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How many units of insulin can be used to replace glimemperide? Elevated sugar levels and frequent urinary tract infections

how many units of insulin (once at night by pen) would be needed to replace the Glimemperide 4mg twice a day that I have been taking with my other medications? My blood sugar has been running about 250-300 fasting since I started the insulin and was taken off the glimeperide. I have also had back to back urinary tract infections since I started on insulin!! Your opinion?
Asked On : Wed, 28 Nov 2012
Answers:  1 Views:  31
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Internal Medicine Specialist 's  Response
Welcome to HCM
You have diabetes which is uncontrolled and also have infection in the form of UTI. It is not known if you have type I or Type II with failure of anti diabetic drugs.
Insulin is very good and logical treatment of diabetes and Basal insulin starting dose is .2U/Kg body weight at the same time of day but needs to be monitored by frequent blood sugar measurement and diet advise as carbohydrate content of diet changes requirement and dose needs to be increased according to sugar level.
You should consult Physician/Endocrinologist and decide about anti diabetic treatment as some other medication may be required and additional different insulin may be required.
UTI must be treated with proper antibiotics and if required urine culture and sensitivity must be performed.
You should take care of diet and exercise and take plenty of water.
It is good that you have started insulin, soon you will control sugar level an start feeling well.
If you are over weight may be metformin may be added by your doctor.
Take care
Good Luck

Answered: Wed, 28 Nov 2012
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