My wife is diabetic for last 8 - 9 years. She is 42 years old. We are following medicines prescribed by doctors but still the level continuous to vary abnormally and it is still maintaining at high levels of 205 on fasting and 300 and above some times pp. Kindly advice us.

Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Mr it appears that present medications are not much helpful to her, only way is to shift to long acting basal analogue insulin like injection basalog of biocon star with a dose of 6 units before breakfast and increase on alternate days by two units till target fasting levels are attained. For this self monitoring of blood glucose has to be done. Plus please do inform her hba1c level and lipid profile, weigt, height and physical activity level for me to guide. 

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