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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Please suggest ways to improve the sugar level.

Query: Hi doctor, My diabetes started as gestational diabetes around seven years back. I am taking NovoRapid 24 units three times a day and Lantus 30 units at night daily. But, my blood sugar levels are not at all coming down. Previously, I took tablet Zoryl MV 1 and 2. I am using these Insulin for the pas...  Read Full »


Dr. Divakara P

Diabetologist, Endocrinologist, General Medicine Physician, Internal Medicine Physician, Pain Medicine Physician, Pulmonologist

Answer: Hi, Welcome to icliniq.com. Uncontrolled sugar can be due to inadequate dose of Insulin, not following proper diet and less physical activity or exercise. I need to know whether you take NovoRapid 24 units three times a day which is equal to 72 units per day or it is 24 units per day. ...  Read Full »

My FBS is 271, and PPBS is 475. Do I have to take Insulin?

Query: 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.  Read Full »


Dr. Ankush Gupta

Criticalcare Physician, Family Physician, General Practitioner, Diabetologist

Answer: 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 hig...  Read Full »

My mother's BP and sugar level are high even after taking medicines. Why?

Query: Hello doctor, My mother is 55 years old. She is suffering from diabetes and high BP. Her BP remains 140/90 mmHg. She is taking the following medicines: In the morning Telmisat 40 one tablet, Thyox 25 mg one tablet. During lunchtime Jalra 50 mg one tablet before food, Zoryl M2 Forte one tablet duri...  Read Full »


Dr. Ankush Gupta

Criticalcare Physician, Family Physician, General Practitioner, Diabetologist

Answer: Hello, Welcome to icliniq.com. Your mother as you said is hypertensive and diabetic. She is on Glimepiride, Vildagliptin antidiabetics and Atorvastatin, Metoprolol as statin and antihypertensive. Her BP (blood pressure) is in under control as per her age and blood sugar is raised moderately. I wou...  Read Full »

Why is my blood sugar level 390 after a meal?

Query: Hello doctor,My sugar level is not reducing even after I take human Actrapid 24 in the morning, 20 in the noon and Insugen (30/70) 14 dose past 15 days. Sugar is 390 after food. Kindly tell the reason and how to reduce it.  Read Full »


Dr. Suneetha B S

Diabetologist, Family Physician, Microbiologist, Nutritionist

Answer: Hello, Welcome to icliniq.com. It is important to understand how much your sugar level was 15 days ago (before you started insulin therapy). If there is a decrease in your sugar level compared to the earlier value, then you are definitely on the right track. All you need would be a change in the d...  Read Full »

Kindly guide how to reduce the insulin units in insulin dependent diabetes.

Query: Hello doctor, I am 42 years old with type 1 diabetes for the last 21 years. I am also on dialysis thrice a week, and my insulin requirement increasing day by day. I was taking 8 units per meal four years ago, but now I am having 40 units per meal. Kindly guide how to decrease the insulin units.  Read Full »


Dr. Saumya Mittal

Diabetologist, Family Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. The fact remains that you are probably having insulin-dependent diabetes. In this case, your sugars will rise. This is because the pancreas produces a lesser and lesser amount of insulin on their own. As that happens, the need for insulin will keep climbing. There a...  Read Full »

What to do for fluctuating sugar levels in pregnancy even after insulin injection?

Query: Hello doctor, I am 7 months pregnant. My sugar is not constant and is fluctuating too much. I am taking insulin two times a day. I have attached my file.  Read Full »


Dr. Shaikh Sadaf

Diabetologist, Endocrinologist, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. I read your query and gone through your reports. (attachment removed to protect patient identity). It appears that you have gestational diabetes and cord around the neck of the baby. Now, this is a complicated pregnancy and you must follow a senior gynecologist with...  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

Cardiologist, Criticalcare Physician, Diabetologist, Endocrinologist, Family Physician, General Medicine Physician, Internal Medicine Physician, Pulmonologist, Sexologist

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 »

Fasting sugar level is higher than postprandial level. Why?

Query: Hello doctor, My mother's fasting sugar is higher than the post prandial sugar (130 and 115 respectively). She had normal diet only. And also, 2 hours after taking 75 grams of glucose, without any work, the sugar level is 260. Why is this happening?   Read Full »


Dr. Kaveri Dandapani

Diabetologist, General Medicine Physician

Answer: Hi, Welcome to icliniq.com. Regarding blood sugar levels, if a patient is diabetic and if she is on oral medication for diabetes, the sugar levels can be as have you stated (fasting blood sugar level more than the post prandial blood sugar). This happens because most of the anti-diabetic medicatio...  Read Full »

Do my insulin values indicate pancreatic cancer?

Query: Hi doctor, My lab tests are as follows: Seven months ago: blood glucose of 105 mg/dl, GTT one hour 160 mg/dl, two hours 118 mg/dl, morning insulin 6.2 μU/ml, HbA1c 5.2 %, A1 6.1 %. This month: BG 110 mg/dl, GTT one hour 184 mg/dl, two hours 115 mg/dl, morning insulin 5.3 μU/ml. Every other b...  Read Full »


Dr. Shaikh Sadaf

Diabetologist, Endocrinologist, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned I would like to say that the reason that your insulin levels are dropping is because of your beta cells of the pancreas are getting exhausted and are not gradually decreasing the production of insulin. Pancreati...  Read Full »

My cholesterol and insulin levels are high. Please help.

Query: Hi doctor, I seem to have high cholesterol for the first time and high insulin levels. Please go through my reports and advise. Thank you.  Read Full »


Dr. Divakara P

Diabetologist, Endocrinologist, General Medicine Physician, Internal Medicine Physician, Pain Medicine Physician, Pulmonologist

Answer: Hi, Welcome to icliniq.com. I went through all your reports (attachments removed to protect patient identity). Only few abnormalities noted. Raised insulin levels indicate that your body is becoming resistant to Insulin. It means that you are at risk of becoming diabetic in near future. The solut...  Read Full »

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