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,My father is 70 years old and has had diabetes type 2 for around 20 years, but I guess now he officially turned to diabetes type 1 because his body is not secreting insulin anymore.The Problem:Recently we have been unable to control his blood sugar, so his doctor suggested increasing hi... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query and understand your concern. I will try my best to provide you with the best of the available treatment. I have seen his medications and the test reports (attachments removed to protect the patient's identity) you have sent me. His sugars are rea... 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 a... Read Full »
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... 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 »
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 (2.6 oz) or 50 grams (1.7 oz) tolerance test. HbA1c (hemoglobin ... 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 »
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 »
My diabetes is not under control despite taking medications. Why?
Query: Hello doctor,I take GP3 before lunch and dinner, Obimate SR 1 gm after lunch and dinner, and Tryglynase 2 before breakfast but my diabetes is not coming under control. I have attached my report. Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. There are three ways to control diabetes. Diet, exercise, medicines (oral or Insulin). No matter how good your blood sugar reports are, you should definitely follow a strict anti-diabetic diet and do regular daily aerobic exercises like wa... Read Full »
Will flare-up of gastroparesis cause DKA in diabetic patients?
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 »
Why are there frequent urination and vomiting while taking Insulin?
Query: Hello doctor, Medical history: I am a diabetic patient under insulin treatment. Frequent vomiting from today morning onwards, unable to drink even water, continuously vomiting. An urge to drink is also there due to dryness. Morning there was an urge to urinate frequently. Normally when there is an ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have a few concerns here and would like to know what is her blood sugar right now if you have a glucose monitor. She may be having very very high blood sugars causing her to go to the bathroom as now vomiting. She may be having a stomach virus. Read Full »
My uncle is diabetic and has shown significant improvement after using insulin. Why is it?
Query: Hi doctor, My uncle had diabetes. His glucose level had been around 400 mg/dL or 450 mg/dL four months ago, and he was taking Metformin. However, he recently had a leg injury. During his treatment, he was prescribed insulin, and at home, he received insulin shots. As a result, his sugar levels decre... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Any acute condition (such as a leg injury in your case) or high blood sugar levels should be treated with insulin as soon as possible. All medications work by either releasing internal body insulin or improving insulin utilization. When ins... Read Full »
Query: Hello doctor,I am 60 years old and my fasting blood sugar level is 342 mg/dl and my postprandial (taken two hours after a meal) level is 384 mg/dl. I also have a urological problem (enlargement of the prostate). Give me some advice on how to lower my sugar level. Please tell me about which food I ca... Read Full »
Answer: Hello, Welcome to icliniq.com. We appreciate you for contacting us. To control diabetes, the most important factors are exercise and diet. I suggest you do the following: Exercise daily for at least 30 minutes which includes walking, swimming, and so on. Always select small frequent low glycem... Read Full »
I am a diabetic patient using Insulin with high blood sugar levels. Kindly help.
Query: Hello doctor, I am a 32 years old diabetic patient weighing 75 kilograms. I am on an Insulin regimen, as given below. I take Human Mixtard 70/30 Suspension for Injection 100 IU/ml, 25 units before breakfast, and 35 units before dinner and Human Actrapid 40 IU/ml, 5 units before lunch, and 5 units i... Read Full »
Answer: Hello, Welcome to icliniq.com. Analyzing your query, I have noticed one thing regarding the type of Insulin you are using. You are using mixed Insulin two times a day and regular Insulin once in the evening. Still, your before lunch and dinner sugars are high. You have not mentioned any usage of o... Read Full »