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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For High Sugar Even After Taking Insulin

hi i,m suffering from type 1 diabetes last 10 year when i was 19 years old nw i'm 29 .but last one week my diabetes is continue high. i'm taking 3 time insulin in a day in the morning 14 unit humansulin regular same in the afternoon and in the night 14 unit humansulin 30/70 but still my sugar fasting report is 280,256 what should i do....please reply
Thu, 9 Jul 2015
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General & Family Physician,  's  Response
HI,
I agree your fasting glucose levels are very high. There can be 2 reasons why the morning glucose level is high. One possibility is thatyour night dose is not adequate (we call it dawn effect). The remedy for this is that we increase the night dose of insulin. The other possibility is that your night insulin dose is very high than needed and because of that your sugar levels become vry low in the midnight when you sleep and your body tries to compensate for this low sugar by breaking down complex stored sugars from your liver into blood. (we call this somyogi's phenomenon). For this effect, we need to check the blood sugar at midnight around 2am or so. If this midnight glucose level is very low, then we have to decrease your night insulin levels. Therefore, the best for you is to go immediately to your treating doctor and adjust the insulin dose you are taking.

Regards
Dr. Jeffrey
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Suggest Remedy For High Sugar Even After Taking Insulin

HI, I agree your fasting glucose levels are very high. There can be 2 reasons why the morning glucose level is high. One possibility is thatyour night dose is not adequate (we call it dawn effect). The remedy for this is that we increase the night dose of insulin. The other possibility is that your night insulin dose is very high than needed and because of that your sugar levels become vry low in the midnight when you sleep and your body tries to compensate for this low sugar by breaking down complex stored sugars from your liver into blood. (we call this somyogi s phenomenon). For this effect, we need to check the blood sugar at midnight around 2am or so. If this midnight glucose level is very low, then we have to decrease your night insulin levels. Therefore, the best for you is to go immediately to your treating doctor and adjust the insulin dose you are taking. Regards Dr. Jeffrey