Posted by: Xaba | 2009-04-01


worried sick

Helllo, I have a problem with my sugar levels. Case is it' s either flunctuating or goes low, I work out a lot, I adjust the dosage of Novorapid between 1 - 6mmol/L depending on what' s on the menu &  reading for glucometer &  portion size as well. Couple of days back I' ve seen a dietician &  who told me about the carbohydrate count. I' m still adjusting the dosage as per reasons stated above, seen other doctors &  they suggest I keep it to a single pre-fined dosage than adjusting it, of which i don' t agree with. I once asked the doctor if it' s possible to change the short acting insulin, but told me she doesn' t see a need for that. At the moment I' m confused about what to do, which &  who' s route to follow, advice to take or should I stick to regime I' m currently on at the moment? All of the above dont work for me, I have collapsed 3 time in past week, could you please recommend something or someone for me. I live in Durban central. Any advice please I feel like this thing is taking over my life.

Expert's Reply


Diabetes expert

I agree with you that dose adjustment with carbohydrate counting is a good method to obtain better control. A fixed dosage will only work if all your meals contain more or less the same amount of carbohydrates. The fact that you have collapsed, really indicate that you need a proper re-evaluation of your medication. There are different options of short-acting insulins available and one should evaluate your food dairy and readings and then make a decision. The fact that you are also exercising a lot may also contribute to your current problem and it may be necessary to decrease your long-acting insulin dosage or if you use a long-acting insulin with a peak change to a long-acting insulin without a peak action. There are a number of Endocrinologists in the Durban and Umhlanga area - I would really advise you to book an appointment with an Endocrinologist to help you to sort this out.

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