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Q. How to improve my sugar level?

Answered by
Dr. Divakara P
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 04, 2016 and last reviewed on: Jan 08, 2020

Hi doctor,

My diabetes started as gestational diabetes around seven years back. I am taking NovoRapid 24 units three times a day and Lantus 30 units at night daily. But, my blood sugar levels are not at all coming down. Previously, I took tablet Zoryl MV 1 and 2. I am using these Insulin for the past six months, but there is no improvement in my sugar levels. Also, my HbA1C is greater than 9. Please help.

Dr. Divakara P

Diabetology Endocrinology General Medicine Internal Medicine Pain Medicine Pulmonology (Asthma Doctors)


Welcome to

  • Uncontrolled sugar can be due to inadequate dose of Insulin, not following proper diet and less physical activity or exercise.
  • I need to know whether you take NovoRapid 24 units three times a day which is equal to 72 units per day or it is 24 units per day.
  • Also, let me know whether you are strictly following diabetic diet or not.
  • What is the level, duration of exercise you do and in what frequency?

For further information consult an endocrinologist online -->

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Hi doctor,

Thanks for the reply. Yes, I take 24 units three times a day. I do 50 minutes of brisk walk four days a week. I am following little diabetes diet that is one meal at lunch, little food between lunch and snack time, etc. If this is not sufficient, then please suggest what exactly I need to do.

Dr. Divakara P

Diabetology Endocrinology General Medicine Internal Medicine Pain Medicine Pulmonology (Asthma Doctors)


Welcome back to

Thanks for the information. First I shall start with diet.

  • Avoid sweets, fruit juice, carbonated drinks. Also avoid heavy meals for lunch and dinner.
  • Eat more of vegetables in your diet except potato, beetroot and carrot. For example if you are eating three roti and 50 g of vegetables change it to 2 roti and 150 g of vegetables.
  • If possible drink bitter guard juice in empty stomach.
  • Exercise what you are doing is fine, but do it daily.
  • Now coming to medications you are on high dose of Insulin. I would recommend you to get started on tablets also.
  • Start tablet Metformin 1 g two times a day. Increase Lantus to 40 units in the night.
  • I recommend an alternative for Lantus called Tresiba. Use same dose for Tresiba also (30 units). Continue the same dose of NovoRapid.
  • Monitor you fasting, post breakfast (2 hour) and pre-dinner blood sugars on alternative days and let me know the results after 10 days.

Revert back after 10 days to an endocrinologist online -->

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