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I Am A Diabetic. Type II - Insulin Dependent. The

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Posted on Wed, 17 Oct 2018
Question: I am a diabetic. Type II - insulin dependent. The past few days my afternoon sugars have been lower than normal (between 44 and 90). I have decreased my Humalog and eaten a few extra cards. I am at 96 just now and have the strongest smell of acetone on my breath. I see my endocrinologist tomorrow. Should I be concerned between now and then? I feel ok except for being a bit dizzy
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Answered by Dr. Minal Mohit (1 hour later)
Brief Answer:
Increase your fluid intake, continue insulin in low dose, and keep eating.

Detailed Answer:
Dear sir, type 2 should not trouble you much with Ketosis, but still if it is happening, there are few tips.
1. keep yourself sufficiently hydrated. 3 litres of fluid, per day
2. do not stop insulin, may be reduce the dose if required
3. frequent monitoring of sugars, every two hrly.
4. get complete work up , find out infection if any, cause of hypoglycemia
5. see your doctor
regards!
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
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Dr. Minal Mohit

Endocrinologist

Practicing since :1998

Answered : 836 Questions

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I Am A Diabetic. Type II - Insulin Dependent. The

Brief Answer: Increase your fluid intake, continue insulin in low dose, and keep eating. Detailed Answer: Dear sir, type 2 should not trouble you much with Ketosis, but still if it is happening, there are few tips. 1. keep yourself sufficiently hydrated. 3 litres of fluid, per day 2. do not stop insulin, may be reduce the dose if required 3. frequent monitoring of sugars, every two hrly. 4. get complete work up , find out infection if any, cause of hypoglycemia 5. see your doctor regards!