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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On Insulin, Tablets, Walking For Controlling Sugar. Having Cholesterol Tablets. Sugar Level In Morning?

im type 2 but there recently they put me on insulin as well as ttablets...what should my sugars be in the morning ...im 64 years old and have been a diabetic for 10 years...im also on cholosterol tablets as my cholesterel was high but is now down to 3.8...they are concerned about nightime sugars i also do a lot of walking sometimes my bloods are down 6.5 or 7.9...what should they be..
Thu, 14 Mar 2013
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General & Family Physician 's  Response
Hello,
As the diabetes progresses in type 2 diabetics,the mass of functionally active beta cells in the pancreas starts dwindling and soon a stage is reached where the mas of active beta cells is reduced to a minimum and this is the stage when oral diabetics loose their efficacy and they become ineffective even at the highes possible dose.This is the stage where injection insulin has o be added and you seem to have reached this stage and that is the reason your doctor has put you on injection insulin.
As far as control of blood sugar is concerned,it can be achieved gradually by titrating your insulin dose and oral anti diabetics.
The goal of fasting sugar should be around 100 to 120 .
The goal of HBA1c should be below 7.
Keep taking your statins for your cholesterol ,even if your cholesterol levels are normal.
Thanks
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On Insulin, Tablets, Walking For Controlling Sugar. Having Cholesterol Tablets. Sugar Level In Morning?

Hello, As the diabetes progresses in type 2 diabetics,the mass of functionally active beta cells in the pancreas starts dwindling and soon a stage is reached where the mas of active beta cells is reduced to a minimum and this is the stage when oral diabetics loose their efficacy and they become ineffective even at the highes possible dose.This is the stage where injection insulin has o be added and you seem to have reached this stage and that is the reason your doctor has put you on injection insulin. As far as control of blood sugar is concerned,it can be achieved gradually by titrating your insulin dose and oral anti diabetics. The goal of fasting sugar should be around 100 to 120 . The goal of HBA1c should be below 7. Keep taking your statins for your cholesterol ,even if your cholesterol levels are normal. Thanks