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Hi! I Have Been Diagnosed With Type 2 Diabetes For

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Posted on Fri, 15 May 2020
Question: Hi! I have been diagnosed with Type 2 diabetes for about 9 years and eventually found a fairly regular result with the NovaRapid & Lantus Solar Star routine.
I am a "night owl" & a late riser, so my medications takings are compatible with this.
I rise at 9.30 - 10.00am and breakfast 30 minutes later. I take 6 units of NovaRapid 10 mins before a light breakfast of 1 weetbix & 1 banana. I do not have a midday needle; I have a snack ( coffee & cake/bikkies) at about 2.30; another snack at about 5.30 & do not eat my dinner until 8pm, before which I have 6 units of NovaRapid.
I have my evening medication and LANTUS SOLAR STAR at 11 pm.
This routine has, up until now, has given me a fairly regular Glucose reading of between 6.0 & 8.9 reading.
I have recently had a mastectomy, & am on my second week of Chemo.
I gave all my particulars to the consulting specialists & doctors.
Over the past week my readings have increased for no obvious (to me,) reason.
I have been a bit anxious over the breast cancer treatment, and wondering if altering my dosage would be helpful.
In the current Covid 19 situation, seeing my GP is not likely to happen.
My question is, could the chemo be affecting my treatment?
Thanking you in anticipation of a helpful reply.
Di.
doctor
Answered by Dr. dr. Jawahar Ticku (16 hours later)
Brief Answer:
ca breast

Detailed Answer:
Dear Lesandi,
Thanks for posing question but your detail about the malignancy of the breast is not sufficient. Which breast was involved , what was the staging , what was the Er , PR, HeR status etc.and what chemotherapy you are having.
Yes many a times chemotherapy does alter the glucose status in your body particularly when you are already diabetic. some chemotherapy drugs do interfere with the insulin working in your body. Under such circumstances you may have to reschedule your insulin dosage in consultation with your doctor. if you have good understanding about the dosage adjustment of the glucose you can do so of your own with slightly increasing the unit level and adjust it to the optimum glucose level in the your blood.
Truly
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. dr. Jawahar Ticku (9 hours later)
Will have to look up the malignancy details; I'm not familiar with the medical terms. Shall reply tomorrow. Thank you.
doctor
Answered by Dr. dr. Jawahar Ticku (10 hours later)
Brief Answer:
Ca breast.

Detailed Answer:
Dear,
Thanks for returning..The breast details will help us to know if chemo drug is culprit. To keep your sugar under control Insulin dosage needs to be adjusted.
Truly.
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. dr. Jawahar Ticku

Oncologist

Practicing since :1979

Answered : 491 Questions

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Hi! I Have Been Diagnosed With Type 2 Diabetes For

Brief Answer: ca breast Detailed Answer: Dear Lesandi, Thanks for posing question but your detail about the malignancy of the breast is not sufficient. Which breast was involved , what was the staging , what was the Er , PR, HeR status etc.and what chemotherapy you are having. Yes many a times chemotherapy does alter the glucose status in your body particularly when you are already diabetic. some chemotherapy drugs do interfere with the insulin working in your body. Under such circumstances you may have to reschedule your insulin dosage in consultation with your doctor. if you have good understanding about the dosage adjustment of the glucose you can do so of your own with slightly increasing the unit level and adjust it to the optimum glucose level in the your blood. Truly