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What Should I Do About High Blood Sugar Levels Despite Taking Insulin And Glycomet SR Everyday?

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Posted on Mon, 13 Aug 2018
Twitter Mon, 13 Aug 2018 Answered on
Twitter Fri, 25 Mar 2022 Last reviewed on
Question : my father takes 38 unites of insulin plus glycomet 500sr in the morning and 20 unites of insulin and glycomet 500sr at night, tonight his sugarlevels post dinner is 300 what should i do now
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Answered by Dr. Vasudha (2 hours later)
Brief Answer:
He needs lifestyle changes with glucose control under expert care.

Detailed Answer:

Hi,

Control of diabetes involves a strict dietary restriction(under advise of a dietitian) diet with low glycolic index food with optimum protein ,
vitamins and minerals is advised. Regular daily exercise for 45 minutes and suitable medicines to control blood sugar at optimum level.

He needs complete diabetic profile testing. to know about his normal diabetic parameters... his cholesterol &triglycerides in blood. HbA1c test indicates blood sugar levels through last 3 months .The investigations need 12 - 14 hours fasting before blood collection. Apart from this a systemic check for finding/excluding other systems involvement in the disease process. Hence, evaluation of kidney function, heart check up and eye check up is essential to prevent complications of high blood sugar level.

Suitable insulin dosage along with other antidiabetic blood is decided by frequent estimation of blood sugar daily to arrive at a confirmed dosage of antidiabetic medication.
Hospitalization is advised for getting optimum dose under a dietitian's care.

Please get earliest appointment with his diabetic specialist and get added advantage of physical examination & keen expert care while adjusting the dosage.

I hope that helps you. Any follow up query is welcome.
Thanks.
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Vasudha

General & Family Physician

Practicing since :1970

Answered : 10369 Questions

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What Should I Do About High Blood Sugar Levels Despite Taking Insulin And Glycomet SR Everyday?

Brief Answer: He needs lifestyle changes with glucose control under expert care. Detailed Answer: Hi, Control of diabetes involves a strict dietary restriction(under advise of a dietitian) diet with low glycolic index food with optimum protein , vitamins and minerals is advised. Regular daily exercise for 45 minutes and suitable medicines to control blood sugar at optimum level. He needs complete diabetic profile testing. to know about his normal diabetic parameters... his cholesterol &triglycerides in blood. HbA1c test indicates blood sugar levels through last 3 months .The investigations need 12 - 14 hours fasting before blood collection. Apart from this a systemic check for finding/excluding other systems involvement in the disease process. Hence, evaluation of kidney function, heart check up and eye check up is essential to prevent complications of high blood sugar level. Suitable insulin dosage along with other antidiabetic blood is decided by frequent estimation of blood sugar daily to arrive at a confirmed dosage of antidiabetic medication. Hospitalization is advised for getting optimum dose under a dietitian's care. Please get earliest appointment with his diabetic specialist and get added advantage of physical examination & keen expert care while adjusting the dosage. I hope that helps you. Any follow up query is welcome. Thanks.