My dad has been a diabetic for several years now. Because he did not take timely action, his kidneys, heart and eye are affected. He undergoes Peritoneal Dialysis
thrice a day and had undergone bypass surgery
and vitrectomy (for treating macular edema
and diabetic retinopathy
) on his right eye. He had been taking Wosulin 50/50 for the last few years and had kept his sugar levels under check. But, recently he had an infection of some sort (doctors have not yet found the underlying cause of the infection) and had developed persistent cough. His sugar levels have also shot up and constantly remain at the 300-400 mark. Doctors had advised us to use Actrapid Flexpen (morning and afternoon - 10 units each dose) and Lantus Solostar (at night - 8 units) instead of the Wosulin 50/50. The Actrapid dosage was increased to 12 units each dose and the Solostar increased to 10 units, by the consultant Diabetologist
. The infection seems to have gone away with the antibiotics the doctors had administered, but we are unable to bring his sugar levels to an acceptable level with the above mentioned dosages. We had also increased the Actrapid dosage to 12 units (from the inital 10) and took a random sugar check at 5pm/9pm and noticed that the sugar level was around 250-260. But the fasting sugar in the morning has been very high (around 400+), not sure if Lantus is working on him at night. Of late, my dad has been experiencing dizziness throughout the day and not being able to sleep well at night. My dad has also lost about 6 kgs (from 59kgs to 53kgs) in the last month since the infection and there has been no signs of improvement even though the persistent cough (and I would like to believe the infection as well) has subsided. Please advise what could be done as I have lost hope in the doctors that we have been consulting (this is one of the top hospitals in XXXXXXX where we consult).
Can we go back to using Wosulin 50/50 (dosage - 10-8-12 units)?
Note: All kinds of tests - blood, urine, x-rays, bronchoscopy
, CT scan, etc were done and they all turned out to be normal (according to the doctors considering my dad's past medical history. For Eg: Because my dad is on dialysis, his creatinine levels are around 5-6, but the doctors dont seem to be concerned about this as they say this is normal for a dialysis patient.) Doctors consulted - Nephrologist
, Diabetologist, Cardiologist, ENT, Pulmonologist.