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Why is her fasting blood sugar high despite taking 20 units of Humalog and 2 mg of Pioglitazone at night?
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Why is her fasting blood sugar high despite taking 20 units of Humalog and 2 mg of Pioglitazone at night?
Asked by Female, 46 · 1 month ago
Her fasting blood sugar may be high because Humalog is a rapid-acting insulin that works mainly around meal times and does not last long enough to control blood sugar overnight. Other factors may include diet, late-night snacks, delayed stomach emptying, stress, illness, or insufficient basal insulin. She should discuss this with her doctor, who may adjust her insulin or treatment plan to achieve better blood sugar control.
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Possible Reasons for High Fasting Blood Sugar
- Insulin Lispro is rapid-acting, typically used around meals, not for fasting control.
- Pioglitazone improves insulin sensitivity but may take weeks to show full effect.
- Factors like insulin resistance, inadequate dosing, or timing issues.
Medication Timing and Dosage
- Consider the timing of insulin and pioglitazone.
- A basal insulin may be needed for better fasting control.
Other Contributing Factors
- Dawn phenomenon, dietary habits, stress, or infections.
Recommended Next Steps
- Consult an endocrinologist for possible insulin regimen adjustment.
- Monitor blood sugar patterns and consider lifestyle modifications.
Diagnostic Tests and Monitoring
- Regular blood glucose monitoring and possibly an HbA1c test.
Medical Specialties Involved
- Endocrinology for diabetes management and diabetes education.
Answered 1 month ago