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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetic, On Mixtard Insulin, Recent Blood Test Showed Elevated HbA1c. Control Measures?

Hi doc, I am 57 yr old with type 1 DM, I am on Mixtard insulin 30/70 (10 mL vial), 14 units, SC at dinner time and DM Mixtard insulin 30/70 (10 mL vial): 24 units, SC at Breakfast time, and on last blood test my Hb A1c is so high , about 8. 7. So doc, how can I control my blood sugar , ? is it good if i switch it to another insulin regimen or can i use continous insulin pump ?
Tue, 22 Jan 2013
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Diabetologist,  's  Response
U NEED A DIABETIC DIET CHART OF AROUND 20 KCAL/KG OF YOUR BODY WEIGHT, AND BE STRICT TO YOUR DIET CHART. BESIDES THAT U NEED TO DO REGULAR AEROBIC EXERCISES LIKE BRISK WALK OF AROUND 30 TO 45 MIN DAILY UPTO A TOTAL OF 150 MIN MINIMUM PER WEEK. IT WILL HELP YOU TO LOWER YOUR BLOOD SUGAR LEVEL. U CAN SAFELY INCREASE YOUR INSULIN REQUIREMENT AFTER THAT AFTER DOING A FASTING AND POST PRANDIAL LEVEL, SAFE LIMIT FOR YOU WILL BE AN HBA1C BETWEEN 7 TO 8. FIRST DO LIFESTYLE MEASURES AND THEN SEE THE RESULT. YOU NEED NOT TO SWITCH TO ANOTHER INSULIN OR PUMP AT THIS STAGE
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Diabetic, On Mixtard Insulin, Recent Blood Test Showed Elevated HbA1c. Control Measures?

U NEED A DIABETIC DIET CHART OF AROUND 20 KCAL/KG OF YOUR BODY WEIGHT, AND BE STRICT TO YOUR DIET CHART. BESIDES THAT U NEED TO DO REGULAR AEROBIC EXERCISES LIKE BRISK WALK OF AROUND 30 TO 45 MIN DAILY UPTO A TOTAL OF 150 MIN MINIMUM PER WEEK. IT WILL HELP YOU TO LOWER YOUR BLOOD SUGAR LEVEL. U CAN SAFELY INCREASE YOUR INSULIN REQUIREMENT AFTER THAT AFTER DOING A FASTING AND POST PRANDIAL LEVEL, SAFE LIMIT FOR YOU WILL BE AN HBA1C BETWEEN 7 TO 8. FIRST DO LIFESTYLE MEASURES AND THEN SEE THE RESULT. YOU NEED NOT TO SWITCH TO ANOTHER INSULIN OR PUMP AT THIS STAGE