Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Does this causing my increase of blood sugar levels?

Resolved Question:

I have been taking Toronto and NPH since 2000, without having much problems in my diabetic life. I recently changed my doctor and he immediately asked me to take Humalog and Levemire, instead of Toronto and NPH. But as I started on them, I started experiencing blood sugar levels between 12 and 25, for the last 3-4 weeks. This led me to a state of frustration. This was not the way I expect insulin should work on me. I don’t know what to do now. Should I go back to Toronto and NPH? Irregularities range from a 15 in the morning, to 14.8 at 10 O’clock, and back to the high 15.8 before eating lunch. Why is this becoming so abnormal? I count carbs for any thing and everything I eat. Please help me out.

Category: Community

Ask Your Own Question

Category: Family Physician-GP
 21 Doctors Online

Thanks for your question. From your question, it is evident that you were in a rapid acting insulin (Novalin ie. Toronto) and on NPH, which is a longer acting one. This has been changed recently with a similar course. Your new course is of Humalog, which is a rapid acting one and Levemir, which is a longer acting one. Also, your glucose levels are at a height. 12 to 25 is equal to 216 to 450 mg/dl, while the normal should be below 120.I think your insulins should be rechecked to reach perfect glucose level goals. Either Levemire or Humalog, or both should be adjusted to a level which is more safe to your body. Anyway, this change should be gradual and done carefully.

I would like to recommend you in taking good and healthy diet. Make your meals and snacks within the feel safe limit. Checking carb intake levels at regular intervals will help in making some mental calculations and goals for maintaining carb and glucose levels. Taper your bed time dose of Levemir by one, each alternative day. This will help you in a gradual bring down of Levemire, which is causing irritating side effects.


Dr. Cecelia J. Russ
Category: Family Physician-GP
Experience: 
- Medical School - New York Institute of Technology, New York College of Osteopathic Medicine
- Duke University Medical Center, Residency in Family Medicine
Dr. Cecelia J. Russ and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news