Recently Answered Questions
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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 »
My father has been suffering from type 2 diabetes. Please help.
Query: Hi doctor, My father has been suffering from type 2 diabetes for the last 20 years. His blood sugar levels are never fully under control. This could be due to a lack of physical activity and a sedentary lifestyle. Recently his hbA1C value was 9 and he is also taking insulin, he takes 16 units of ins... Read Full »
Answer: Hello, Welcome to icliniq.com Thank you for your query. Having a close family member with diabetes and watching them manage it is stressful enough, but in your case, it is your father, and his condition is a bit not in control, which I believe could be even more stressful for you. I appreciate and u... Read Full »
How to manage hypoglycemic episodes in diabetic patients?
Query: Hello doctor, I am a specialist doctor and wanted to consult you regarding advice for a patient. A 50-year-old patient was recently discharged from the hospital with symptomatic (slurred speech and confusion) hypoglycemic episodes with glucose levels of 36 mg/dL. The patient is on a regimen of five ... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. The following are my suggestions: 1. Stop all oral diabetes tablets. 2. Stop basal Insulin at night. 3. Start plain Insulin four times a day according to the random blood sugar (RBS) value on the glucometer. I hope ... Read Full »
Why is Lantus Insulin administered at night?
Query: Hi doctor, My brother-in-law was injured and underwent surgery. After that, his diabetes is uncontrollable, and his level is 370 mg/dL. Even though Insulin is given three times at about 22, 22, and 16 units, and Lantus 16 units at night, the result is the same. Read Full »
Answer: Hi, Welcome to icliniq.com. Good day. Thank you for your query. I suggest the following. If his fasting sugar is over 150 mg/dL, I suggest increasing his Lantus (Insulin Glargine) every day for two units until fasting blood sugar comes down to less than 150 mg/dL. If it goes less than 90 mg/dL, th... Read Full »
Is Insulin injection necessary for high postprandial blood sugar levels?
Query: Hello doctor, I have developed type-2 diabetes in the past three years. However, in the last year, I did not require insulin as my sugar levels were normal. I live abroad, and I am on Metformin. Due to COVID-19 and various lockdowns in the country, my sugar levels were out of control. I am now back... Read Full »
Answer: Hi, Welcome to icliniq.com. Diabetes has many complications, so it is not just to bring down the numbers but to monitor and treat complications associated with diabetes. Check your eyes for retinopathy, kidneys with urine albumin creatinine ratio, and check your feet. Lifestyle modifications are the... Read Full »
What can be done to control the sugar levels of my 2-year-old daughter?
Query: Hello doctor, My 2 year old daughter was diagnosed diabetic and I am giving four units of Lantus and two boluses Novo rapid for each meal three times. But still, her sugar levels are not in control. We give her low-carb and proper diet. What should we do now as none of the doctors we consulted are a... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query. From what you have mentioned, it appears that your daughter has insulin-dependent diabetes mellitus and you are concerned about her high blood sugar. I would request that you record for three days her fasting blood sugar (FBS), two hours post ... Read Full »