I am a type 1 diabetic patient since 10 years, I taking h. Mixtard (40) thrice a day as 40u-25u-25u and my current sugar report is as follows-fasting: 186 mg/dl and post prandial :294 mg/dl how much should I increase insulin level in order to get glucose level bin control.

Dr. Pramod Kumar SharmaEndocrinologist42yrs exp

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Increase 2 units with each meal then monitor blood sugar for 1 week, if not controlled again increase accordingly.I think reduction in weight will help. 

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Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, Thanks for the query. I have seen the details given. Usually when Hello, Thanks for the query. I am sure aware that in a well controlled diabetes patient FBG should be just about 100 mg or a bit more, PP should be 150 to 170 mg& HbA1c% closer to 6.5%. That means there is a need to achieve much stricter glucose control. Usually if fasting glucose goes above 140 mg, then you should increase night dosage of Insulin by 2 units and if post lunch level goes above 180 mg or so increase the dosage by 2 units. Similarly if FBG is <110 mg, then reduce the night dose by 2 units and similarly PP levels is about 140 mg then too reduce the dosage by 2 units .The reduction or increase in dosage of Insulin should be done with a gap of 3 to 4 days. Regular checking blood glucose is very important. If you have any questions please do come back. Thanks. 

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