She is diabetes. Taking insulin iglucent mix 50 twice. 14 units n 10 unit. Also istamet50/1000 twice, glimimisave 2mgtwice, volix 0.2 mg twice. Is there any substitute of insulin as tablet form, or any other generic med ,as our expenses may low. Today her fasting 126, hba1c 10%as on 1st oct 2018 please suggest thanks.

Dr. Prabhakar Laxman JatharEndocrinologist48yrs exp

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Mr M D Agrawala, Thanks for the query. With HbA1c% 10, it is clear that diabetes is not in control. That is the reason Insulin injections have been added in the treatment. There is no mention as to from when is on the insulin injections. Plus it is also necessary to know her serum creatinine & urea levels, to look at the possibility of reducing or discontinuing Insulin. Unless blood glucose level is strictly controlled, it is not possible to discontinue Insulin. Thanks. 

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