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  5. My father has type 1 diabetes. Someone suggested Metformin 500 mg and Huminsulin 30/70 (20 units) morning and evening. He has been using Dibimet 500 mg and Metformin 500 mg for years but has no control. What should we do?

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My father has type 1 diabetes. Someone suggested Metformin 500 mg and Huminsulin 30/70 (20 units) morning and evening. He has been using Dibimet 500 mg and Metformin 500 mg for years but has no control. What should we do?

Asked by Male, 63 · 1 month ago

Metformin alone cannot control type 1 diabetes; therefore, insulin is necessary, and a diabetologist must modify the kind and dosage based on blood sugar monitoring. A correct insulin regimen (basal-bolus or mixed) and frequent glucose checks are necessary to ensure safe control,?do not switch to Huminsulin 30/70 on your own.
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  1. Understanding the Medications Used

    • Metformin (500 mg): Primarily used for type 2 diabetes to improve insulin sensitivity. It may be prescribed in type 1 diabetes for additional benefits like weight management.
    • Huminsulin 30/70: A combination of short-acting and intermediate-acting insulin, crucial for managing blood sugar in type 1 diabetes.
  2. Challenges in Type 1 Diabetes Management

    • Metformin alone is insufficient for type 1 diabetes, where insulin therapy is essential.
  3. Addressing Poor Blood Sugar Control

    • Review insulin regimen: Adjust doses, timing, and types of insulin as needed.
    • Consider additional or different insulin formulations.
    • Monitor blood glucose levels closely and regularly.
  4. Additional Management Strategies

    • Focus on lifestyle factors: diet, exercise, and weight management.
    • Regular follow-up with an endocrinologist or diabetes specialist.
    • Consider continuous glucose monitoring (CGM) for better control.
  5. When to Seek Specialist Advice

    • Personalized treatment plans are crucial.
    • Explore advanced therapies like insulin pumps or adjunct medications.
  6. Summary and Patient Guidance

    • Comprehensive diabetes care involves more than just medications.
    • Maintain open communication with healthcare providers to optimize treatment.

Answered 1 month ago

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