My father has diabetes, high blood pressure, and was recently diagnosed with Chronic Kidney Disease (CKD). His doctor recently changed his insulin from Huminsulin 30/70 to Humalog (three times a day) and Lantus (at night), which keeps his fasting blood sugar around 100 and post-meal around 150. Considering his CKD diagnosis, should he continue with this new insulin regimen, or should he switch back to his previous insulin?

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My father has diabetes, high blood pressure, and was recently diagnosed with Chronic Kidney Disease (CKD). His doctor recently changed his insulin from Huminsulin 30/70 to Humalog (three times a day) and Lantus (at night), which keeps his fasting blood sugar around 100 and post-meal around 150. Considering his CKD diagnosis, should he continue with this new insulin regimen, or should he switch back to his previous insulin?

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My father has diabetes, high blood pressure, and was recently diagnosed with Chronic Kidney Disease (CKD). His doctor recently changed his insulin from Huminsulin 30/70 to Humalog (three times a day) and Lantus (at night), which keeps his fasting blood sugar around 100 and post-meal around 150. Considering his CKD diagnosis, should he continue with this new insulin regimen, or should he switch back to his previous insulin?

Asked by Male, 40 · 5 hours ago

Dr. S Aneela

M. Pharm (Pharmacology)., PhD

5 hours ago

Your father should continue his current insulin treatment with Insulin Lispro and Insulin Glargine unless his doctor advises otherwise. His fasting sugar around 100 and post-meal sugar around 150 are considered well controlled. In chronic kidney disease (CKD), insulin stays in the body longer because the kidneys clear it more slowly, which increases the risk of low blood sugar. A basal-bolus insulin regimen is often preferred in CKD because it more closely matches the body?s natural insulin pattern and allows better dose adjustment and safety compared to premixed insulin. Do not switch back or change doses without consulting his doctor, and continue regular blood sugar monitoring for signs of hypoglycemia such as sweating, dizziness, shakiness, or confusion.