Type 2 Diabetic Patient. Had Repeated Hypoglycemic Episodes After Starting Insulin. Need Advice
XXXX XXXX XX
Adjust the insulin dosage.
Detailed Answer:
Hi XXXXXXX and thank you so much for this query.
I am so sorry to hear about these repeated hypoglycemic episodes though happy that you know how to quickly identify and correct them. May you always be on the watch. I am also sorry about this stenosis and the pains.
From the information you have provided, I am particularly concerned about the dose of insulin you are taking. There is enough information to suggest that you try using a lower dosage to see what the blood sugars look like. Persistent and repeated low blood sugars always suggest excess insulin administration. Give this a strong consideration.
Given your age, the goal of diabetes management should not be to get very tight and neatly controlled blood sugars. Values around 200mg/dl should be acceptable because in elderly people, they are more likely to die from acute complications like hypoglycemia in an attempt to tightly control blood sugar levels than long term complications resulting from diabetes like kidney failure. This should be strongly considered by your treating physician.
In all, consider dropping the dosage by 2units and monitor glycemia. XXXXXXX and discuss the problem and any changes with your doctor as soon as he return for follow up and adjustments.
I hope this answers your query and provides ample information for you to act on. i wish you well and do feel free to ask for further clarifications if need be.
Thanks for using our services once more.
Dr. Ditah, MD/
NO
Detailed Answer:
Hi and thank you for following up with me.
Vicodin has no effect on blood sugar. Maybe the pain free interval it offers yo permits you to do some exercise which may explain the hypoglycemic episodes but not directly linked to the drug.
Your drugs need to be revisited fully. There is no one dose that fits every diabetic patient. Let your doctor adjust the dosages and schedules based on your glycemic readings to achieve the best possible blood sugar levels while preventing treatment related complications like hypoglycemia.
Having a tighter control is good but not at the expense of treatment related complications that could be even more fataland damaging than the benefits of this strict control.
I hope that this helps. I am happy having you on our platform and feel free to ask for more advice if need be. I wish you well.
Thanks.
Dr. Ditah, MD
Thank you, too!
Detailed Answer:
Hi and thank you so much for using our services.
I feel humbled that we had the opportunity to address your query. I honestly hope our contributions make a positive contribution to your over all health. Like I mentioned before, monitoring and adjustment is the key to attaining good glycemic goals.
At this tie, if you have no further related questions, may I kindly suggest that you consider closing the discussion. Please, do take some time and write a short review to help us improve on our service to better serve you next time.
I wish you well and above all, good health.
Thanks once more the opportunity to exchange with you on this.
Dr. Ditah, MD