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Sugar level high even after taking insulin novomix 30. How to control?

We are now in usa..came from India. My wife!s sugar level is high inspite of taking insulin novomix 30... The sugar level was well in limits when we left inda two months back.. We are puzzled.. Can you please throw some light on this...her intake food is actually less here..but sugar level is above 250...she takes 35 units before b/fast and 25 units during dinber whereas it was 25 units and 10 units resoectively
Asked On : Fri, 16 Nov 2012
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Diabetologist 's  Response
Aug 2012
Mr Ranganathan,

How about her physical exercise? Food intake can be less but reduced body movements tend to increase blood glucose level beyond your imagination. Other reason is oral tablets containing drug- Metformin. If she is stopped that then that is one reason for her higher sugars. Hence you make sure she exercises and she takes oral medications also properly.
Third reason is around this time it's cold in the USA and metabolism is slowed down. Patient feels she's eating less as compared to India, but total calories can be high as the quality of food is little different there. Slowed metabolism with high quality calorie food, one's sugars tend to go high.
The sugar 250 is fasting or post-meal? In case it is fasting, she'll have to increase the evening (pre-dinner) dose of insulin Novomix. But if it is post breakfast, she'll have to increase the dose of pre-breakfast insulin. You can go in steps of 4 units increase at a time. This kind of scale is available on your prescription of the medication. Follow that.
I hope you got your answer. All the best.
Answered: Mon, 19 Nov 2012
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