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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment To Control Blood Sugar

My mother is suffering from diabetes from last 10 years. We are giving her humalog 3 times a day around 60 units in total and lantus 30 units a day. But still sugar is not under control. Sugar levels are similar when we didn t used any insulin s and gave gluformin xl 1000, or when we were giving insulin doses of around 30 units of humalog in total and 20 units of lantus a day. Please advice something.
Mon, 9 Mar 2015
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Dietitian & Nutritionist,  's  Response
As you have not mentioned much about her like her age, any other health problems, all I can say is that she must try to increase her physical activity to control blood sugar levels. Diet control as well as exercise helps in controlling blood sugar besides insulin and medications as they work only when diet and exercise is also combined with them. Make sure she eats healthy low fat high fibre diet. Avoidance of fried and oily food, sugar and sweets and inclusion of fresh fruits and vegetable salads help in lowering blood sugar.

Walking is the best way to increase physical activity. 30 minutes of brisk walk is advised 3-4 times a week to control blood sugar.

use a glucometer to monitor blood glucose before and after meals, before and after exercise to check how effectively diet and exercise are working. Make any changes in diet and control portion sizes of meals to bring down calorie intake.

Hope this will give you an idea on how to manage diabetes in a better way.
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General & Family Physician,  Dr. Michelle Gibson James's  Response
HI, thanks for using healthcare magic

Blood sugar control would be dependent on diet,activity and medications.

You may want to consider a profile for 3 to 4 days. This would check her blood sugars throughout the day- fastings, premeal, 2 hour post meal.

This would help to determine her response to specific meals.

Her diet or insulin regimen may need to be altered for control.

You may also want to consider visiting a nutritionist for dietary advice.

I hope this helps
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Suggest Treatment To Control Blood Sugar

As you have not mentioned much about her like her age, any other health problems, all I can say is that she must try to increase her physical activity to control blood sugar levels. Diet control as well as exercise helps in controlling blood sugar besides insulin and medications as they work only when diet and exercise is also combined with them. Make sure she eats healthy low fat high fibre diet. Avoidance of fried and oily food, sugar and sweets and inclusion of fresh fruits and vegetable salads help in lowering blood sugar. Walking is the best way to increase physical activity. 30 minutes of brisk walk is advised 3-4 times a week to control blood sugar. use a glucometer to monitor blood glucose before and after meals, before and after exercise to check how effectively diet and exercise are working. Make any changes in diet and control portion sizes of meals to bring down calorie intake. Hope this will give you an idea on how to manage diabetes in a better way.