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Have diabetes type II. Taking Isugen and Atorvastatin. Is it correct?

I am diabetic II since last 25 years. At present I am taking (a) Insugen-30/70, 34 units in the morning ( 30 minutes before breakfast) and 28 units in the evening (30 minutes before dinner), (b) Insugen-R, 10 units 30 minutes before lunch, (c) Tab. Vildagliptin-50 mg one BD, (d) Tab Atorvastatin-10 mg one OD, (e) Tab Ecospin-75 mg one OD and (f) Tab S-Amlong-2.5 mg one BD. My sugar level (with glucometer) remain between 140 to 230 and BP remain between 135/75 to 150/85. Please advice me for corrections.
Asked On : Wed, 2 Jan 2013
Answers:  2 Views:  65
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Endocrinologist 's  Response
You are on reasonable medications.
Are the sugar readings you mentioned fasting or after food? What is your HBA1C level?

If you have type 2 diabetes for 25 yrs vildagliptin unlikely to be of much use.

Bp is reasonably controlled , but it is ideal if all readings are less than 140/80.

You are on atorvastatin for cholesterol. What is your latest lipid profile test result?
Answered: Thu, 3 Jan 2013
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Diabetologist Dr. K.Balasubramanian Kandasamy's  Response
fine msa
good description of what you are taking .you have not mentioned your sugar level abt the timing ist fasting or post prandial . and better check your venous blood sugar that is not with glucometer which gives bit of inaccurate reading . do a HbA1c test if its elevated you may have to alter your tt. if normal you can continue this. and why do you have insugen -R . ist that your postlunch sugar is elevated. if so you can go for 50/50 insugen so that you can reduce one prick . and if you add a insulin sensitizer like metformin you will be benefited . for your BP if you can take a ACE or ARB inhibitor it will be more beneficial which can protect your kidney as well.
good luck keep in touch
Answered: Sat, 5 Jan 2013
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