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May 19, 2003

Daily Care, Type 2

Question from Kathmandu, Nepal:

Recently, in spite of a high dose of oral medicine , my mother's sugar level has risen to a high level, and she been advised to go on insulin. In time, will she be able to give up insulin and come back to oral medicine? She does have high blood pressure too.

Answer:

When the blood sugars are so high that insulin has to be started, it is uncommon that the insulin can be quickly stopped. For this to happen, there would have to be a dramatic change such as the person who is very overweight who loses a lot of weight. Otherwise, it sounds like it is a struggle to keep up with the sugars. The most important thing is to do the things that keep the blood sugars in the best control.

JTL