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High sugar level. Had medicines, insulin. How to control the sugar level?

Hi , My mother is 58 years old and was diagnosed with high sugar levels five years back. During the first 4 years she was given medicines to control sugar levels and since last year insulin dosage of 30units per day has been added. still her sugar levels are 150+ fasting and 250+ post breakfast, lunch and dinner. Please let us know what can be best done to control her sugar levels. Her Current Medicine Chart is as follows: 1) Insulin Glargine -Solostar injection 3O units every night 2) Janumet 50/500 "50 mg sitagliptin/500 mg metformin hydrochloride" 2 times a day 3) Trivoliv 0.2-- 2 times a day
Asked On : Thu, 11 Apr 2013
Answers:  2 Views:  59
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General & Family Physician 's  Response
Hi, thanks for using healthcare magic

Diabetes is a progressive illness and persons may move from control with lifestyle changes to requiring one medication to requiring increased doses to insulin.
This is because the part of the part of the pancreas that secretes insulin finds it more difficult to do so.

The goals are a fasting and premeal blood sugar of 70 to 130 and 2 hr post meal of less than 180.

The fact that the readings are still elevated may mean that she requires a short acting insulin to control her blood sugar increases with her meals. The insulin she is presently using is a basal insulin meaning a insulin acting in the background, it will not help with her meals.'

A short acting insulin can be given before each meal to reduce the post meal readings.

It is also important to look at what she is eating because excess carbohydrate intake would lead to increased blood sugars. You may want to speak to a nutritionist.

I hope this helps
Answered: Thu, 11 Apr 2013
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
There are many different classes of anti diabetic drugs available along with injectable insulin.
A judicious use of them can definitely bring the blood sugars normal.
Since you have not mentioned other drugs being taken by you,so I am not in a position to tell about any medicine.
The best would be to consult a diabetologist and take his advise.
There is absolutely no problem in bringing your sugar levels to Normal.
Besides medication,your mother should also observe proper dietary restriction along with daily exercises.She can opt for a brisk walk for 30 to 40 minutes a day.
Ask her to take frequent small meals instead of traditional 3 meals.
Along with blood sugar levels,proper care must be taken to keep her blood pressure as well as lipid level normal.
Goal for BP should be below 120/80mm of Hg and goal for LDL cholesterol should be below 80.
I hope it helps.
Answered: Thu, 11 Apr 2013
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