I am a diabetic. I am on insulin. What should I do to convert my insulin into medicine. It is type 1 sugar.

Question

Hello, If you have diabetes and taking Insulin, it means the condition is not in control. Further there is no mention of fasting, PP blood glucose levels & HbA1c%, it is difficult to give any opinion. Please understand insulin is the best medicine in treating diabetes. In Type 2 diabetes too Insulin injection is used to control high blood glucose level, once the control is achieved then there is a possibility of shifting on to oral drugs. Thanks.

Prabhakar Laxman Jathar · Accepted Answer

Hello, If you have diabetes and taking Insulin, it means the condition is not in control. Further there is no mention of fasting, PP blood glucose levels & HbA1c%, it is difficult to give any opinion. Please understand insulin is the best medicine in treating diabetes. In Type 2 diabetes too Insulin injection is used to control high blood glucose level, once the control is achieved then there is a possibility of shifting on to oral drugs. Thanks.

D Prasad · Answer

Type 1 diabetes requires insulin for treatment. Do not take any initiative to change it to tablets.

Pranali · Answer

Type 1 diabetes mellitus (DM) require lifelong insulin therapy as per age& weight targets for preprandial 100 mg /dl, fasting 70 mg /dl and hemoglobin A1c (HbA1c) levels at 7 % below Most pateint require 2 or more injections of insulin daily, with doses adjusted on the basis of self-monitoring of blood glucose level
Common insulin regimens include the following:
Split or mixed ? NPH with rapid-acting (eg, lispro, aspart, or glulisine) or regular insulin before breakfast and supper
Split or mixed variant ? NPH with rapid-acting or regular insulin before breakfast, rapid-acting or regular insulin before supper, and NPH before bedtime (the idea is to reduce fasting hypoglycemia by giving the NPH later in the evening)
Multiple daily injections (MDI) ? A long-acting insulin (eg, glargine or detemir) once a day in the morning or evening (or twice a day in about 20% of patients) and a rapid-acting insulin before meals or snacks (with the dose adjusted according to the carbohydrate intake and the blood glucose level)
In type 1 DM insulin used is divided as per below The preprandial insulin is either rapid-acting (lispro, aspart, or glulisine) or short-acting (regular). Preprandial dose is based on the carbohydrate content of the meal (the carbohydrate ratio) plus a correction dose if their blood glucose level is elevated (eg, an additional 2 U of rapid-acting insulin to correct the blood glucose from a level of 200 mg/dL to a target of 100 mg/dL). Adjust the dose to maintain preprandial plasma glucose at 80-150 mg/dL never stop insulin or switch to tablet or it may lead to complications if the sugar level are not got under control they are,
1. DKA& COMA 2. Cardiovascular complications.
3. Renal complications.
4. Diabetic Retinopathy (Eyes).
5. Diabetic neuropathy
6. Infections Homoeopathic medicines are prescribed on the basis of physical, emotional, and genetic make up that individualizes a person. This constitutional approach framing mind and body works at the root-level. Moreover homoeopathy recognizes importance of root cause such as genetic and inherited factors as a root of any ailment of the body. The homoeopathy medicines prescribed on such strongly plays a crucial role in management of many deep-rooted, chronic, difficult diseases; one amongst them being Diabetes which we can manage to normal level of sugar in urine And blood. Diabetes cannot be cure completely but can effectively controlled with homeopathic medicines.

Sweta Tondare · Answer

Hello lybrate-user, in type 1 diabetes, insulin is the only line of management. Some newer drug are approved by FDA but they are add-on to your insulin and efficacy wise these drugs are not effective as single therapy but insulin can't be substituted.