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Can I move to insulin to have better con
I am diabetic and have hypertension since last 10 years. I had a good control over sugar since June 2018. Test conducted on 09/06/2018 showed an Hb1ac of 11.8 (Estimated average plasma Glucose 271.30). Fasting is 256. 53 mg/dl. Lipid profile serum 202.89 (Triglycerides 164. 07H. HDL 28. 28 while LDL is 140. 80H). I would like to know whether I should move to insulin for better management. I am ready to take it both temporarily or permanently to improve life quality.
Now today Fasting was 139 and PP 198.
Currently I am taking following tablets : 1) Gemer DS 2...Twice daily. 2) Olmizest 40 ( once for BP) 3) Rosovel A ( for Lipid) 4) Ursocol 150 for lever engime ( thrice a day ) 5) Serte .25 ( for anxiety ). Out of all teblet for Lipid and liver engime started since last one month when abnormalities was seen in LFT and Increased value in LFT.....................Please advice me further on this matter.
Hello,
I agree that your sugar levels are high. You’ve mentioned that they were in good control until June 2018, so I would like to know what has changed that they went up so much. How’s your diet and are you able to get any exercise ?
Insulin is a good option to achieve good and faster control but you would need a proper consultation re. insulin or other options available and may be then decide which option suits you best.
Diet and exercise should be in conjunction with any medication you are using either insulin or oral anti diabetics or both.
LFT abnormalities can be temporary, secondary to infections or medications . We need to have a look at your liver enzyme tests and see what the problem is, then only I can advice further.
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Your latest sugar reports aren't that bad. And currently u r on suboptimal dose of Metformin and full dose of Glimeperide. At this stage it's your choice if u prefer insulin or would want to go for oral tablets (better than Glimeperide)
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