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What Causes Shivering And Elevated Sugar Levels Post A Humalog Insulin Injection?

Posted on Tue, 15 Mar 2016

Question: Dear Doctor,
My wife is 22 weeks pregnant. she was suffering with diabetics during the end trimester of last pregnancy. This is the second one. In this time from first trimester itself she was diabetics. we consulted Dr. Thushanth XXXXXXX in KIMS, XXXXXXX XXXXXXX and he prescribed the following medicines
1. Glycomet gp1 1-0-1
2. Humalog insulin pen ( now taking 26 points in the morning and 16 points in evening)
3. Insulatard (now taking 26 points at 10.30pm every night)
after taking the morning dose of insulin she is shivering
when checked with glucometer her sugar level in morning is 140 and after breakfast the sugar level is 200.

I want your advice to continue this medicines or need to consult another doctor

Answered by Dr. Niranjan G (1 hour later)

Brief Answer:
Dear sir, nothing to worry , continue the mwdications regularly

Detailed Answer:
Deae sir, Greetings fro. HCM. Shivering is non specific symptom. Symptoms like giddiness , excess sweating, palpitations, are symptoms of hypoglycemia. She need to take correct dose of insulin dose and medicines also not to take nutritious food. Or else she might go for hypoglycemia which is more dangerous. Controlling sugar levels are very important as that might affect growing baby. Meanwhile, ask her to relax no undue stress and pressure. Check the sugar levels properly. Later better to switch over to insulin pen completely till dilivery. Anyway meet your doctor and take the final option thanks a lot

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Niranjan G (25 minutes later)

Dear Doctor,

Thanks for your advice. after using this insulin also the sugar level is not normal. she is telling always shivering. the fasting sugar today was 140. she skipped insulin accidentally before 15 days and the sugar level was the same. do we need to consult another doctor or what is your advice. i need an advice urgently

Adarsh

Answered by Dr. Niranjan G (58 minutes later)

Brief Answer:
Dear sir, check HbA1c levels

Detailed Answer:
Dear sir, glucometer values will not be that accurate . Please check the HbA1c levels . If it is below 6.5% it s ok . Also get the fasting and 2 hour post prandial blood glucose in a good lab. If the values are high you can increase the dose of insulin. Some times it is very difficult to control sugar levels. It keeps rising, So check the sugar levels, and fix the dose of insulin accordingly . Even 120 to 130 is permissible now . Diet is also important. Take more of protein rich food, avoid carbohydrates completely. Take more of green leafy vegetables, fruits and other fiber rich foods . Walk at least an hour a day . You can take second opinion too. Thanks

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Niranjan G (3 hours later)

Dear Doctor,

please see the recent blood result. i already asked her to do fasting as well as HbA1c tomorrow. kindly check the latest uploaded result "asha result.pdf"
Adarsh

Answered by Dr. Niranjan G (16 hours later)

Brief Answer:
we will see HbA1c levels and decide

Detailed Answer:
hello there, welcome back, i went through the report u had attached, I am of the opinion that we shud wait for results of HbA1c test that gives us the exact picture over a period of 2 to 3 months . and then decide on the future course of action. hope i addressed your query. wishing good health, thank you

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Niranjan G (1 hour later)

Dear Doctor,

Checked HbA1C and fasting in a lab today morning and the results are uploaded . HbA1C is 5.9 % and fasting blood sugar is 96 and when we checked in the same time the fasting blood sugar in glucometer was 94. we also checked the sugar level 2 hours after breakfast in glucometer and the result that is 84. uploaded the result for HbA1C and fasting. please check and tell me amount of insulin she should take

Thanks a lot for your advice

Adarsh

Answered by Dr. Niranjan G (13 minutes later)

Brief Answer:
Dear friend, test results are within normal limits very much, continue the same treatment

Detailed Answer:
Dear friend, I went through the report uploaded by you. It is well with in the limits. You can continue the same medication and dosage With all the lifestyle modifications I adviced you . Repeat those tests after a month and consult your doctor. wishing good health. thank you

regards
dr XXXXXXX

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Niranjan G (34 minutes later)

Dear Doctor,
thank you so much for your time seeing the reports and your advice
She is asking whether to reduce the dose of insulin intake
1. Glycomet gp1 1-0-1
2. Humalog insulin pen ( now taking 26 points in the morning and 16 points in evening)
3. Insulatard (now taking 26 points at 10.30pm every night)
now she is taking the following dose. please advice to reduce the dose
thanks a lot

Adarsh

Answered by Dr. Niranjan G (13 minutes later)

Brief Answer:
no need to reduce

Detailed Answer:
Dear friend, you ask her to continue the same set of medications regularly. You do not reduce the dose yourself. You need to see your doctor and get the final openion . As for as me I will suggest you to continue the same and adjust the dose based on the sugar levels . Keeping the sugar levels under check is the most important thing now . Thanks

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Sonia Raina