Q. Do I need to take Insulin with FBS 271 and PPBS level 475?

Answered by
Dr. Ankush Gupta
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 03, 2016 and last reviewed on: Jan 08, 2020

Hi doctor,

I am a 70 year old female. My weight is 60 kg. I am a known case of NIDDM. I am on Glimepiride 4 mg bid and Repaglinide bid. But, my FBS is 271 and PPBS is 457. Is there any solution to lower my sugar without Insulin? For me Insulin was already prescribed, but still I have not started.

Dr. Ankush Gupta

Critical Care Physician Diabetology
#

Hello,

Welcome to icliniq.com.

  • Your blood sugar levels are very high. You have to get started on Insulin as it is the best way to reduce blood sugar.
  • Insulin production in our body is decreased, so we are just replacing that from outside.
  • You are already on two oral anti-diabetic drugs which are high in dose. So, it is the right time to get started on Insulin.
  • Add tablet Glyciphage (Metformin) 500 mg twice a day till you make up your mind for Insulin.
  • This much high blood glucose will affect your kidneys, eyes, heart and arteries.
  • Better start on Insulin to have a better complication free life. Get well soon.

For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist


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Hello doctor,

My serum creatinine 2.19 mg/dL. Can I take Glyciphage?

Dr. Ankush Gupta

Critical Care Physician Diabetology
#

Hi,

Welcome back to icliniq.com.

  • You did not mention your serum creatinine before. No, you cannot take Glyciphage because of your high serum creatinine.
  • As I mentioned earlier, Insulin would be the appropriate choice to prevent you from further complications.

For further doubts consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist


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