Uncontrolled sugar levels despite taking Huminsulin. Taking Novaclox-LB for tooth ache. Is the fluctuation due to this medication?
I am taking 24 units of Humainsulin 50- 50 in the morning, 8 units of Humainsulin R in the afternoon and 20 units of Humainsulin 50- 50 in the evening.
In the night when i wake up for drinking water my sugar level was 80 at 2:30 AM
In the morning at around 7 when i checked my sugar it was 259.
Please provide the exact reason for the flacutaing sugar levels.
I have been following the same dose from past 3 months and my sugar levels were normal.
Is it due to overdosage of my tooth ache medicenes or something else.
Thanks for the query.
Tooth infection or for that matter any other infection can derange blood sugar levels and cause increased demand of insulin.
The symptoms that you describe - increased intake of water, increase in urine output and dryness of mouth may all be features of uncontrolled sugars. High blood sugars in the morning might be rebound hyperglycemia which is due to exaggerated response triggered by counter regulatory hormones.
You may need adjustment of insulin dose. Your treating physician may be able to do the fine adjustment to your dosage by looking at your sugars monitored over a period of time. You may record your sugars at these times
- sugar fasting and post postprandial in the morning
- Pre lunch sugar
- Mid evening sugar around 5 pm
- Pre dinner sugar
- sugar at around 3am early morning
It would be better to monitor these sugars for two days for your doctors to suggest you the needed insulin.
Hope this helps. Should you have any additional concerns, feel free to post your queries. I will be available to address them.
Thanks for writing back.
In your case, increased frequency of urination and feeling thirsty all the time is suggestive of uncontrolled diabetes. Other causes include stress.
The likelihood of kidney disease can be ascertained if you could tell me when you were diagnosed with diabetes and what were your kidney function test reports ( if any tests have been done in the past).
The following investigations would be needed to determine the exact cause:
a. Fasting blood glucose
b. Post prandial blood glucose ( 2 hours after meal)
c. Glycated haemoglobin level (HbA1c level)
d. Urine routine microscopy.
We can discuss the reports once you have them.
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