Hello... In CKD patients monitoring with
Hb1Ac is not accurate.. More better method will be SMBG monitoring of
sugar levels with glucometer to know the control before and 2 hr after breakfast, before and 2 hr after lunch and before and 2 hr aftrr dinner... Also ur stage of CKD is also important as due to slow degradation of insulin long acting insulin may cause hypoglycemia...
Consult endocrinologist for detailed examination and insulin dose adjustment
Next Steps
Do SMBG readings for 7 days and meet endocrinologist
Health Tips
Healthy lifestyle with diabetic diet and exercise