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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My diabetic father has nausea, vomiting, and loss of appetite. Why?
Query: Hello doctor,My father is a diabetic. He takes Basugine insulin before dinner and Eglucent rapid insulin before lunch. After taking Basugine for 1 year and 3 months and Eglucent rapid insulin for only 3 months he started facing various issues such as nausea, vomiting, fatigue, and most importantly h... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. Based on the information provided, your father's symptoms may be related to his diabetes management. Here are some possible reasons and treatment options: Hypoglycemia: One possible reason for your father's symptoms is low blood sugar (hypogly... Read Full »
I am taking insulin for diabetes since 22 years of age. What is the type of diabetes?
Query: Hello doctor, I was diagnosed with diabetes at age 22. When I was first diagnosed, I was taking pills which never worked. So, after a while, I started taking Insulin and have been since. I am taking five shots a day including rapid and long-acting Insulin. I was wondering if I would be type 1 or ty... Read Full »
Answer: Hi, Welcome to icliniq.com. You can be either type 1 diabetic or LADA (latent autoimmune diabetes of the adult) which behaves exactly like type 1. That is why pills worked for you first and then you ended up on Insulin. Either way, you will surely need Insulin to survive. I can recommend some test... Read Full »
My diabetes is not being controlled with medications. Why?
Query: Hello doctor, I am 33 years old. One year back, my HbA1c result was 8.2 %. Then, I started to take medicine Dailyglim M1 for three months and started some workout and took light food. Then, my sugar level came down. Fasting and PP result were in 105 mg/dL and 160 mg/dL range respectively. But, after... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand you are hesitant to use Insulin. But what she has said is right. Finally, Insulin is what controls your blood sugars. Since people are hesitant to use it, we usually do not prescribe it as a first-line treatment. Oral medications help the pancreas to pr... Read Full »
How do I maintain my blood sugar levels?
Query: Hello doctor, I was diagnosed with type II diabetes five years back. I have maintained good sugar control. Currently, I am taking Trulicity 1.5 weekly, Lantus nightly and 2000 mg of Metformin with my evening meal. Toward the end of last year, my diet was not good, as I was eating a lot of carbohydr... Read Full »
Answer: Hello, Welcome to icliniq.com. Since you have started proper diet control, your blood sugar levels are getting better and better day by day. Yes, it does take some time to get back to normal once you are careful about your diet and exercise. You can check your HbA1c levels now and after three mont... Read Full »
Fasting sugar level is higher than postprandial level. Why?
Query: Hello doctor, My mother's fasting sugar is higher than the post prandial sugar (130 and 115 respectively). She had normal diet only. And also, 2 hours after taking 75 grams of glucose, without any work, the sugar level is 260. Why is this happening? Read Full »
Answer: Hi, Welcome to icliniq.com. Regarding blood sugar levels, if a patient is diabetic and if she is on oral medication for diabetes, the sugar levels can be as have you stated (fasting blood sugar level more than the post prandial blood sugar). This happens because most of the anti-diabetic med... 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 »
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 »
Other than medicines, how to control my blood sugar?
Query: Hi doctor, I am a 53 year old male. My height is 5.7 ft and weight is 211 lbs. I am diabetic since 15 years and have BP for the past 20 years. Along with this, I am bipolar since birth. Hence, taking psychiatric medicine too. I am on Lantus 20 units in the night and NovoRapid 10 units before lunch. ... Read Full »
Answer: Hi, Welcome to Icliniq.com. I have gone through your query and can understand your health concern. You need to reduce your weightand modify your diet and lifestyle. According to your weight and height you should consume appropriate amount of calories per day. Take dietician opinion for a diabetic di... Read Full »
I have high blood sugar levels. Please help.
Query: Hi doctor. I am suffering from type 2 diabetes. My last blood sugar level was 400 mg/dL. I am on Insulin. But it is not coming back to normal. What shall I do? Read Full »
Answer: Hi, Welcome to icliniq.com. Since you have not mentioned the duration of diabetes, I have to assume that you may be having it for a minimum of 5 years. I have seen many patients who start with one drug and maintain sugar at nice levels in that single drug itself. But for many patients, it is not t... Read Full »
My glucose level is normal, but my insulin level is too high. Why?
Query: Hello doctor, I recently did a glucose tolerance test, where insulin levels were measured at 0 minutes, 60 minutes, and 120 minutes. The results are 0 Minute: Glucose 4.74 mmol/l, Insulin 11.2 uIU/ml, 60 Minure: Glucose 8.71 mmol/l, Insulin 104.3 uIU/ml and 120 Minute: Glucose 5.07 mmol/l, Insulin 1... Read Full »
Answer: Hello, Welcome to icliniq.com. I would like to see the image of your reports and would also like to know, if have you undergone the HbA1c test. How long have you been diabetic, have you been on oral antidiabetics? Read Full »
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