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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How to help my diabetic father get his appetite back?

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 »


Dr. Rinku Biswas

Pharmacologist, Family Physician, Diabetologist

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 »

Why is my diabetes not improving even after taking medication?

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 »


Dr. Nagaraj Patil

General Medicine Physician, General Practitioner, Internal Medicine Physician, Diabetologist

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 »

How to maintain blood sugar levels during pregnancy?

Query: Hi doctor, I am 29 weeks pregnant. I am checking my blood glucose levels on a daily basis for the past five days. On the first day, I had a fasting blood glucose of 98 mg/dL, after taking breakfast of two hours, I had a blood glucose level of 85 mg/dL, after taking lunch, I had a blood glucose leve...  Read Full »


Dr. Lorena Zijaj

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. Usually, you should have a fasting glucose level of less than 90 to 100 mg/dL. Diabetes is diagnosed during pregnancy when the fasting blood glucose level is higher than 126 mg/dL. You should do a 75 grams or 50 grams tolerance test. HbA1c (hemoglobin A1c) test help...  Read Full »

Is it normal to have fluctuations in blood sugar levels even after taking medicines?

Query: Hi doctor, My dad is having diabetes for 27 years. Now he is 67 years old. His condition was properly managed with the help of the doctor. He is taking Metformin 500 two times a day with food management. After retirement, this treatment has not helped him. He is taking Insulin 70/30 10 units two ti...  Read Full »


Dr. Prabhakar Laxman Jathar

Diabetologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. I have gone through the details given. It is necessary to upgrade his current treatment. There is a need to increase his insulin dosage. Initially, you can increase the dosage of Lantus insulin to 20 units at night and check his fasting glucose level. If the level is mo...  Read Full »

After taking Insulin injections, my blood sugar is under control. Can I take medicines now?

Query: Hi doctor, I have diabetes for the past 20 years and my sugar levels are under control. I am taking tablets for it. Before two years, it got raised one day and the doctor advised me to take insulin injections three times a day. Two days back, I checked my sugar levels and the fasting blood sugar wa...  Read Full »


Dr. Sugreev Singh

Internal Medicine Physician, General Medicine Physician

Answer: Hi, Welcome to icliniq.com. I understand your concern. In most cases, after taking insulin, the sugar levels get controlled. Then we revert back to anti-diabetic tablets. But you need to check your sugar levels for at least three days. If they are under control, you can start to take tablets. I su...  Read Full »

My father has a wound in his leg with cellulitis. How to treat it?

Query: Hi doctor,My father got a wound in his leg in a small accident. He is a diabetic and because of this reason, cellulitis has occurred in his leg. We took a treatment for that, but the treatment is somewhat doubtful to us. He is on Distaclor CD 375 and Debridase ointment. Please give us a suggestion.  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to icliniq.com We are here to help you. In evaluating his case, my recommendations would be that he should be admitted for a week and should be given injectable broad antibiotics according to his culture and sensitivity report. He would also require a color Doppler of his leg to rule out...  Read Full »

I am a diabetic patient presenting with clear fluid on the tip of big toes on both legs. What to do?

Query: Hi doctor, I am a diabetic patient. I have a clear fluid on the tip of my big toes on both legs. I do not know what to do. I have controlled my sugar levels.   Read Full »


Dr. Nagaraj Patil

General Medicine Physician, General Practitioner, Internal Medicine Physician, Diabetologist

Answer: Hi, Welcome to icliniq.com. I understand your concern. It presents with a lot of inflammation and redness. Do not attempt to burst them at home. I do not know your diabetic history and the medications that are taken. It can occur due to walking on bare feet or ill-fitting or tight footwear or it c...  Read Full »

Humalog, my sugar level is not under control. Why?

Query: Hi doctor, I have type 2 diabetes. I am taking Humalog Insulin 1 unit, three times a day. Before a week, I checked my blood sugar level. It is found to be high in the morning and it was 10.14 mmol/L to 14 mmol/L. Before lunch, it was 12 mmol/L. I went to work and did my job. My blood sugar had no c...  Read Full »


Dr. Prabhakar Laxman Jathar

Diabetologist, General Practitioner

Answer: Hello, Welcome to icliniq.com. Thanks for the query. I have gone through your problem. You are only on Insulin Humalog (Insulin Lispro Injection), is that true? Do you take any oral antidiabetic medications? The Insulin units that you have mentioned "1 unit 3 times a day" Is it correct? Because 1 ...  Read Full »

What are the probable causes of my reactive hypoglycemia and hair loss in the body?

Query: Hello doctor, I get reactive hypoglycemia and dark spots on the side of my face. Now all of a sudden, I have at least 50% full body hair loss. I possibly thought it is Addison's. Please help.   Read Full »


Dr. Rahul Kackar

Rheumatologist, Endocrinologist, Internal Medicine Physician, General Medicine Physician

Answer: Hello, Welcome to icliniq.com. I want to know more about past illnesses, stress levels, medication history, and gut health. Are any labs done in the recent past? Is there itching also over the area of hair loss to rule out a fungal infection? I will suggest some tests like complete blood count, t...  Read Full »

Should I take Insulin?

Query: Hi doctor,I am having high blood glucose. My fasting blood sugar is 153, postprandial is 175 and before dinner 152. My doctor advised Janumet 50/500 before breakfast and dinner and Sulisent in the morning. Shall I take it? Presently, I am having Invokana 50/500 before breakfast and dinner and Reclid...  Read Full »


Dr. Krutika Ingle Karandikar

Diabetologist, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. Firstly, I like to tell you that you are doing a great job by managing strict diet restrictions and regular exercises.¬†Please do continue exercising for at least 45 minutes daily. Now, coming to your concern regarding the medications, Insulin is definitely the most natur...  Read Full »

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