Hi, welcome to our site. I am Dr Saumya Mittal.
Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query
What you need to realize is that blood sugar and
insulin administration is a complex issue. You see, the dose of insulin has to be individualized to the patient. So you need to know the exact level of insulin required before everything gets fine.
As for the second part of the question. Insulin, once in body, will start to reduce sugar as per its action. So if you do not eat at the time specified, or eat less food, your sugars are likely to fall.
I cannot really explain the
hyperglycemia, except to say that the specific dose of insulin need to be reached.
I am not sure what type of insulin he is on, so I can give a limited response. since its 2 times, i am assuming its mixture of long and short acting insulin
I hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck.
I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.
Please do understand that some details could be extracted from a detailed history and examination.
Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)