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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetic, Want To Gain Weight. How Should I Start?

I am a diabetic since last 5 years, age 33 years and on insulin Human actrapid 7 for breakfast, 7 in afternoon and 2 in evening with 16 units of Humalog mix 25.HbA1C is 6.2%. I do routine excercise for 30 minutes daily and my weight is 59 kgs. I am slim since birth but now want to increase weight only little bit may be about 65 kgs. Sugar is somewhat better but I realized just few weeks back that by counting every time s carbohydrate and adjusting dose, sugar could be controlled better. Also, I think I may need to adjust my basal dose. These days I started to felt that my leg and tongue have somewhat less sensation but I hope if I control better all this would improve. Can you please guide me in correct direction. I am a pure vegetarian.
Wed, 20 Mar 2013
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General & Family Physician 's  Response
Hello,
You definitely need a better control of our sugar levels and I think changing the dose of day time insulin and switching from HUMALOG MIX to injection LANTUS should help you better.However you may discuss about it with our treating doctor.
As far as feeling less sensations in leg and tongue are concerned,these seem to be due to peripheral neuropathy caused by uncontrolled diabetes.Proper control of sugar levels along with injections of VIT B 12 should help you in that.
Make sure that your sugar levels are controlled meticulously otherwise many other micro as well as macro vascular complications might set in besides peripheral neuropathy.
Control your diet and as far as weight is concerned,your main aim should be to remain in your required BMI.
Thanks
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Diabetic, Want To Gain Weight. How Should I Start?

Hello, You definitely need a better control of our sugar levels and I think changing the dose of day time insulin and switching from HUMALOG MIX to injection LANTUS should help you better.However you may discuss about it with our treating doctor. As far as feeling less sensations in leg and tongue are concerned,these seem to be due to peripheral neuropathy caused by uncontrolled diabetes.Proper control of sugar levels along with injections of VIT B 12 should help you in that. Make sure that your sugar levels are controlled meticulously otherwise many other micro as well as macro vascular complications might set in besides peripheral neuropathy. Control your diet and as far as weight is concerned,your main aim should be to remain in your required BMI. Thanks