Insulin therapy

What is Insulin therapy?

Insulin therapy is the treatment of diabetes by administration of exogenous insulin.

Questions and answers on "Insulin therapy"

hi. im 24 years old and my glucose tolerance test results were fasting 88 g/dl, after one hour 220 g/dl, after 2 hours 184 g/dl and after 3 hours 85 g/dl. my doctor has advised hospitalization and insulin therapy. i would like to kno if this is compulsorily required?

doctor1 MD

Hello
It appears from your report that you are diabetic with very high glucose levels. Usually the blood glucose levels peak within half an hour to one hour following ingestion of glucose and decreases by second and third hour. Your sugar levels have peaked and are pretty high at the end of first...

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Hi
My wife is 28 week pregnant, her glucose tolerance test shows 250mg/ dl after taking 75mg of oral glucose and fasting blood glucose is 82 mg/dl. My question is do we have to go for insulin or cN we try with diet and is it dangerous to delay insulin therapy? Thank you

doctor1 MD

Dear sir I can understand your concern.
it's not mandatory to take insulin.you can try with diet exercise and metformin.
regularly monitor sugars daily three times before meals and see how they are.
if your sugars not coming undercontrol,you can start with safe insulin like levimer once daily...

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Vi have got a patient ,he is 50years old,diabetic and receiving insulin therapy.he is feeling weakness and lethargic. I investigated him and he has repeatedly low platelets and hypoglycemia.He is not receiving any other medicine and the rest of all investigations are normal.we have tried antmalarials bcz it is endemic in Pakistan.he was improved with folic acid but again he develop the same situation. Can you plz help us in his diagnosis?

doctor1 MD

Dear sir

As per the analysis of your query, it is appearing that lethargy and weakness is due to hypoglycemia or low sugars.

When ever we treat any patient with insulin hypoglycemia or low sugars is a known complications which needs to be analysed.

There are many incidences and its been noted...

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THIS SICKNESS IS WITH ME FOR LONG TIME Initial 1. Neurological signs are: muscle weakness and excruciating pains. 2. Abdominal pain, nausea, vomiting, diarrhea, and constipation. 3. Effects on the mouth include astringency and a metallic taste. 4. Gastrointestinal problems: constipation, diarrhea, poor appetite and weight loss. Chronic: 1. Loss of short-term memory and concentration, depression, nausea, abdominal pain, loss of coordination, numbness and tingling in the extremities. 2. Fatigue, problems with sleep, headaches, stupor, slurred speech. 3. A "lead hue" of the skin with pallor. 4. Male reproductive problems 5. Blue color of the gum

doctor1 MD

Brief Answer:
Suspecting poisoning based on symptoms sir

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

Based on your symptoms the most plausible cause could be poisoning, as this matches the provided description and symptoms in the closest possible way. The possible poisons...

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Hi Doctor, my sister aged 35 years got Diabetes type 2 is having uncontrolled blood sugar level up to 385 mg/100 ml, albeit she is having oral hypoglycemic drugs which lower blood glucose level but randomly it increases again,can she be treated or get control over blood sugar level with some other therapy as she don t want to go for insulin therapy and her Doctor too says it is primary stage no need of insulin so far.

doctor1 MD

Hello,

Your sister is a Diabetics with on and off increase of blood sugars.
It is very important to under the blood sugar at the early stage of the disease.
It helps in control of the blood sugars in the long run and prevents or delays diabetes related complications to the vital organs.
Some...

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my father is 60 years old known diabetic type 2 for more than 15 yrs ago , also have glaucoma in both eyes surgery was done today, idiopathic epilepsy was controlled well ,on Na valproate 800mg/day (400mg on morning , 200mg on afternoon, 200mg at night ) , his blood glucose investigated yesterday FBS= 312 , HbA1c = 13% , Lipid profile , renal , Liver , CBC = Normal ,
Urine general has trace albumin and one cross acetone , . Now on Januvia 100mg BiD , Glucophage 750mg Bid , Lisinopril 5mg , and other eye drops for cataract .
I think he may need absolutely an insulin but I now my father he cannot comply with insulin and I afraid from hypoglycemic effects >

Please I need your opinions (endocrinologist (diabetologist)+ Epiliptologist for reviewing the treatment state with his actual condition and gave me an your advises.
what can be modified or changed or added regard his glycemic control and antiepileptic plan?

great thanks

doctor1 MD

Brief Answer:
Yes,your father needs to start immediately the insulin therapy.

Detailed Answer:
Hi Krosslamab
I have gone through your question.
I can understand your concern.

From the test results i deduct that the diabetes of your father is not under control(HbA1Cis 13%; the goal for a diabetic...

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Extreme fatigue resulting in inability to engage in daily activities, joint pain on both sides of body at same time, muscle pain that radiates in various parts of body at same time, severe back pain, chronic sinus infections, a diagnosis of type 1 diabetes at age 49, burning, tingling and numbness in back and other parts of body, problems with constipation. Granuloma on right front f skull. Shortness of breath. High blood pressure

doctor1 MD

Hi there,
Thanks for writing in.
I am a medical specialist with an additional degree in cardiology. I read your mail with diligence.

Long-term complications of type 1 diabetes develop gradually, over years. The earlier you develop diabetes — and the less controlled your blood sugar — the higher...

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Helo doctor , my mother is suffering from diabetes from d last 8 to 9 years nd now we found dat she is having tb also.....we startd her medicines for tb nd she is now taking insulin injctions vid these Tb medicines..but her diabetes is nt under control yet its near about....Fasting-429 & PP-281..she is 56 years old...kindly suggest her perfct diet plan so dat she cn control her diabetes as wel as Tb...

doctor1 MD

Dear sir i my opinion u should meet your Diabetologist and plan for starting insulin therapy.in diabetes associated with TB, uncontrolled sugars will make your TB treatment less effective.Diet which is rich in proteins should be considered.kindly provide weight and height of patient for better...

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Hi I am Dr mohamed ibrahim resident of physical medicine and rheumatology , I am a researcher my thesis is in comparing severity of neuropathy in patients on Long term insulin verses oral antidiabetic drugs

All patients examined on early long term insulin therapy have Less severe neuropathy than others on antidiabetic drugs

Does early agressive insulin initiation in type 2 Diabetic patients decreases the neural insulin resistance on the long term ?

doctor1 MD

HI
Thank for asking a academic question to HCM
I would love to answer this question, all the patients those are having type 2 diabetes does not show sign of neuropathy even with the history of taking oral hypoglycaemic drugs with the high level of glucose levels in all the three status, with the...

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hi doctor, i am 37 year old,was operated in year2001 for psudeo anarism of spleenic artery with pancreatitis ,since then i am feeling very strong but last to last year i feel sudden lack of strength so got my whole body checkup and found out that i am diabetic so start taking insulin novorapid flexipen and lantus .but now after taking that for a year or so still not feeling physical strength and loosing weight also.

doctor1 MD

Hello,

Your are a known Diabetic on insulin therapy since one.
Your are complaining of tiredness and weakness.
Monitor your blood sugar regularly and adjust the dose of insulin accordingly.
Take regular vitamin supplements.
Vitamin B12 injections may help.
This may be due diabetic neuropathy /...

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Recent questions on  Insulin therapy

doctor1 MD

suffered from acute pancreatitis in 1996 ,and now i am diabetic on insulin ,just wants to know that till now i am having pankeroflat drug since then (2,2,2) before meals . can i stop taking those pills as someone suggested that i should stop taking that drug.

doctor1 MD

I am an insulin dependent, taking human mixtard 25 units in morning & 30 units in night, aged 48 years from last fifteen days I am feeling severe pain in legs, and afternoon times severe tiredness, pls help, moreover I have undergonea hydronephrectomy in 1986.

doctor1 MD

i have recently started taking metored as i am insulin resistant - is it normal to feel nauseous ? my food intake has reduced as I am not hungry much since I have started taking it and almost have to force myself to eat and I am also getting lower kidney pain?

doctor1 MD

Hello, I have a question regarding insulin resistance and dehydration. I m a Type 1 Insulin Dependent diabetic. Have been for nearly 16 years. My HA1c was last 4.9% so I keep my numbers extremely regulated. Anyways to the question, can severe dehydration lead to insulin resistance? I have some idea of the physiology but I want to understand it thoroughly. Let me give you the story first so you can maybe give me the walk through of it all especially the dehydration and insulin resistance. So after heavy drinking ( not something I do often at all....) , 6-7 hours of hard alcoholic drinks and no water during this time. I went to sleep woke up the next morning feeling very thirsty, it d been about 18 hours since I had a sip of water. So I drank some, and became nauseous. My sugars kept rising, initially was 192, ended up at 425 before I had to call 911. I was not holding down water.. my glucose was rising, I was taking massive amounts of insulin, somewhere in the 80-100 units of Humalog range. I take ~60 units in a day and this was in a matter of 12 hours probably. And my numbers did not drop. My question is why and whats the physiology behind the insulin not working? Something with the dehydration but Im not quite understand it. Please answer this if you can. Oh and I was not consuming food during this time so the glucose rise was not from carbohydrates. WWW.WWWW.WW

doctor1 MD

if glucose 300 and 310,, insulin glargine 10 units does not help,can i go back on glyburide 1tabl. tree times daily?

doctor1 MD

62 year old male...type II Diabetic...rapid & excessive weight loss ...excessive urination...constantly thirsty...Trulixity & Januvia do not work...Treated for prostate cancer 2 years ago with 39 Radiation treatments & hormones. Glucose levels out...

doctor1 MD

I have been taking levimir for six months and it is no longer working well. what insulin do you suggest i try next. i am seeing my doctor next week. thanks, XXXXXXX

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Dr. Andrew Rynne
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Hi, I am Dr. Andrew Rynne (Family Physician). I will be guiding you through the process. Please write your question below.

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