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Why are sugar levels not controlled with insulin?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My 77 year old mother, who weighs 253 pounds is suffering from diabetes mellitus since last 6 to 8 years. Her fasting sugar level is 180 mg/dL and postprandial is 250 mg/dL. 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.

Answered by Dr. Ankush Gupta

Education:

MBBS

Professional Bio:

Dr. Ankush Dhaniram Gupta is a dedicated General and Family Physician, Diabetologist, and Critical Care Physician with expertise in managing chronic conditions, acute illnesses, and emergency care. He specializes in diabetes management, preventive health, and critical care support. Known for his compassionate approach and clinical precision, Dr. Gupta provides personalized, holistic treatment for patients of all ages, ensuring comprehensive and long-term wellness.

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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.

Patient's Query

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.

Answered by Dr. Ankush Gupta

Education:

MBBS

Professional Bio:

Dr. Ankush Dhaniram Gupta is a dedicated General and Family Physician, Diabetologist, and Critical Care Physician with expertise in managing chronic conditions, acute illnesses, and emergency care. He specializes in diabetes management, preventive health, and critical care support. Known for his compassionate approach and clinical precision, Dr. Gupta provides personalized, holistic treatment for patients of all ages, ensuring comprehensive and long-term wellness.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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.

Medically reviewed by Dr. K. Shobana
Published At April 28, 2017
Reviewed At July 29, 2024

Education:

MBBS

Professional Bio:

Dr. Ankush Dhaniram Gupta is a dedicated General and Family Physician, Diabetologist, and Critical Care Physician with expertise in managing chronic conditions, acute illnesses, and emergency care. He specializes in diabetes management, preventive health, and critical care support. Known for his compassionate approach and clinical precision, Dr. Gupta provides personalized, holistic treatment for patients of all ages, ensuring comprehensive and long-term wellness.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ankush Gupta
Dr. Ankush Gupta

Diabetology

Education:

MBBS

Professional Bio:

Dr. Ankush Dhaniram Gupta is a dedicated General and Family Physician, Diabetologist, and Critical Care Physician with expertise in managing chronic conditions, acute illnesses, and emergency care. He specializes in diabetes management, preventive health, and critical care support. Known for his compassionate approach and clinical precision, Dr. Gupta provides personalized, holistic treatment for patients of all ages, ensuring comprehensive and long-term wellness.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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