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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to control my diabetes?

Hi
I'm an insulin dependant diabetic. I take 4 injections and my control is quite and has been worse in the past. I've tried everything to get it into control I for the last few months is finding hard to get out of bed in the morning in starting work this Monday please help! Any advice, tips?
Kylie
Thu, 16 Jan 2014
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Diabetologist 's  Response
Hello,

For insulin dependent diabetes there are many challenges in the control of blood sugar.
The best and simple way is to follow a regime based on your blood sugar.
l would advice my patient to take a long acting insulin like glargine at bed time which takes care of basal insulin. A short acting insulin before every major meal with blood sugar monitoring. For every 10 mg increase of blood sugar above the target 1 unit of insulin may be added.
If there is no control then a maximum insulin dose of 2 units / km / day may be given.
If no response then treatment options like insulin pump or pancreas transplantation may be tough off.
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