My HbA1c is 9.5. How much insulin injection should i take?

[sayathet]

Hi. I am a type 2 diabetics. My HbA1c is 9.5. Before the test, I had been taking medications (Glynase, Metformin, Galvus) and also injecting Long Acting Insulin (Glaritus) in about 20 units every night. But when the test come out that my HbA1c is 9.5, i don't know what to do anymore. How much insulin should I take to lower it? What kind of medications should i take too? My physicians are not very reliable. Any suggestions pls? Thank You.

Best Regards,
SayaThet

 

[Daibell]

Hi. I can only suggest talking to your physician about adding a second (Bolus) meal-time insulin to your (Basal) 24 hour insulin. The Basal/Bolus regime (sometimes called MDI Multiple Daily Injections) gives the best control if your pancreas is failing to produce enough insulin. Can I ask what your BMI is? If you are slim then it's possible you are actually a late onset T1. Do discuss this with the physician. He can do some tests if needed. Note that Glynase is a sulfonylurea drug which would not normally be used if you do move to Basal/Bolus so check that with the doc.

 

[LittleGreyCat]

Can I ask what you normally eat?

Sometimes just lowering the amount of carbohydrates in your diet can make the drugs more effective.