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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to replace insulin with oral medication?

Dear sir, I am suffering from this diabetic disease since 3.5 years, my current age is 28 years and i am male, i am taking human mixtard insulin 20 points in the morning and 20 points in the evening and also taking misobit pill after the lunch, i want to know how can stop injecting the insulin and continue only with tablets. what all the tests i need to take and how should be that test reports. I am very much frustrated by taking injections since 3.5 years, also my body is very pain full to take the insulin. Please advice me, that what should i do to continue with tablets.
Wed, 27 Aug 2014
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Diabetologist 's  Response
Dear sir/madam i can understand your concern,
i would like to explain you about different kinds of diabetes
1.type 1 diabetes
2.type 2 diabetes
3.GDM(gestational diabetes )

in type 1 there will be absolute absence of insulin body so its mandatory to take insulin for rest of life

in type 2 during early days there will be sufficient insulin but it needs stimulation by medications to get released into blood and in later life they may need insulin.
so its important to know the status of pancreas before stopping insulin
for that you need to undergo a test called as C-peptide both fasting and stimulated it will give you the status of insulin in pancreas.

normal c-peptide level should be 0.5 to 2.0 nanograms per milliliter (ng/mL)

i suggest to discuss with your treating doc.
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