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Does this causing my increase of blood sugar levels?

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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.

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Category: Family Physician-GP
 30 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

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