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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fluctuations While Taking Insulin For Type-1 Diabetes?

hello sir,i m 17years old girl.....6months ago i m diagonised as type-1diabetes.......i m taking insulin twice a day.....but also there is a lot of fluctuations......so what is the cause for this sir..........please help me i m totally confused!!!!!!!!!
Tue, 22 Jul 2014
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Diabetologist,  's  Response
Dear Madam,
Please do not worry. Type 1 Diabetes is known for fluctuations so it is not abnormal. Now coming to how to manage it , Please check blood sugars frequently and make a chart. Ideal would be a "six point blood sugar profile" - FBS, PPBS, PRE LUNCH, POST LUNCH, PRE DINNER & pOST DINNER values. With these reading we will be able to fix a dose for you. Second thing you need to learn is about carb counting so that you can slightly modify insulin dose as per your diet. In certain places there is a facility to do CGMS which will chart the whole day's blood sugar so we might be able to decide on a dosage.
Hope i have answered your query.
Get back if you need anything!
Dr.Riyaz Sheriff
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What Causes Fluctuations While Taking Insulin For Type-1 Diabetes?

Dear Madam, Please do not worry. Type 1 Diabetes is known for fluctuations so it is not abnormal. Now coming to how to manage it , Please check blood sugars frequently and make a chart. Ideal would be a six point blood sugar profile - FBS, PPBS, PRE LUNCH, POST LUNCH, PRE DINNER & pOST DINNER values. With these reading we will be able to fix a dose for you. Second thing you need to learn is about carb counting so that you can slightly modify insulin dose as per your diet. In certain places there is a facility to do CGMS which will chart the whole day s blood sugar so we might be able to decide on a dosage. Hope i have answered your query. Get back if you need anything! Dr.Riyaz Sheriff