What causes fluctuations in sugar levels in type 1 diabetes?
Patient's Query
Hello doctor,
I am a 30-year-old male and I have had type 1 diabetes for over a decade. Lately, I have noticed my blood sugar levels are more unpredictable, especially after meals, despite sticking to my insulin routine. Could you explain how to better manage insulin adjustments, particularly around meals and exercise? I am also curious about how my A1C levels should look during this time and what tests I need to monitor my long-term glucose control.
Kindly help.
Hello,
Welcome to icliniq.com.
I read your query and understand your concern. To manage your concerns you need to tell me about one week's records of your sugar in the morning, lunch, and evening plus before bedtime. The recording should be before each meal and one hour after each meal plus one before bed recording. Plus type of insulin you use during the day and the units which you use. So that I should know how much insulin you use now and how much to add. Also, kindly share your daily diet plan and what you eat..
You asked about long term glucose monitoring, for long term glucose monitoring you have to do your HbA1C level every three to six months. If uncontrollable diabetes is every three months and if controllable then every six months. Also you need to check your renal profile every year plus your eye checkup.
I hope this helps.
Thank you
Same symptoms don't mean you have the same problem. Consult a doctor now!
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