Q. I think the Insulin injection is not reducing my mother's sugar levels. Should we change it?

Answered by
Dr. Ankush Gupta
and medically reviewed by iCliniq medical review team.
Published on Apr 28, 2017 and last reviewed on: Oct 09, 2018

Hi doctor,

My 77 year old mother, who weighs 115 kg, is suffering from diabetes mellitus since last 6 to 8 years. Her fasting sugar level is 180 and postprandial is 250. She is taking Insulin from the past 3 to 4 years, Humalog 50/50 (twice a day 40 units). And her HbA1c is also high. She also takes Jentin Met, and other BP medications. 

Dr. Ankush Gupta

Critical Care Physician Diabetology
#

Hello,

Welcome to icliniq.com.

  • Weight reduction is very important in diabetes. Maintain a strict diet and walk daily to reduce weight.
  • I suggest changing tablet Jentin Met (combination of Sitagliptin and Metformin) to tablet Galvus Met (combination of Vildagliptin and Metformin). Continue with Insulin.
  • Consult your doctor, and try taking tablet Galvus Met 50/500 in the morning after food and tablet Glyciphage (Metformin) 500 in the night after dinner.

For further queries consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist

Hi doctor,

Thank you very much for your quick reply. Should we change the Insulin type as well? I think the Insulin is not working as it should. Without taking Insulin, the sugar level is almost the same.

Dr. Ankush Gupta

Critical Care Physician Diabetology
#

Hello,

Welcome back to icliniq.com.

  • Instead of Humalog, I suggest you try injection Humulin Insulin R 15 units, before breakfast and before lunch and injection Humulin Insulin 30/70 15 units, before dinner along with oral medication.
  • Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent.

For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist

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