How to confirm that a person is suffering from Systemic Lupus Erythematosus(SLE) ?
Hi doctor,
How to confirm that a person is suffering from SLE (Systemic Lupus Erythematosus)?
07 Feb 2024 - 1 min read
What could cause a lung inflammation in a 22-year-old person?
Hello doctor,
I am a 22-year-old person weighing 163 pounds. There is an inflammation on my my lungs and I am suffering from it since one year and the usual beginning of the symptoms begin at night and then pain starts and I face problem in inhalation.
Thank you.
02 Feb 2024 - 1 min read
I forgot to take the morning dose of anti-hypertensive pills. Can I take it now?
Hi doctor,
I am hypertensive from the past 2 years. I forgot to take the morning dose of my antihypertensive pill, tablet Teleact. Can I take it now?
02 Feb 2024 - 1 min read
Can we mobilize a patient who had angina 24 hours ago?
Hi doctor,
Can we mobilize a patient who had angina 24 hours ago? If he is stable, is it fine to do so?
02 Feb 2024 - 1 min read
My wife is diabetic but her blood sugar levels are not under good control. How to control it?
Hi doctor,
My wife is a 46-year-old female of 5.4 feet and weight of 176 lbs. She has diabetes for around four to five years and hypertension (after medicine 130/80), hyperthyroid (after 150 Eltroxin well controlled) for a similar period. She had a hysterectomy done around four years back. She is on diabetic medicine since seven years, and however, control has not been good with HbA1C around eight to nine and fasting is around 200 and PP around 260/250. Since seven years ago, she has been on 24 hours Insulin Lantus (starting from 20 IU to now 48 IU every morning daily). After two months, she also started having three-time rapid-acting Insulin Humalog Lispro (beginning from 16 IU per three times to 20 IU). After all this, her levels are around 150 fasting and 200 PP. Some time PP is about 160. We have also tried 50-50 mix Humalog for short, and medium acting results are a little better with only short term insulin.
She is good at exercises (two to three kilometers walk every day, average household activities), and eats healthy food – salad, no fried, no sweets, and low fat. Once a while, maybe two times a week, there can be fatty meals from the restaurant, which will typically change readings from 150 fastings to around 200 or even above 200 PP and change accordingly to 250/260. Along with insulin, no medicines are helping like Glimepiride, Metformin, Pioglit, Januvia. Metformin controls her sugar well, but side effects are very severe with diarrhea (10-15 times a day), especially after using this medicine for few days to few weeks on high doses of 1000mg morning and evening.
Current diabetic medication are,
Lantus 48 IU daily at 9 PM, and Humalog Lispro 20 IU three times per day.
Please suggest what is the best way to go forward. Can a dose of Insulin be increased further? What are the maximum recommended doses for Insulin, both short and long term? What happens as her age increases? Would the dose of Insulin increase even further?
Please help; I can provide any more information you need.
Thanks.
30 Jan 2024 - 1 min read
