Should medications continue after controlling sugar levels?

Question

Hi doctor,

I am a diabetic male smoker aged 50. I take insulin 12 IU/mL at night and 24 IU/mL in the morning. I also take Metformin 850 mg twice a day. My sugar level has always been above 150 mg/dL but now it is under 90 mg/dL. Should I still take the same dosages? Thank you

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

To decide the dose of insulin and OHA (oral hypoglycemic agents), we will need FBS (fasting sugar levels) as well as 2 hrs of PPBS (post-prandial sugar levels).

When your HbA1c (hemoglobin A1c) was 15 mmol/mol, you were taking 12 units and 24 units of Insulin and Metformin. Now on these drugs, for the past 3 months, your sugar levels are controlled and that is why your current HbA1c is 9 mmol/mol. I suggest continuing the same dose but only after checking FBS and PPBS levels.

Hope this helps.

Thank you and take care.