Insulin is a hormone that is produced by the pancreas. It promotes absorption of glucose from the blood into the liver, fat, and muscles, which is used as a fuel by the cells to perform various activities. In the absence or lack of insulin, the blood sugar is not regulated, which might lead to diabetes.
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Query: Hello doctor,I have always had issues with fasting hypoglycemia (not diabetic). I recently had blood work done which also showed abnormally high cortisol and insulin levels. Any ideas on what could cause these things together? Sudden weight gain about a year ago of 15 lbs. Already healthy person. I ... Read Full »
Answer: Hello, Welcome to icliniq.com. What about random and post-prandial blood sugar levels? Cortisol and insulin have opposing actions. Cortisol and growth hormones could be elevated as a compensatory mechanism to counter insulin release. We need to rule out insulinoma. It is a rare tumor of the pancre... Read Full »
Query: Hello doctor, I am 23 years old. Recently I have been diagnosed with diabetes. I had no idea that I was diabetic until the day of diagnosis. My urine blood glucose was 310 mg/dL. My physician gave me medicine (Glyciphage 500 mg) and asked me to visit again in five days. Upon visiting him again, he s... Read Full »
Answer: Hi, Welcome to icliniq.com. Are you taking both Insulin and Glyciphage (Metformin Hydrochloride)? Did your doctor say you have type 1 diabetes or type 2? If he suspects type 1 diabetes, then yes, you have to take Insulin. Insulin is safe if taken in the right doses and at the right times. Even ... Read Full »
Query: Hi doctor, I have high sugar levels above 490 PPBS and 240 FBS. I have tiredness, fatigue, and sleepiness not feel well, always feel drowsy, depressed, and have so much confusion and stress not feel well often mood swings and dizziness. Diabetes was diagnosed three years ago. Both my parents are di... Read Full »
Answer: Hi, Welcome to icliniq.com. You are well aware of the consequences of continuing to eat unhealthy foods and lack of exercise. Yes, the blood sugar readings are dangerously high and need to be urgently taken care of. The lipid profile also shows borderline high readings (attachments removed to ... Read Full »
Query: Hi doctor, I am a 38 year old male. My weight is 80 kg and I am trying to lose some of it. My height is 5'9". I was hospitalized with sudden and severe onset of diabetes in 31. I am taking Insulin to control it. I also take Enalapril for high blood pressure. In most of my life, I have been ove... Read Full »
Answer: Hi, Welcome to icliniq.com. You are still in young age group with diabetes mellitus and hypertension. Insulin is the best therapy for diabetes. You can consult your physician for any oral tablets (alternate to Insulin injection), as it is the lifelong treatment. If you have high blood glucose, then... Read Full »
Query: Hi doctor, I am suffering from type 1 diabetes. My HbA1c is too high. I have been on Insulin for around seven years now, and I am trying to lower it. I have a few questions. I keep getting Insulin bumps and lumps every time I choose the abdomen for an injection site. How can I ensure adequate insuli... Read Full »
Answer: Hello,Welcome to icliniq.com.Let us go step wise just like your concerns.The best way for avoiding lumps, bumps, and pain due to repeated Insulin injections is by learning the proper technique for injecting yourself. Please meet a local doctor to learn the same.Also, keep changing the injection site... Read Full »
Query: Hi doctor, My brother-in-law was injured and underwent surgery. After that, his diabetes is uncontrollable, and his level is 370 mg/dL. Even though Insulin is given three times at about 22, 22, and 16 units, and Lantus 16 units at night, the result is the same. Read Full »
Answer: Hi, Welcome to icliniq.com. Good day. Thank you for your query. I suggest the following: If his fasting sugar is over 150 mg/dL, I suggest increasing his Lantus (Insulin Glargine) every day for two units until fasting blood sugar comes down to less than 150 mg/dL. If it goes less than 90... Read Full »
Query: Hi doctor, I am a type two diabetic patient for fifteen years. I am taking 20 units of Insulin per day. What is the diet suggested to maintain sugar level? As my sugar levels are above 160. I just wanted to maintain between 120 to 140. Please suggest me a proper diet plan. I have attached my report... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen all the details attached (attachment removed to protect the patient's identity). Please let me know: 1) If you are only on Insulin 20 units, is it once or twice a day? 2) Are you on any oral anti-diabetic drugs? 3) What is the present dietary... Read Full »
Query: Hi doctor, My wife and I just got married and are on our honeymoon. She has a disease called gastroparesis from her diabetes. She has not had a flare-up in like last three months, but before that six months, she use to have flare-ups every month. she has got periods without flare-ups, then periods ... Read Full »
Answer: Hi, Welcome to icliniq.com. Understand that diabetic ketoacidosis is due to insufficient insulin. When blood glucose levels go beyond 300 mg/dL continuously, the chances of DKA (diabetic ketoacidosis) will increase. I think she is on insulin treatment, and she is a type one diabetic patient. You h... Read Full »
Query: Hi doctor,My father is 62 years old. He has diabetes type 2. Recently, he started feeling unwell. He has stopped eating. He does not want to eat or drink anything. He refuses to eat food for four days now. His blood sugar remains around 250 to 280 mg/dL even though he is not eating. We took him to t... Read Full »
Answer: Hi, Welcome to icliniq.com. Your father's blood sugar is too high. You have not mentioned the medication taken by him. Taking Metformin alone will not work for these high levels. He requires insulin too for controlling the levels and then he can take pills depending upon the condition. Do not igno... Read Full »
Query: Hi doctor, I am a 64-year-old diabetic patient. I have diabetes for the last 12 years, and presently my FBS level is between 115 to 130 mg/dL. My last HbA1c was 7.1%. Currently, I am taking regular medicines named Glizid-MV one tablet before breakfast and Gliptin 20 mg before dinner. I am also taki... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concerns. If I am not wrong, the FBS (fasting blood sugar) is worrying you. Considering your age, I would say the sugars are optimally controlled on the medications you are currently on. I would not suggest a change in medications at this time. Your Hb... Read Full »
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