I have had Type 1 diabetes for the past 10 years, and I am using Human Mixtard 70/30 (46 units in the morning and 46 units in the evening). Despite this, my blood sugar is not well controlled. What should I do?
If your blood sugar remains uncontrolled despite regularly taking Human Mixtard 70/30, you should consult your doctor for a detailed review of your treatment plan. In Type 1 diabetes, insulin requirements can change over time due to diet, weight changes, stress, infections, reduced physical activity, or incorrect injection technique. Sometimes premixed insulins, such as Human Mixtard 70/30, may not provide enough flexibility to control blood sugar throughout the day. Your doctor may advise checking fasting, pre-meal, and post-meal sugar levels, along with HbA1c, to understand the pattern of your blood sugar readings. The doctor may also review your meal timings, carbohydrate intake, and insulin injection sites. In many patients with long-standing Type 1 diabetes, a basal-bolus insulin regimen using separate short-acting and long-acting insulins provides better control than premixed insulin alone. Do not adjust insulin doses on your own, as this may lead to severe low blood sugar. Regular monitoring, proper diet, exercise, and timely insulin adjustments are important for good diabetes control.