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How To Control Blood Sugar Levels?
Hi,
I am 19 years old and i have diabetes type 1 (it has been diagnosed by c-peptite test) for 3 years. My last HbA1C test result (about 3 weeks ago) was so bad (11.5%) I inject Regular and NPH insulin 3 times everyday before meals, but my BS level is too high. Although I had injected 40 units of NPH last night my today FBS test result, for example, was 264 mg/dl. I visited lots of doctors in my country (Iran) but I haven't get any favorable results. They just tell me use your insulin, do exercise, and not eat much. And unfortunately, I hate doing exercise. I don't exercise but I have almost good diet. I would appreciate if anyone could guide me how to control my BS level.
Best,
Mehrzad
I am 19 years old and i have diabetes type 1 (it has been diagnosed by c-peptite test) for 3 years. My last HbA1C test result (about 3 weeks ago) was so bad (11.5%) I inject Regular and NPH insulin 3 times everyday before meals, but my BS level is too high. Although I had injected 40 units of NPH last night my today FBS test result, for example, was 264 mg/dl. I visited lots of doctors in my country (Iran) but I haven't get any favorable results. They just tell me use your insulin, do exercise, and not eat much. And unfortunately, I hate doing exercise. I don't exercise but I have almost good diet. I would appreciate if anyone could guide me how to control my BS level.
Best,
Mehrzad
posted on
Thu, 20 Mar 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 20 Mar 2014
Answered on
Fri, 21 Mar 2014
Last reviewed on
HI, thanks for using healthcare magic
First work on controlling the fasting blood sugars then work on the other pre meals and 2 hour post meals.
NPH insulin is normally used twice daily because it lasts 12 to 16 hours in the body. It is most commonly used in the mornings and evenings prior to breakfast and supper.
This insulin is to be the basal or background insulin.
The regular insulin can be used with your meals, 20 to 30 minutes before you eat. The amount of regular insulin you need can be affected by the amount of carbohydrates in the meal you are going to eat. You may want to consider visiting a nutritionist who can teach you to count carbohydrates and alter your insulin accordingly.
Your fasting blood sugars would be affected by your evening meals and the amount of insulin used. If the fasting is too high (range is 70 to 130 mg/dl) then you should adjust the NPH in the evening.
There are other types of insulins that may be helpful - lantus and rapid acting insulin
I hope this helps
First work on controlling the fasting blood sugars then work on the other pre meals and 2 hour post meals.
NPH insulin is normally used twice daily because it lasts 12 to 16 hours in the body. It is most commonly used in the mornings and evenings prior to breakfast and supper.
This insulin is to be the basal or background insulin.
The regular insulin can be used with your meals, 20 to 30 minutes before you eat. The amount of regular insulin you need can be affected by the amount of carbohydrates in the meal you are going to eat. You may want to consider visiting a nutritionist who can teach you to count carbohydrates and alter your insulin accordingly.
Your fasting blood sugars would be affected by your evening meals and the amount of insulin used. If the fasting is too high (range is 70 to 130 mg/dl) then you should adjust the NPH in the evening.
There are other types of insulins that may be helpful - lantus and rapid acting insulin
I hope this helps
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