Any explanation why sugar level continues to be around 350 inspite of 26units of Apidra and 14 units if insultard in the morning and

[yogeshwar]

12 units of Apidra and 12 units of insuline in the night

[tigermenon]

Insufficient data to arrive at definite conclusion.but it appears that you have become resistant to insulin.Your diet may not be proper for a diabetic.May be you are leading a sedentary life or might be combination of all.

[rajeevpandey100]

Your endocrinologist may need to revisit your dose. Most probably, the insulin type is unsuitable & also likely that your carbohydrate food load is very high. Go for a better doctor in a reputed medical institution. With so much of insulin pumping, this should not be the case. Check with your doctor.

[rnpath]

your dinner is high in calories and content,reduce the amount and replace with vegetables and fibres

[Gondu]

Dear Yogeshwar, It is quite confusing. The data is absolutely insufficient. However I know my one or two friends have suffered with similar situations and even got admitted to the hospital and even in hospital with insulin therapy the sugar level never came down , but came down after ten or fifteen days.Hence I suggest to adopt immediately LCHF regimen and consult a good diabetician

[kampulikalander]

Pl. check up your medicine and confirm that it is good quality.

[rajman]

Same problem I faced when my mother's PP used to be high enough (450+) after 2 hrs. of meal and rapidly drop to 40-50 after 5-6 hrs. Over the past few years, I consulted many doctors but no one could explain the real reason and every time they came out with changed medicines and charged heavy fee..

I then decided to act myself and find out the actual reason and ways to overcome it. I finally succeed to do so by studying different types of injectable insulin with details about onset (the length of time before insulin reaches the bloodstream and begins to lower blood sugar), peak (the time period when the insulin is the most effective in lowering blood sugar) and duration (how long insulin continues to lower blood sugar). I corrected the timing of insulin intake from 15 minutes to 1 hour to match the peak level of insulin and timing of partially digested food. The results were very much satisfying. It is frustrating that doctors never explain these important things to their patients and the patients have to pay heavy price for such small ignorance. Please go through the leaflet available with your insulin medicine thoroughly and find out the type of Insulin and its peak time on the graph shown.

The following chart lists the types of injectable insulin with details about onset (the length of time before insulin reaches the bloodstream and begins to lower blood sugar), peak (the time period when the insulin is the most effective in lowering blood sugar) and duration (how long insulin continues to lower blood sugar). These three factors may vary, depending on your body's response. The final column provides some insight into the "coverage" provided by the different insulin types in relation to mealtime.

Type of Insulin & Brand NamesOnsetPeakDurationRole in Blood Sugar Management

Rapid-Acting

Humalog or lispro15-30 min.30-90 min3-5 hoursRapid-acting insulin covers insulin needs for meals eaten at the same time as the injection. This type of insulin is often used with longer-acting insulin.

Novolog or aspart10-20 min.40-50 min.3-5 hours

Apidra or glulisine20-30 min.30-90 min.1-2½ hours

Short-Acting

Regular (R) humulin or novolin30 min. -1 hour2-5 hours5-8 hoursShort-acting insulin covers insulin needs for meals eaten within 30-60 minutes

Velosulin (for use in the insulin pump)30 min.-1 hour2-3 hours2-3 hours

Intermediate-Acting

NPH (N)1-2 hours4-12 hours18-24 hoursIntermediate-acting insulin covers insulin needs for about half the day or overnight. This type of insulin is often combined with rapid- or short-acting insulin.

Long-Acting

Long-acting insulin covers insulin needs for about one full day. This type of insulin is often combined, when needed, with rapid- or short-acting insulin.

Lantus (insulin glargine)1-1½ hourNo peak time; insulin is delivered at a steady level20-24 hours

Levemir (insulin detemir)1-2 hours6-8 hoursUp to 24 hours

Pre-Mixed*

Humulin 70/3030 min.2-4 hours14-24 hoursThese products are generally taken two or three times a day before mealtime.

Novolin 70/3030 min.2-12 hoursUp to 24 hours

Novolog 70/3010-20 min.1-4 hoursUp to 24 hours

Humulin 50/5030 min.2-5 hours18-24 hours

Humalog mix 75/2515 min.30 min.-2½ hours16-20 hours

*Premixed insulins are a combination of specific proportions of intermediate-acting and short-acting insulin in one bottle or insulin pen (the numbers following the brand name indicate the percentage of each type of insulin).

[rajman]

Dear India Cratus

Many thanks for your valuable inputs. This problem may be due to her old age. I appreciate your in-depth analysis of the situation and surely try your suggestion of splitting the 10-30 percent of intended meals after the insulin shot and take the rest of the meal later. I am sure, this tip will help to get the stabilization in her BS level.

Thanks once again.

[Sugareffects]

No 1 reason might be your diet. If you are eating too much especially in break fast sugar level will increase automatically.

Walk, right dose of insulin and proper diet are the key to mantain the sugar level

[drayurveda]

Dear Patient ,

In Ayurveda there are three types of premeha which further classified in different 14. It seems your DM may be due to Vat Prakruti. Prolong intake of Insulin may effect several organs including kidney .

We suggest following Aushadhies for you.

Vasant Kusumakar Ras 2 tab each with skimmed milk. with breakfast

Chandraprabhavati 2 tabs each with water

Giloy Vati t tabs each with water

bot this before meal.

take Turmeric powder and Amla Powder in equal qty. mix it and have 30 mins before meals.

Please undergo for RFT Test from a reputed Pathology Lab.