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Feel drowsy, high blood sugar. Taking Galvusmet and Lantus Solostar. Suggestion?

I am 60 yrs old diabetic , male, taking galvusmet 50/500 morning and night, at 7 PM i take 16 units of Lantus SoloStar next morning my fasting test shows 220 and 2 hours after meals show 315 my blood sugar is not coming down my weight 85 kgs, no high BP at about 11 am i feel drousy for about an hour then i am ok kindly advise
Asked On : Fri, 21 Dec 2012
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General & Family Physician 's  Response
Hi there,
Thank you for writing to us.
Since your blood glucose is not coming down you need to increase the dose of Lantus by four units now and then increase the dose of lantus by two units everyday.
I usually go to a maximum of 30 units of lantus in any given patient but many diabetologists go even higher up to 50 units as well.
If your blood glucose is still not controlled by increasing dosage of lantus the best way to control your blood glucose level is to start you on a "basal-bolus regimen".
In this regimen you will be given Lantus at bed time or at anytime during the day (should be the same time everyday along with premeals insulin which would usually be a short acting insulin given before each meal ---- before the three main meals.
So that is how your blood glucose should be managed as far as I am concerned.
Kindest Regards
Answered: Mon, 24 Dec 2012
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