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Suggest Medication For Sugar Level Of 551 While On Novolog

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Posted on Thu, 26 Oct 2017
Question: my blood sugar is 551 i have no way to get to ER what do i do im on novolog and levemir flex pens
doctor
Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
Let me know the dose of insulin

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. Ideally you should rush to the ER. Since you mention that not to be possible it would be advisable to increase the dose of insulin. Please let me know how many units of novolog (insulin aspart) and levemir (insulin detemir) do you take and at what time. Is it 14 units of each? How long back did you have the last dose? Let me know and I will guide you accordingly.

I would await your response. Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Prof. Kunal Saha (1 hour later)
novolog 14 units 3 times a day before meals the last one given at 7 15 pm today levemir flextouch I will take around 10 30 pm my blood sugar has dropped to 480 I just checked it I will give myself 40 units at 10 30 pm
doctor
Answered by Dr. Prof. Kunal Saha (39 minutes later)
Brief Answer:
Take insulin as per sliding scale. Talk to doctor about basal insulin dose.

Detailed Answer:
Thanks for the update. Please note that Novolog or insulin aspart is the short acting one whose dose needs to administered as per the sliding scale as available at:
https://apps.umchealthsystem.com/forphysicians/medicalorders/Ref%20-%20Adult%20Sliding%20Scale%20for%20Insulin%20Aspart.pdf

The level of 480 is still not adequate and you need to take another 10 units subcut as indicated in the last cell of the table.

In the meantime you need to discuss with your doctor about increasing the basal insulin (levemir or insulin detemir). This is very important.

Regards
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4471 Questions

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Suggest Medication For Sugar Level Of 551 While On Novolog

Brief Answer: Let me know the dose of insulin Detailed Answer: Thanks for asking on HealthcareMagic. I have gone carefully through your query and understand your concerns. Ideally you should rush to the ER. Since you mention that not to be possible it would be advisable to increase the dose of insulin. Please let me know how many units of novolog (insulin aspart) and levemir (insulin detemir) do you take and at what time. Is it 14 units of each? How long back did you have the last dose? Let me know and I will guide you accordingly. I would await your response. Let me know if I could help further. Regards