Monday, June 1, 2009

How to manage a patient having diabetes mellitus uncontrolled with 40 units of 30/70 human insulin twice daily

how to manage a patient having diabetes mellitus uncontrolled with 40 units of 30/70 human insulin twice daily?
patient is alcoholic and having pulmonary tuberculosis.
Diabetes - 4 Answers
Random Answers, Critics, Comments, Opinions :
1 :
detox
2 :
Diabetes can be controlled using food supplements containing Chromium. ConcenTrace Trace Mineral Drops(CTMD) is one such product which contains all the minerals required by the body. It can even cure Tuberculosis as you have mentioned. I am a naturopath by profession and have been prescribing this product for various diseases. I have had amazing results with my patients using CTMD.
3 :
with that many different problems going, don't worry too much about the higher glucose numbers. I do not like the blend insulins!! It is almost impossible to get any control going. I like the basal (24 hour) insulin and mealtime bolus (short acting) insulins along with very limited carb meal plan.
4 :
Is this a test question or an actual patient you're working with? The first step is to get them off that 70/30 stuff...it's worthless. Use a long acting insulin like Lantus once a day (might need to split the dosage into two per day), and a fast-acting insulin like Humalog or Novolog whenever significant carbs are eaten. Use a sliding insulin:carb ratio for that and experiment until you find the right ratios for different time blocks.

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