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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Much Of Fast Acting Insulin Is Advisable To Control Blood Sugar Levels While On Lantus?

I have type 2 diabetes, my last A1c was6.7. Today I had a prednisone injection. My blood sugar is 330. I usually take lantus in the mornings to avoid middle of the night lows. I have fast acting insulin on hand, but don t know how much to use or let the sugar alone since is a side effect of the steroid.
Fri, 21 Sep 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

The spike of sugar level is due to steroid injection. After 3 or 4 days, get the assessment of sugar level by fasting blood sugar level and random blood sugar level.

Take record for a week, and then consult your local doctor as he will decide about the type and amount of insulin you need.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Varinder Joshi
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  Anonymous's Response
Anonymous's  Response
you have to use short acting insulin as suggested by your doctor.Its a need of this hour.if your blood sugar was 330 2hrs after your meals start with 4units just before meal and get RBS done after two hours

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How Much Of Fast Acting Insulin Is Advisable To Control Blood Sugar Levels While On Lantus?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The spike of sugar level is due to steroid injection. After 3 or 4 days, get the assessment of sugar level by fasting blood sugar level and random blood sugar level. Take record for a week, and then consult your local doctor as he will decide about the type and amount of insulin you need. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Varinder Joshi