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Diebatic for last 10 years
Diebetes for last 10 years. Now taking reclimet 1000 morning and night before meal and istamet 1000 after lunch. Sugar remains high between 200 to 300. Fasting around 200 and hba1c was 8.5 few months back. Have corona attack sugar and bp jumped to 350 and 150/120. Severe headache. On 26th showed to physician prescribed insulin 10point lentus but fasting sugar remains around 200. On increasing 20 point it goes to 165 in morning. I have BP ALSO. Usually bp is under control with Amlopress AT.
I need consultation for change in medicine or insulin vaccine. Further i will like to mention i was not taking insulin before covid but sugar was not under control.
Answers (1)
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Dr. Mahesh.D.M
Endocrinologist
23 yrs exp
Bangalore
Hi
For those with Diabetes more than 10 years, the insulin reserve in Pancreas would be low. Covid-19 definitely affects the glucose control. Since you are on Insulin Lantus+ Tablets, you can continue with further increase in Insulin dose 24-30 units
However you also can consider adding SGLT2 inhibitors if you are overweight
Next Steps
Monitor glucose levels thrice a day
Check Hba1c with fasting C-peptide levels next time
Health Tips
Be strict with Diet and walk daily 30min
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.