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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Insulin The Only Solution For High Diabetic Level?

Dear doctor, I am was diagnosed of diabetes since 2005, and have tried different medicines since then, but the sugar is still not under control, fasting is around 280 and two hours after meals it is approximately 350, i wanted to start insulin treatment as i can feel it is very serious now, kindly advise. Thank you Vincent                                                                  
Fri, 10 Oct 2014
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Internal Medicine Specialist 's  Response
Hello,
you haven't mentioned some important information about your medical history but I'll try to give you the basic directions.
First of all diabetes treatment is not only about insulin or other drugs but it has also a lot to do with lifestyle changes.
A healthy diet is essential and can't be replaced by any medication.
Exercise helps as much as a drug.
Insulin is definitely the most efficient treatment because it has no limits. Pills have a limited ability to reduce blood sugar, which can't be exceeded.
Judging from your fasting glucose, it's likely that you'll need insulin even if you do all you can with diet and exercise.
Your glycosylated hemoglobin would be very useful to know. It has a lot to do with drug choice.
If you're on a healthy diet, you're exercising every day and have tried antidiabetic pills then insulin is the only solution.
I hope I've given you something to consider.
If you have further questions on the subject, I'll be glad to answer.
Kind Regards!
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Is Insulin The Only Solution For High Diabetic Level?

Hello, you haven t mentioned some important information about your medical history but I ll try to give you the basic directions. First of all diabetes treatment is not only about insulin or other drugs but it has also a lot to do with lifestyle changes. A healthy diet is essential and can t be replaced by any medication. Exercise helps as much as a drug. Insulin is definitely the most efficient treatment because it has no limits. Pills have a limited ability to reduce blood sugar, which can t be exceeded. Judging from your fasting glucose, it s likely that you ll need insulin even if you do all you can with diet and exercise. Your glycosylated hemoglobin would be very useful to know. It has a lot to do with drug choice. If you re on a healthy diet, you re exercising every day and have tried antidiabetic pills then insulin is the only solution. I hope I ve given you something to consider. If you have further questions on the subject, I ll be glad to answer. Kind Regards!