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I Have Type2 Diabetes . I Take 6 Units After
Question: i have type2 diabetes. i take 6 units after each meal and 32 units at bedtime, my sugars are between 200-300 every morning i have been titrating up but still ba
Brief Answer:
About insulin doses;
Detailed Answer:
Hello and thank you for asking!
I can understand your concern.
The high fasting glucose despite increasing the dose (after excluding hypoglycemic events during the sleep by checking glucose level at 2.00 a.m) of basal insulin means that you have insulin resistance and an oral antidiabetic medication can be of help.
Before suggesting antidiabetic tablets, your weight, renal and liver function should be known.
If your physician has excluded the tablets due to contraindications, all you can do is to increase the dose (careful of hypoglycemia during the night) of insulin until the fasting glucose is normal.
We do not recommend to do more than 40UI of basal insulin in one injection, but for doses over 40UI, it should be divided into 2 injections (every 12 hours).
Meanwhile, the dose of rapid-acting insulin should be judged depending on postprandial glucose after fasting and pre meals are corrected.
Hope the information will help. Feel free to ask further.
Best wishes,
Dr.Mirjeta
About insulin doses;
Detailed Answer:
Hello and thank you for asking!
I can understand your concern.
The high fasting glucose despite increasing the dose (after excluding hypoglycemic events during the sleep by checking glucose level at 2.00 a.m) of basal insulin means that you have insulin resistance and an oral antidiabetic medication can be of help.
Before suggesting antidiabetic tablets, your weight, renal and liver function should be known.
If your physician has excluded the tablets due to contraindications, all you can do is to increase the dose (careful of hypoglycemia during the night) of insulin until the fasting glucose is normal.
We do not recommend to do more than 40UI of basal insulin in one injection, but for doses over 40UI, it should be divided into 2 injections (every 12 hours).
Meanwhile, the dose of rapid-acting insulin should be judged depending on postprandial glucose after fasting and pre meals are corrected.
Hope the information will help. Feel free to ask further.
Best wishes,
Dr.Mirjeta
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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