Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

154 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Diabetic. Taking medicine for meningitis. How to carry the vial of actrapid injection?

Answered by
Dr.
Dr. Madhuri Patil

Diabetologist

Practicing since :1999

Answered : 362 Questions

default
Posted on Mon, 28 Jan 2013 in Diabetes
Question: Hi, I am taking medicines for Brain TB/Meningitis for the last 7 months. I am a diabetic for last 12 years. Am taking Actrapid ( 20 ml in morning), Galvus Met ( 50/500) at lunch and Lantus 20 ml at night. My fasting sugar is 120 with this medication. But if I take Actrapid 14 ml before lunch, my PP BS to 80 and FBS is 70-100 range. The issue with me is carrying actrapid to office as it needs to be maintained at a certain temperature. What should I do? I walk about 4-6 kms daily
doctor
Answered by Dr. Madhuri Patil 1 hour later
Dear XXXXXXX,

Thank you for the query.

You can very well carry the vial or pen of injection Actrapid with you everyday to your office for your pre-lunch dose. This insulin can be kept outside refrigerator for upto 5 weeks and you do not need to always worry about refrigeration. Please make sure you do not expose the insulin vial/ pen or catridge to direct sun-light or body heat (like keeping in your pocket). Just carry it in a cotton bag kept in your usual office bag. Once you get back home, again refrigerate the vial, pen or catridge- whatever you are using- till next day before you leave for office.
Secondly, you do not need to take 14 units of Actrapid before lunch. Please discuss this with your Diabetologist, but about 10 to 12 units of Actrapid are more than enough as your pre-lunch dose to avoid hypoglycemia between lunch time to evening 7 pm.
You may also need to reduce the dose of injection Lantus once your pre-dinner sugars are normal due to your afternoon dose of Actrapid. This will be essential to avoid low sugars during night. Please discuss with your doctor about this.
Your regular sugar monitoring helps you understand which insulin dose has to me manipulated by how much and when...
Once you complete your ATT for TB meningitis, please let me know your fasting and post meal sugars to start you on other kinds of oral sugar medications and to further reduce insulin doses.
Kindly continue walking and other medications the way you have been doing.
Let me know if you have any further query. Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,  
Medical Procedures

Recent questions on  Tubercular meningitis

doctor1 MD

Hi Doctor, My Wife is Tubercular Meningitis and she was treated 10 days from 15.11.2013 to 25.11.2013 in hospital including 2 day ICU due loss of control etc.In CSF test showed sugar 19mg/dl, Protein- 132 mg/dl, WBC count 40/cumm, N-65%,L-35% consitent with bacterial meningitis seen .CSF grew staph. aureus. CT head shows Normal Scan.MRI brain contrast shows focal area of cerebrities involving Left basal ganglia and temporal lobe region with diffuse meningitis.Multiple Ring enhancing lesion in both cerebral and cerebella hemisphere are likely tuberculous. She was on AKT 4 with Levoflox 750 & Benadon 20 mg medication from last 3 months including Wysolane 30 mg for 2 months. But from this month(19 Febraury ,2014) the doctor changed the medication from AKT 4 to R-Cinex 600/300 ,PZA,Benadone. . From last few days she is feeling lack of movement in both the legs including all joint pain with itching.Kindly suggest

doctor1 MD

Hello Doctor, Can u tell me what are the side effects of taking R cinex in pregnancy? I am under treatment of Tubercular Meningitis since last 4 months. Pregnancy is for 6 weeks. I was hospitalized for treatment of Tubercular meningitis for 30 days in Nov 2010. Please tell me whether i can take R cinex while in pregnancy? Will it be safe for baby? Surekha, Nerul Mumbai

doctor1 MD

HI My son who is 19yrs is diagnoised with brain tb he was prescribed akt4 for 3months then after an mri he was given akt3 .asked for an lft to be done in the month of september. my query is before itself he was weighing 90kgs, now after the...

doctor1 MD

My parents are both ill my father was diagnosed with tb meningitis and my mothers cancer came back after beng in remission for 4 years...She has non hodgkins lymphoma. Is there any way where they can so I would take care of them and get paid at the same time?

doctor1 MD

Hello doc.... i recently suffered from.. tb meningitis. . Wer I got drug resistance so I had to take steroids. . I lost 20 kgs in few months. . Post my medicines I gained 25 kgs extra. Now iam 98.. the problem is iam unable to reduce my weight.. how much ever I sweat bad no difference it makes.. my medication to meningitis is over. Any suggestions 4 me pls...

doctor1 MD

My father has been diagnosed with tb meningitis .medication is on for last 1.5 months.VP shunt was also done for hydrocephalus .not showing any improvement.he is unconscious for last 20 days ,doctors say it is at level 4 on Glasgow coma scale .now...

doctor1 MD

my mother who is 62 years had her kidney transplant done 2 years back and is still having her medicines for post renial transplant patient. however recent ly she has been complaining of severe headache and eye problem until one day she has become...