A 32-year-old male asked:
new t1 diabetic. prescribed lantus (insulin glargine) only since i still produce some insulin on my own. post dinner bg is 311 w/no ketones. need er or ok?
3 doctor answers
Dr. Silviu Pasniciuc answered
27 years experience Internal Medicine
Not type 1: If your pancreas is still producing insulin you are most likely type 2- resistant. Post prandial glucose is a little high, but no need to go to ER. Ideally you should use also short acting Insulin with your meals and the right time to check your glucose will be just before your meal. Talk to your treating physician and keep a log of your blood glucose readings, most meters usually save them.
Answered on Sep 29, 2016
Dr. Ajainder Shergill answered
15 years experience Internal Medicine
Monitor: If no ketones and no symptoms of any kind, no need for ER. However, keep close eye on blood sugars to make sure they are getting well controlled. Does not sound like Lantus (insulin glargine) by itself is adequate for you. I think you also need to be on a short-acting sliding scale. Get in touch with your doctor.
Answered on Dec 11, 2015
Dr. David Wishnew answered
42 years experience Wound care
Hyperglycemia: A glucose level that high ought to be investigated. Either the Lantus (insulin glargine) alone is not sufficient or else the dosage needs to be adjusted. See your Dr as soon as possible
Answered on May 4, 2016
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