Lg Cwd
icon-nav-help
Need Help

Submit your question to our team of health care professionals.

icon-nav-current-questions
Current Question

See what's on the mind of the community right now.

icon-conf-speakers-at-a-glance
Meet the Team

Learn more about our world-renowned team.

icon-nav-archives
CWD Answers Archives

Review the entire archive according to the date it was posted.

CWD_Answers_Icon
August 28, 2001

Daily Care

advertisement
Question from Cairo, Egypt:

There is a 63 year old patient with type�1 diabetes for years and a hepatitis C infection, and the doctor advised her to use twice daily premixed insulin. However, with this regimen, she has hypoglycemia (46-52 mg/dl [2.6-2.9 mmol/L]) before breakfast and hyperglycemia (220-320 mg/dl [12.2- 17.8 mmol/L]) afterward. What’s your advice?

Answer:

From: DTeam Staff

First of all, let me repeat once more that premixed insulins are not the best way to treat any insulin requiring patient because blood sugar swings are the rule when using them, and it’s always very difficult to establish good metabolic control. My advice would be to switch that patient to a regimen with Humalog or Novolog before each meal and NPH or Lantus (insulin glargine) as basal insulin. Please discuss this option with her doctor.

MS