acting insulin from 48 units to 70 morning readings are fluctuating between120 and 160
The medication submittes is wrong used 16,20,22,48 units now using 19,24,21,70 units . Sorry for the inconvenience.
The medication submittes is wrong used 16,20,22,48 units now using 19,24,21,70 units . Sorry for the inconvenience.
Brief Answer:
Noted the change
Detailed Answer:
Hello.
Thanks for writing to HCM.
Noted your concern. You are on a sufficiently good dose of insulin as per the basal bolus regimen. Your sugars in the morning are definitely out of the required range as you mentioned. There could be various reasons for that. Most commonly, it could be mean that you need additional insulin. However even after such a huge increase in dose your sugars are high. Hence, few things need to be done. Please check the site of your injection. If there are lumps avoid the site and inject elsewhere and rotate your shots in the site.
Do you take a late night snack? If you do you may need to keep it light.
Thirdly, it would be good to check your sugars at 4 am in the morning. Sometimes people can have hypoglycemia during sleep which will go largely unnoticed and you can have a rebound hyperglycemia in the morning.
Fourthly, have you been started on any new drug? If all of the above is normal, then you can consider adding the dose of insulin and/or add a tablet of a DPP-IV inhibitor like sitagliptin 100 mg once a day.
I will be glad to answer if you have any more queries.
Warm regards.
Dr Praveen
Noted the change
Detailed Answer:
Hello.
Thanks for writing to HCM.
Noted your concern. You are on a sufficiently good dose of insulin as per the basal bolus regimen. Your sugars in the morning are definitely out of the required range as you mentioned. There could be various reasons for that. Most commonly, it could be mean that you need additional insulin. However even after such a huge increase in dose your sugars are high. Hence, few things need to be done. Please check the site of your injection. If there are lumps avoid the site and inject elsewhere and rotate your shots in the site.
Do you take a late night snack? If you do you may need to keep it light.
Thirdly, it would be good to check your sugars at 4 am in the morning. Sometimes people can have hypoglycemia during sleep which will go largely unnoticed and you can have a rebound hyperglycemia in the morning.
Fourthly, have you been started on any new drug? If all of the above is normal, then you can consider adding the dose of insulin and/or add a tablet of a DPP-IV inhibitor like sitagliptin 100 mg once a day.
I will be glad to answer if you have any more queries.
Warm regards.
Dr Praveen
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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