Insulin

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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What can we do for faster recovery of diabetic foot ulcer?

Query: Hello doctor, My mother is 53 years old  and she weighs 60 kg. She has fell down and tried home remedy for foot but, the foot has become worse. Now she is hospitalized. Her sugar level was 295 on the first day and now they have controlled it with insulin and today her sugar level is 180. What can w...  Read Full »


Dr. Hariharan V

Answer: Hello, Welcome to icliniq.com. From the pictures, it is a clearly indicative of diabetic foot ulceration (attachment removed to protect patient identity). Since she has uncontrolled diabetes, the nerves and blood vessels to the foot have been affected and have become ulcerated. The depth of the w...  Read Full »

Is it possible to reduce my grandfather's sugar levels without increasing the dosage?

Query: Hello doctor,My grandfather has been diabetic for the past 15 years. He has type 1 diabetes. He has been taking insulin injections (human Mixtard, thrice a day). But recently, his values have been too high even after taking the injections regularly, so the doctor over here is suggesting increasing t...  Read Full »


Dr. Raveendran S. R

Answer: Hi, Welcome to icliniq.com. I can understand your concern. However, this issue happens since there is increasing age—not to worry. Continue 40 units, as usual, three times a day. Add an injection of Actrapid (human insulin) 5 units three times a day and Mixtard (human insulin) depending on his s...  Read Full »

What can be done to control the sugar levels of my 2-year-old daughter?

Query: Hello doctor, My 2 year old daughter was diagnosed diabetic and I am giving four units of Lantus and two boluses Novo rapid for each meal three times. But still, her sugar levels are not in control. We give her low-carb and proper diet. What should we do now as none of the doctors we consulted are a...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query. From what you have mentioned, it appears that your daughter has insulin-dependent diabetes mellitus and you are concerned about her high blood sugar. I would request that you record for three days her fasting blood sugar (FBS), two hours post m...  Read Full »

My blood sugar levels are high, I feel tired, and I have lost 10 kg weight. What to do?

Query: Hello doctor, My blood sugar levels are high. According to the reports, my fasting blood sugar is 21.3 mmol/L, and my HbA1c is 13.2 %. I also feel slightly tired, and I have lost around 10 kg weight within 3 to 4 months. I have attached a copy of the reports below. Please let me know what I can do ...  Read Full »


Dr. Nagaraj

Answer: Hello, Welcome to icliniq.com. I can understand your concern. Looking at your symptoms and lab reports (attachment removed to protect the patient's identity), it is a clear diagnosis of diabetes. I am not sure if you already have diabetes. This requires immediate treatment, preferably with Ins...  Read Full »

What could be the reason for high blood sugar levels in a premature baby?

Query: Hello doctor, My wife delivered a baby boy two months prematurely and he was underweight (1.210 kg). The reason was almost nil movement of the fetus and very less fluid in the fetus (3.5 to 4).After the delivery, the doctor said that all the other parameters of the baby like the height of the ...  Read Full »


Dr. Babu Lal Meena

Answer: Hello, Welcome to icliniq.com. The possible reasons for diabetes are a lack of development of insulin response due to prematurity, in which case it will improve with time. Another possibility is sepsis, that will subside with antibiotics. The less likely possibility is a congenital absence of the...  Read Full »

Please suggest a few measures to reduce creatinine levels and sugar levels.

Query: Hi doctor, My mother-in-law is 56 year old. For the past 10 years she is having diabetes. Since 5-6 months, her sugar levels are very high. She is using insulin Actrapid 20 units. Three years back, she was diagnosed with breast cancer. Underwent operation, chemotherapy, radiation therapy and cancer ...  Read Full »


Dr. Sumit Srivastava

Answer: Hi, Welcome to icliniq.com. Your mother-in-law has been diagnosed with acute pyelonephritis that is there is infection in the kidneys. Her random blood sugar is also increased, which suggests that insulin dose should be increased. But, that depends on the treating doctor after assessing all her par...  Read Full »

Why is my postprandial blood sugar 209?

Query: Dear Doctor, My blood sugar report says that I have readings of Fasting Blood Sugar: 145 and Postprandial Blood Sugar: 209. I am on insulin. Please advise me as early as possible.  Read Full »


Dr. Rohit Jain

Answer: Hi, Welcome to icliniq.com. You don't need to panic. This is not something serious. For a good effective treatment, I need to know what medicines you are taking along with insulin. Also, there are 100 kinds of insulin, which one are you currently taking and in what dose. It might be just cured with ...  Read Full »

What effect will diabetes have in a 5-week pregnant woman?

Query: Hello doctor, My wife is 5 weeks pregnant. She has type 2 diabetes. Her HbA1C was 6.6% one month ago. She was taking tablet Melmet SR 500 mg twice daily. After confirming pregnancy, we checked her sugar level for fasting and postprandial for three consecutive days, average around 140/165 mg/dL. So ...  Read Full »


Dr. Sameer Kumar

Answer: Hello,Welcome to icliniq.com.Thanks for the query.Diabetes during pregnancy has to be managed systematically, and a diabetologist cannot handle a pregnant mother. The dosing of insulin depends on the mother's weight and the multiplication factor for the first trimester. Insulin shows immediate sugar...  Read Full »

Do high cortisol and insulin levels indicate insulinoma?

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 »


Dr. Utkarsh Sharma

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 »

Can intake of Insulin for diabetes in young females affect their fertility?

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 »


Dr. Thiyagarajan. T

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 babi...  Read Full »

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