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Question: I have diabetes for last 9 years. I am 29 years old.I checked my c-peptide fasting and it is 1.96.My Hb1Ac is 7.5.
Initially doctor gave me medicine later another doctor shifted me to human mixtard insulin.So for past 8.5 month I am on insulin. Presently my dose 12 unit Day and 10 units in night.
My fasting sugar usually remains normal and if it is 110 or 120 then I feel good in morning.
But my PP varies normal to higher side that also I have checked many times depends on food I take.
One year ago I consult doctor and he prescribed me metformin and I took that but after 4 hrs of taking I got diarrhea.So I stopped it I could not contact doctor later due to some unforeseen circumstances.
Presently I am not following any diet.I am eating everything expect sugar.
I have noticed that rather than diet my sugar level depends on stress purely my observation.
And due to diabetes I am feeling any unusualness but mentally it hammers me that I am living on insulin all day and night.
Pls prescribe should I continue insulin or any medicine is there to control my diabetes.
Pls help I do not want to take insulin.It is 8.5 years not month
Initially doctor gave me medicine later another doctor shifted me to human mixtard insulin.So for past 8.5 month I am on insulin. Presently my dose 12 unit Day and 10 units in night.
My fasting sugar usually remains normal and if it is 110 or 120 then I feel good in morning.
But my PP varies normal to higher side that also I have checked many times depends on food I take.
One year ago I consult doctor and he prescribed me metformin and I took that but after 4 hrs of taking I got diarrhea.So I stopped it I could not contact doctor later due to some unforeseen circumstances.
Presently I am not following any diet.I am eating everything expect sugar.
I have noticed that rather than diet my sugar level depends on stress purely my observation.
And due to diabetes I am feeling any unusualness but mentally it hammers me that I am living on insulin all day and night.
Pls prescribe should I continue insulin or any medicine is there to control my diabetes.
Pls help I do not want to take insulin.It is 8.5 years not month
Brief Answer: XXXXXXX are an option, but insulin is best
Detailed Answer:
Hello ma'am and welcome.
Thank you for writing to us.
I have gone through your query with diligence and would like you to know that I am here to help. In diabetes, the body fails to produce natural insulin which helps with the breakdown of sugar as a result not allowing its levels to increase in the circulation and cause harm. There are many different pathways to this pathology, all of them result from a lack or deficiency of insulin. For this reason, we prescribed two groups of medications for diabetic patients:
1. Oral hypoglycemic agents (OHG): That purely help in lowering the blood glucose levels. Although they are effective once the right dosage is found, they do not produce a natural environment in the body (as compared to insulin)
2. Insulin: This administration of insulin is the closest we can get to the natural insulin produced in the body. This synthetic insulin helps in performing all the functions your bodys natural insulin would have performed
For this reason, doctors usually prefer prescribing some amount of insulin to make the body feel like all is well. But if at all you do not wish to take insulin, then you could visit either a physician or a diabetologist and request for OHGs. Although every doctor would prefer treating you with insulin, it would be your personal choice for taking OHGs. This is the next best option you have available ma'am, so please speak to your doctor about it.
As for stress being a factor contributing to blood glucose levels, I completely agree. This along with diet and exercise are all included in the lifestyle changes suggested for diabetics. With a HbA1c level of 7.5% your blood glucose is fairly controlled, which is not bad but it can better if an OHA was added to the current insulin regimen.
I hope you find my response helpful. Please feel free to write back to me for any further clarifications, I would be more than happy to help you.
Best wishes.
Detailed Answer:
Hello ma'am and welcome.
Thank you for writing to us.
I have gone through your query with diligence and would like you to know that I am here to help. In diabetes, the body fails to produce natural insulin which helps with the breakdown of sugar as a result not allowing its levels to increase in the circulation and cause harm. There are many different pathways to this pathology, all of them result from a lack or deficiency of insulin. For this reason, we prescribed two groups of medications for diabetic patients:
1. Oral hypoglycemic agents (OHG): That purely help in lowering the blood glucose levels. Although they are effective once the right dosage is found, they do not produce a natural environment in the body (as compared to insulin)
2. Insulin: This administration of insulin is the closest we can get to the natural insulin produced in the body. This synthetic insulin helps in performing all the functions your bodys natural insulin would have performed
For this reason, doctors usually prefer prescribing some amount of insulin to make the body feel like all is well. But if at all you do not wish to take insulin, then you could visit either a physician or a diabetologist and request for OHGs. Although every doctor would prefer treating you with insulin, it would be your personal choice for taking OHGs. This is the next best option you have available ma'am, so please speak to your doctor about it.
As for stress being a factor contributing to blood glucose levels, I completely agree. This along with diet and exercise are all included in the lifestyle changes suggested for diabetics. With a HbA1c level of 7.5% your blood glucose is fairly controlled, which is not bad but it can better if an OHA was added to the current insulin regimen.
I hope you find my response helpful. Please feel free to write back to me for any further clarifications, I would be more than happy to help you.
Best wishes.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hii Doctor..
Thanks for the reply.
I consulted a doctor and he told before concluding to switch to oral drugs he would like to have results of GAD and islet cell antibody.
Clinically it is type-1 as per his examination.
So is it GAD, islet cell antibody and c-peptide test combine together will help to take decision for oral drug?
(As above two test are costly also.)
Hope to hear from you
Regards
XXXXXX
Thanks for the reply.
I consulted a doctor and he told before concluding to switch to oral drugs he would like to have results of GAD and islet cell antibody.
Clinically it is type-1 as per his examination.
So is it GAD, islet cell antibody and c-peptide test combine together will help to take decision for oral drug?
(As above two test are costly also.)
Hope to hear from you
Regards
XXXXXX
Brief Answer:
Yes XXXXXXX that is quite right
Detailed Answer:
Hi XXXXXXX
These investigations will support a diagnosis of type 1 diabetes, which better responds to the oral drugs. So in many ways the answer to your question is yes, these tests should help make shifting over to oral drugs a wise move.
I am also extremely sorry for the delay as I had a really busy day at the department today. I hope this answers your question, please feel free to write back to me anytime, I am always here to help.
Best of luck XXXXXXX
Yes XXXXXXX that is quite right
Detailed Answer:
Hi XXXXXXX
These investigations will support a diagnosis of type 1 diabetes, which better responds to the oral drugs. So in many ways the answer to your question is yes, these tests should help make shifting over to oral drugs a wise move.
I am also extremely sorry for the delay as I had a really busy day at the department today. I hope this answers your question, please feel free to write back to me anytime, I am always here to help.
Best of luck XXXXXXX
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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