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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is A Long Lasting Insulin Dose For Elevated Blood Sugar Levels Advisable?

My sister s Blood sugar is 201.I have given her a long lasting dose if insulin 2 hours ago..Is that still too high and what should I do? Also she has issues with high blood pressure and her heart Her vitals are ad follows 101/71 and her heart rate is 67 Is that ok?
posted on Wed, 8 Feb 2017
Twitter Thu, 24 May 2018 Answered on
Twitter Thu, 22 Nov 2018 Last reviewed on
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Endocrinologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

From your description, I can deduct that 201 mg/dl is not a fasting blood sugar result. (because she had a long lasting insulin injection 2 hours ago.)

It is not too high, don't worry. This result is not dangerous for your sister.

My advice is to increase 2 UI her insulin doses (you can start tomorrow with the increased dose) and to check her fasting and post prandial (2 hours after meals) blood sugar again.

If the result do not return to "normal diabetic range", I suggest to consult her treating doctor because your sister may need to change her insulin schedule to control her diabetes.

About her vitals, her blood pressure is "a little bit" low, but is can be normal for the females. Anyway, if she take anti hypertensive drugs, I suggest to lower the doses of the medication.

Her heart rate is OK.

Hope i have answered to all your questions. If you have other doubts,feel free and ask.
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General & Family Physician Dr. Dr. Akhtarhusain's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I really appreciate your concern, the given blood sugar level is within normal range and it is not high. You have not mentioned about the units of insulin been given and the type of diabetes you have. If no symptoms of hypoglycemia present, then there is nothing to worry.

I hope I have answered you query. If you have any further questions you can contact us in every time.
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Is A Long Lasting Insulin Dose For Elevated Blood Sugar Levels Advisable?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. From your description, I can deduct that 201 mg/dl is not a fasting blood sugar result. (because she had a long lasting insulin injection 2 hours ago.) It is not too high, don t worry. This result is not dangerous for your sister. My advice is to increase 2 UI her insulin doses (you can start tomorrow with the increased dose) and to check her fasting and post prandial (2 hours after meals) blood sugar again. If the result do not return to normal diabetic range , I suggest to consult her treating doctor because your sister may need to change her insulin schedule to control her diabetes. About her vitals, her blood pressure is a little bit low, but is can be normal for the females. Anyway, if she take anti hypertensive drugs, I suggest to lower the doses of the medication. Her heart rate is OK. Hope i have answered to all your questions. If you have other doubts,feel free and ask.