HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Should Insulin Be Suggested If HBA1C Is 6.9%?

Hi I am Diabetic from past 3 years. I am taking Glimy 2 before breakfast and Vozuca 0.3M (Metformin 500+Voglibose) before lunch and dinner. My HBA1C is 6.9%. I am controlling my diabetes with proper food and oral medication. When detected HBA1C was 8.6%. Over a period of time my oral medication may not work, Can I start insulin now (long acting like lantus solostar 10 U/0.2xweight 74 kg=14U before night) after stopping glimy 2 and Vozuca 03.M. I am 37 male. My mother is also a diabetic and taking insulin regularly. I am checking HBA1C every three monts and I am not let this go above 7. I am well aware of the disease. I do 40 minutes morning walk every day which cobers approx. 3 km. Now I know that by stimulating beta cells with glimy I am able to manage diabetes. But over a period of time beta cells will be tired or damaged and that time I must switch over to insulin. My question is switching over now will help. With lantus can I save the balance 50% beta cell to avoid diabetes related complications in future. Please guide me.
Tue, 1 Apr 2014
Report Abuse
Diabetologist 's  Response
Dear sir i understand your concern.in my opinion your duration of diabetes is too early for starting of insulin and your haba1c is aslo very good.the way you are handling diabetes is impeccable.yes i agree with your point that Bcell preservation is important.using insulin is good but it will not stop your beta cell because beta cell loss is not only dependent on drugs like glimipride but also on many genetic and metabolic factors.before considering insulin you can use drugs like DPP4 inhibitors which are having good role in beta cell preservation and aslo you can reduce dose of your glimipride.....thank you for making use of HCM and as a Diabetologist i am very pleased to serve you.....regards
I find this answer helpful

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Insulin


Loading Online Doctors....
Should Insulin Be Suggested If HBA1C Is 6.9%?

Dear sir i understand your concern.in my opinion your duration of diabetes is too early for starting of insulin and your haba1c is aslo very good.the way you are handling diabetes is impeccable.yes i agree with your point that Bcell preservation is important.using insulin is good but it will not stop your beta cell because beta cell loss is not only dependent on drugs like glimipride but also on many genetic and metabolic factors.before considering insulin you can use drugs like DPP4 inhibitors which are having good role in beta cell preservation and aslo you can reduce dose of your glimipride.....thank you for making use of HCM and as a Diabetologist i am very pleased to serve you.....regards