This is Dr. Gajendra from Bangalore. I'm an mbbs graduate working in Bangalore. I just got your mail id online.
My mother is 57years old diabetic since last 16years. She was initiated on insulin since about 10-12years. She is currently on mixtard (50/50 100iu) 40-0-20 & lantus 20units in the morning. She is also on glicazide + metformin combination (80/500) 1-0-1 & voglibose 0.3mg 1-0-1.
She lately about 6months back started to experience hypoglycemia & hence I made glicazide + metformin combination 1-0-0 & mixtard i made 35-0-15. After that she stopped having hypoglycemia & perfectly fine.
As I was out of station for 6months, she haven't got her blood tests done anytime but was on medications regularly. But now when I got her blood investigations done, I found out her sugars levels are very high & even her HbA1C levels & creatinine levels also increased.
HbA1C before was 8.4 & now 8.8
S. Creatinine before was 1.1 & now 1.5
I thought probably her sugars are not under control, I started to increase the insulin levels to mixtard 40-0-25 & lantus 20-0-0 but her sugars are not coming down at all. I thought probably she is been taking insulin only in arms most of the times, I changed the positions to thighs & abdomen too but sugars not coming down at all.
Currently her FBS is 140-180 on avg, PPBS is 240-300 on avg & RBS is 300-350 (especially after 1pm)
Kindly help me out
Looking forward for your valuable reply