Hi Rama! I am Dr Karthick. From the levels you had suggested I believe you meant that her HbA1c
was 8.2% and PPG or random blood sugar level to be 356 mg/dl. Yes, I almost accept with the doc who had suggested her insulin
injections as at a level of 8.2% and 356 mg/dl she has to have her glucotoxicity reduced and then probably after a fortnight or a month later she could go for further analysis of her blood, after which we could titrate her dosage of insulin or go for oral anti-diabetic agents. The best part of her history seems to be her age and I believe she is very recently diagnosed with diabetes
. If that is so, then you have good news in that she need n't continue her insulin shots. Instead she can go for oral medications like metformin
and probably an add-on. I would also suggest her to go for lifestyle modification in the form of exercise and small-frequent meals and low glycemic index
foods. Take care.