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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Kindly suggest the medicines to control diabetes.

Query: Hello doctor, I am a diabetic for 20 years with by pass surgery done 7 years back. My sugar levels are 239 fasting 330 PP. For sugar Azulix 3 mg once and Insogen 50/40. I have attached my medicine list here. Now, I am concerned on my sugar level, little swelling in the foot, little itching in the b...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Firstly, regarding reducing medications, all the medications are essential (attachment removed to protect patient identity), however, you may combine those as following. Now, instead of three separate medications like Aspirin 150 Clopidogrel 75 and Rozavel 20, you ...  Read Full »

Can glucose monitor value and HbA1c differ?

Query: Hi doctor, My father has been suffering from diabetes for the past 20 years. He is using Apidra (20 units in the morning and 14 units in the evening), Lantus (20 units in the morning) Insulin injections and Cyblex MV 40.2 mg twice a day. He regularly checks his blood sugar level using glucose monito...  Read Full »


Dr. Kusumakar Srivastava

Diabetologist, General Medicine Physician, Internal Medicine Physician, Rheumatologist

Answer: Hi, Welcome to icliniq.com. The diabetic medications followed by your father have controlled his blood sugar level in the range of 90 to 130 mg/dL. The reading shown by the glucose monitor is the current value during the time of check, but HbA1c always denotes the control of sugar level over two ...  Read Full »

How to help my diabetic father get his appetite back?

Query: hello my father who is 62yrs old has diabetes type 2.. Recently, he started not feeling well. He has stopped eating, basically doesn't want to eat or drink anything. He's been like this refusing food for about 4 days now. His blood sugar is anywhere around 250-380 even though he isn't eating anythin...  Read Full »


Dr. Rinku Biswas

Pharmacologist, Family Physician, Diabetologist

Answer: Hi, The mentioned sugar levels are too high. The medication dosage is not mentioned. Only Metformin doesn't work for such high levels. He might need insulin too initially to control the levels and then eventually can be on pills depending upon the condition and thorough follow up. Please don't ign...  Read Full »

Please suggest some tips to shed some weight due to insulin intake.

Query: Hello doctor, I am a type 1 diabetic and have been injecting insulin every day for years already. With this current quarantine going on, I gained some weight which made me worry. Although my BMI says that I am on the normal side, it still made me upset because the belly, arms, and legs have gotten b...  Read Full »


Dr. Safina Mithani

Dietician

Answer: Hi, Welcome to icliniq.com. Yes, insulin might result in some weight gain, but if you are keeping a check on your calories and include a good amount of non-starchy food including whole grain, fresh whole fruits, and vegetables will help you to shed some fat. Keep a check on your exercise minutes,...  Read Full »

What is the indication of insulin during gestational diabetes?

Query: Hello doctor, I am 2.5 months pregnant now. And I have developed gestational diabetes and consulted with a gynecologist in the nearby polyclinic and made HbA1c (blood sugar monitoring test) and the result is 6.4 % reference range normal up to 6%. Before pregnancy diabetes range used to be always...  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 it appears that your blood sugar is not very high as to start insulin treatment as of now but you need to be closely monitored as regards to blood sugar, ultrasound fetal monitoring by an obstetrician and a die...  Read Full »

My father's PP sugar levels are high. Should we increase Insulin dosage?

Query: Hi doctor, For the past six weeks, we have been noticing that my father's PP sugar levels after breakfast are in the range of 195 to 250 depending on what he eats. Fasting levels are more or less fine. He had done his laboratory tests before two months and his HbA1c was fine. I have attached the blo...  Read Full »


Dr. Surbhi Agrawal

Diabetologist, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. I can understand your concern for your father. For uncontrolled sugar, I would suggest adding Voglibose available as tablet Volibo 0.3 mg before each major meal twice a day. Increasing the Insulin dose might risk him with hypoglycemia. Consult his specialist doctor, di...  Read Full »

Could insulin injection cause fever in diabetics?

Query: Hello doctor, Last month, my mother went to the hospital for diabetics, and her reading is 200 mg before having food, and after meal reading is 300. Doctor gave her 35 points of insulin. Again she took her sugar test yesterday, and her result is 180 (within normal levels). My mother suffering from...  Read Full »


Dr. Nadeem Abootty

Diabetologist

Answer: Hi, Welcome to icliniq.com. From your history, I have noted that your mother was diagnosed with uncontrolled type 2 diabetes and was on insulin since one month. Now on review, yesterday it was found that it is under control with the present dose of insulin. Coming to your concern, insulin will no...  Read Full »

If we take Insulin injection during pregnancy, will it affect the baby?

Query: Hi doctor, My wife is 38 years old. She had an abortion in 2012 around her six months of pregnancy due to the defects of diabetics. From that time onwards she has not taken any treatment for diabetics. As per her report, pregnancy starts from 18th February. We have started Insulin Eglucent three t...  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. From your history, I gather that you have been taking insulin from early pregnancy and closely following it. If your blood sugar levels are well controlled with diet, exercise, and insulin, then there is nothing to worry about. There is no specific and extra chance for ...  Read Full »

With insulin, my dad has stomach pain and swollen feet. Should he switch to Metformin again?

Query: Hello doctor, My dad has type 2 diabetes. He is on insulin 14 mg a day and twice on some days. He has been having severe stomach pain for weeks and now he has lost a lot of weight. Since being on insulin his feet have become swollen, and his eyes yellow. Prior to insulin, he was on Metformin but ...  Read Full »


Dr. Nadeem Abootty

Diabetologist

Answer: Hi, Welcome to icliniq.com. From your history, it seems your father is suffering from uncontrolled Diabetes mellitus for seven months or more which was not controlled with Metformin. The present complaints you have mentioned after starting insulin, may not be actually related to insulin rather ma...  Read Full »

Will oral anti-diabetic medications cause drastic weight loss and kidney damage?

Query: Hello doctor, I am a diabetic. My weight is 69 kg and my height is 180 cm. My PP glucose level is 150-210 mg/dL. I am taking Glynase MF one in the morning, tablet Exermet GM 501 one in the evening. My BP is normal. I tested my glucose levels today and postprandial glucose level is 204 mg/dL. I am ...  Read Full »


Dr. Krutika Ingle Karandikar

Diabetologist, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. The Metformin component of the oral anti-diabetic medications aids in weight loss and is usually preferred in overweight candidates. But, there are other medications that do not lead to weight loss, so, you can definitely ask your physician to shift you to such medic...  Read Full »

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