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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can A Patient Start Insulin While On Oral Hypoglycemics?

When do you suggest for starting the insulin for a patient on oral hypoglycemics? I am taking a Zoryl 4mg at BF and Zoryl 2mg, Glycomet 1gm at Dinner still blood sugar F is 120 and after noon 246 and At dinner 240 do you think i should start the insulin.
Wed, 20 Aug 2014
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Diabetologist 's  Response
Dear Sir/MAdam,
Welcome to HCM,
I think there are a few options before we think of insulin. As a initial step I feel your metformin dose can go up. Recommended dosage is 2gm/day. So you can add metformin in the morning as well. once you have done that please monitor your blood sugar readings to decide on further course of treatment...
For any further queries please do not hesitate to come back...
Dr.Riyaz Sheriff
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What Can A Patient Start Insulin While On Oral Hypoglycemics?

Dear Sir/MAdam, Welcome to HCM, I think there are a few options before we think of insulin. As a initial step I feel your metformin dose can go up. Recommended dosage is 2gm/day. So you can add metformin in the morning as well. once you have done that please monitor your blood sugar readings to decide on further course of treatment... For any further queries please do not hesitate to come back... Dr.Riyaz Sheriff