Good evening doctor. I'm a 50 year old male suffering from diabetes mellitus type 2.as you asked sir my hba1c level 13.9. When I used humalog mix 25 first time. Then my glucose levels were 74. Next day when I cut my insulin dose to 12 unit morning and 8 units evening. Then my glucose levels were 122 fasting. But the third day my glucose levels (fasting) were between 350 to 400. Before this when I was not on insulin and taking medicines like gluconorm g4 forte 2 and forxiga then my glucose level were also not controlled. My pp glucose level was 350 to 400. But yesterday I took forxiga 10. Mg after a gap of few days. Today my glucose levels were 223. And one more request sir can you please tell me the reason behind my facial swelling which usually appears in my periorbital area mostly after waking up.
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Hello, Thanks for the query. I think I have just answered your another query, where there is no mention of Insulin being taken. I have seen the details given in this. HbA1c% 18.9 % is too high, suggesting completly uncontrolled diabetes. In this situation it is difficult to give any suggestions and directions in this (open) query. You need to come in a private conversation where I can suggest proper treatment. In this we are allowed to give general guidelines like check your fasting every 3 days and if it is high(above 140 mg) increase the night Insulin dosage by 2 units. First correct the fasting. Plus I have no way of monitoring your condition. Thanks.
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Excess sleep may cause, check creatinine levels.
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Dear Mr. lybrate-user, I think you need to consult an expert in diabetes to get good control of your blood sugars. You may need a single dose of a long acting insulin and three doses of short acting iinsulin to optimize control. For you forkziga is not a good idea as it is a drug meant for overweight type 2 diabetics. I notice that you are actutally under-weight regards professor m s seshadri.
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