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  5. I have been diabetic for 15 years and taking Novomix insulin injections (18 units in the morning and 15 units in the evening) for the last 10 years. Since my fasting blood sugar level before breakfast is 200, should I change my insulin medication or dosage?

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I have been diabetic for 15 years and taking Novomix insulin injections (18 units in the morning and 15 units in the evening) for the last 10 years. Since my fasting blood sugar level before breakfast is 200, should I change my insulin medication or dosage?

Asked by Male, 62 · 2 days ago

A fasting blood sugar of 200 mg/dL is high. Since you take Novomix, your morning fasting level is primarily influenced by your evening insulin dose (15 units). You may need an adjustment in this evening's dose, but please do not change it yourself. First, check your blood sugar at 3:00 AM for a few nights to rule out nighttime low blood sugar (hypoglycemia), which can cause a rebound high fasting level (Somogyi effect). Please share these 3:00 AM readings and a 3-day food log with your doctor so they can safely adjust your dosage or medication.
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I have been diabetic for 15 years and taking Novomix insulin injections (18 units in the morning and 15 units in the evening) for the last 10 years. Since my fasting blood sugar level before breakfast is 200, should I change my insulin medication or dosage?

Answered 2 days ago

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