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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Controlling Sugar Level At Dinner Time While On Insulin

I take 15 units of Lantus + 6 units of humolog before breat fast, 7 units of Humolog before lunch and 7 units of Humolog before dinner, My sugar level is 126 before breakfast, 130 before lunch, 160 before dinner and 250 to 325 at bedtime (2 hrs after dinner). Is there a way to control the sugar level at dinner time.

My health provider is telling to remove the adrenal glands.
Thu, 29 May 2014
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Diabetologist 's  Response
Dear sir i can understand your concern.
i am very sorry that you are having difficulty in controlling your blood sugars.
in my opinion you need slight insulin adjustment.
Then insulin what you are taking at lunch time will decide your sugars at before dinner,
So by slightly increasing the dose of insulin during your lunch time and also try to adjust the calories in lunch will help to control your sugar in a better way
i would like to know the diagnosis your health care provider made for his suggestion of removing Adrenal glands.
its difficult to survive with out Adrenal glands
regards
Dr vamsi Krishna
Diabetologist
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Suggest Treatment For Controlling Sugar Level At Dinner Time While On Insulin

Dear sir i can understand your concern. i am very sorry that you are having difficulty in controlling your blood sugars. in my opinion you need slight insulin adjustment. Then insulin what you are taking at lunch time will decide your sugars at before dinner, So by slightly increasing the dose of insulin during your lunch time and also try to adjust the calories in lunch will help to control your sugar in a better way i would like to know the diagnosis your health care provider made for his suggestion of removing Adrenal glands. its difficult to survive with out Adrenal glands regards Dr vamsi Krishna Diabetologist