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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is this dosage of Humalog Insulin advisable for low blood sugar levels?

Hello Ma am / Sir: Am 29 Years old diabetic(One Month before it was diagnosed) and my Doctor suggested me to take 24 Units of Insulin(Human Mixtard 30/70 ) in Morning and 18 Units in Night due to which i faced multiple problems like low blood sugar late nights so i have consulted one other Doctor who changed my insulin from Human Mixtard to Apidra/Humalog ( 8 Units before all the three meals ) + 10 Units of Glaritus after Dinner, please suggest who is guiding me in right direction so that i ll live health and happy life...my HBA1C is 9.5 presently
Thu, 14 Jul 2016
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General & Family Physician 's  Response
Hello,
Thank you for your query.

Blood sugars can be tricky to control and the treatment regimen differs from person to person.

Your initial treatment with Mixture (30/70)is a combination of short acting and long acting insulin which works for some but did not for you.

Apidra is a fast acting insulin to be given with meals for controlling postprandial (after meals) sugar levels.
Glaritus is a long acting insulin given once a day to keep your insulin levels stable.
This may work out for you as your sugars fluctuate drastically and even cause hypoglycemic episodes.

Please follow the latter prescription and monitor your blood sugar levels regularly as advised by your doctor. Please follow up regularly. It may take a few adjustments to get the right treatment for you.
Your HbA1C is very high and needs to be controlled effectively to avoid complications.
I recommend :
-regular follow up.
-a complete general exam to check for any signs of organ damage
-electrocardiogram and echocardiogram.
-blood tests (complete blood count, lipid profile, kidney and liver function tests)
-urine analysis
-a good exercise regimen after consulting your doctor
-weight lost if overweight
-a healthy & nutritious diet (avoid refined grains and processed food, fried and salty items, sugary & carbonated drinks).
-include whole grains, fresh veges and fruits.
Consult a nutritionist if you have difficulty losing weight or getting your sugars under control.

Hope this helps. Please let me know if there is anything else I can help you with.

Wish you good health.
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