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Type1 DM, 18 years - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :                       Iam aged 30 years and since being known diabetic from the age of 18years and used insulin 50:50 for more than 4years and put break inbetween for 5years using tablets and started using insulin 25 for the past 1.5 years for daily 25+15 again and found my sugar level Hba1c getting shooted from 8 to 11.3%     .Please advise the usage of my insulin                                        
Doctor :   Hi
Doctor :   Let me read it
User :   Hello Dr.Iam now using Humalog mix25 in the ratio of Morning 25 units and evening 15 units but still not able to control my bloood sugar levels
Doctor :   Have you been diagnosed as type 1 or type 2 Diabetes?
User :   Type1 diabetes
User :   My fasting blodd sugar is getting maintained in the range of 200 to 250
Doctor :   Since when are you on the current dosage?
User :   Iam in the current dosage since Jan'2009
Doctor :   When was your last visit to your doc?
Doctor :   You definitely need to increase the dosage
User :   Upto 2004 I was using Isuman 50: 50 (20 in the morning and 10 in the evening)and my blood sugar level was much controlled and HbA1c was within 7
Doctor :   as the one you are on now is insufficient
User :   My last visit was in Aug'2009
Doctor :   That was 4 years ago, when probably your pancreas might have been producing some insulin
User :   Can I get back to Insuman 50:50
Doctor :   Have you put on more body weight?
User :   No..Iam maintaining the same weight 63kgs
User :   Dr.May i know your name and where are you located?
Doctor :   I am

Doctor :   In Bangalore
User :   from which clinic and may I know your qualification
Doctor :   Im a General Practitioner
Doctor :   I work in corporate hospitals apart from here
User :   Thanks..Ca you advise my dosage levels as Iam currently using humalog mix25 (Morning 25 unitsand night 15 units)
Doctor :   Fasting was 200 to 250, when was this?
Doctor :   You must get the latest measures of
Doctor :   both Fasting, PPBS & HbA1c
User :   I measured for the last week tuesday tio friday average
Doctor :   From the levels that you have told me
Doctor :   your insulin dosage is inadequate
User :   Fasting 250 average (Tuesday to Friday),PP : 300 (Average) , HBA1c : 11.3%
User :   Can I continue with Humalog mix25 with increasing the unit levels
Doctor :   Yes your Fasting is too high
Doctor :   Hence you must increase your night dose to 20 atleast
User :   Morninjg dose
Doctor :   PPBS of 300 too is unacceptable
User :   Can i get back to insuman 50:50 or continue with Humalog mix 25
Doctor :   But since you are already on 25, the next increase in this must be done with caution
Doctor :   You first increase the night dose
Doctor :   Can take care of the morning dose later
User :   As this humalog mix25 is not working better to me,can we change to mix 50
User :   Can you give the reply fast as the time is going to get expired
User :   Please?
Doctor :   No, dont change it with your discretion
Doctor :   the compositions of the individual
Doctor :   types of ins
Doctor :   are different
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