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Diabetic on daily workout. Can the medication be reduced? - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1542 Questions
User:I am diabetic. Have been maintaining a healthy regimen of daily workout (ensuring that I walk for more than 40 minutes for more than FIVE days a week) and have cut down my sugar based food intake drastically and I see that my blood sugar levels are very much in control. I wanted to find out as to-

1) whether I can reduce the insulin and medication in-take?
2) why I feel restless when I do not take food for more than TWO hours?
3) why do I feel that I cannot concentrate and stay focused on my work activities?
4) why do I feel that I am loosing the ability to remember things?
5) why do I feel that my libido is at an all time low?
User:Hello Doc...
Doctor:Give me a few minutes to read your post.
User:I am currently taking Human Mixtard/Huminsulin (30/70) U40 to be injected with U-40 syringe. 2 doses of Insulin are to be taken- one 30 min. before breakfast and dinner and only Pioz-G2/15 after Breakfast and dinner
User:I am 33 Years Old and weigh about 78Kgs.
Doctor:Let me answer your questions one by one.
Doctor:1. Whether you need to reduce insulin or not?
Doctor:The dose of insulin required is individualized and determined by pre-existing blood sugar state.
Doctor:I understand you are working hard to control your sugars.
User:I am reading....Please go on....
Doctor:I would suggest you to monitor your sugar levels individually using a glucometer. Early morning fasting and after breakfast; post lunch and before dinner and after dinner.
Doctor:Such readings for a week can help your doctor in deciding whether the insulin levels can be lowered.
User:Should I be doing this for the entire week meaning all days of the week?
Doctor:2. Regarding feet restlessness.
Doctor:Recording for a few days to week can help your doctors determine whether the insulin levels need to be altered or can be kept the same.
Doctor:Now regarding the restlessness, this symptoms is not suggestive of any known clinical condition.
Doctor:However as you report the symptoms only after food, perhaps they are related to your blood sugar levels.
Doctor:Please confirm it with use of glucometer.
Doctor:Record your sugars whenever you develop the symptoms.
User:And what are the ideal blood sugar levels that I should be watching out for?
User:I mean this question is in addition to the questions I have previously asked!!
Doctor:You can ask as many questions as possible.
Doctor:Regarding Ideal blood sugar, your sugars should be kept under 90 to 120mg in the fasting state and 100 to 140mg after food.
Doctor:3. Your third query about lack of concentration.
Doctor:Lack of concentration is associated with multiple clinical conditions. This could be related to preexisting diabetes, other medical conditions, physical, stress or mental factors.
Doctor:I suggest you to sleep adequately, watch your blood sugars closely now.
Doctor:Continue your physical exercise.
Doctor:If symptoms do not improve, we need to perform a few test - blood hemoglobin level, thyroid function and liver and vitamin levels checked.
User:I am getting a complete blood profiling done for all the tests you are mentioning. Is there a diet state that I should maintain to get some correct results?
Doctor:4. Memory assessment is bit difficult over an online chat.
User:Who do you think I should be seeing?
User:I mean is there a specialist that I can see for such queries?
Doctor:If you feel there is some issues with memory, it would be better to consult a doctor (face to face) and get examined and evaluated.
Doctor:A neurologist would be ideal.
User:And then my last question....
User:w.r.t. my lowering libido levels...
Doctor:And yes, libido is strongly influenced by diabetes, physical stress and exertion. Very rarely it is related to an organic medical condition.
Doctor:I believe this will improve once all your other symptoms are sorted out by investigations and clinical examination.
Doctor:Have you followed what I suggested?
Doctor:Please chat with us 24/7 if you have more queries.
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