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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Been Taking Insulin For Long Time. Took Human Mixtard50. Now Taking Novo Mix30. Not Helping. Medicament?

hi. my name is jagdish I am taking insulin from last 26 yrs.in india I take human mixtard50, but after coming to Ireland I find no human mixtard50. so my gp changed to novo mix30 but it not working as because after lunch sugar goes to maximum 20 , im taking 44 in the morning 40 in the evening im 42yrs old bmi is 23 hlp me what to do
Tue, 9 Jul 2013
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Pathologist and Microbiologist 's  Response
Hello,

If insulin mixtard 50 is not available and mixtard 30 is not helping in controlling the blood sugar with the maximum therapeutic doses then you can switch to

1. long acting insulin once daily like Glargine(at night) with short acting insulin with every meal.

(or)

2. You can add OHA like metformin with your present regimen which will help in insulin sensitization.
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Diabetologist Dr. Pratap VGM's  Response
DEAR SIR/MADAM

USUALLY PREMIXED INSULIN WHEN USED TO CONTROL SUGARS, YOU WILL EXPERIENCE SAME PROBLEMS

SO BETTER GO FOR BASAL BOLUS PLAN WITH CONTINUOUS INTERSTITIAL GLUCOSE MONITORING. SURELY YOU WILL GET BETTER CONTROL

THANKS
I find this answer helpful

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Had Been Taking Insulin For Long Time. Took Human Mixtard50. Now Taking Novo Mix30. Not Helping. Medicament?

Hello, If insulin mixtard 50 is not available and mixtard 30 is not helping in controlling the blood sugar with the maximum therapeutic doses then you can switch to 1. long acting insulin once daily like Glargine(at night) with short acting insulin with every meal. (or) 2. You can add OHA like metformin with your present regimen which will help in insulin sensitization.