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Doctor insights on: Hyperinsulinemia

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What is hyperglycemic hyperosmolar nonketotic syndrome?

What is hyperglycemic hyperosmolar nonketotic syndrome?

Very high sugar: This occurs when the sugar gets very high, usually over 600. Because of the very high sugar the blood becomes very viscous, the patient is dehydrated and may become very lethargic or pass out. ...Read more

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Does Lantus (insulin glargine) Insuline inyections cause weight gain?

Does Lantus (insulin glargine) Insuline inyections cause weight gain?

Lantus (insulin glargine): I am assuming that your insulin injections have been started not long ago. Injections should not cause weight gain but there is a more important issue. Type 2 diabetes can and should be corrected such that you no longer have diabetes. Insulin injections should not cause weight gain. With that in mind, talk to your doctor about diabetes and also have a dietitian help you with your weight. ...Read more

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Why does pcos cause insulin resistance?

Other way around: Insulin resistance comes first, leads to extra Insulin (because of insensitivity), which then acts on the ovaries similar to insulin-like growth-factor (igf), this leads to increased testosterone, which often leads to pcos - hope that helps. ...Read more

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Is Non-Diabetic Hypoglycemia overdiagnosed?

Is Non-Diabetic Hypoglycemia overdiagnosed?

Reactive hypogly. : If you're referring to reactive hypoglycemia, then that to which you refer is fairly common. It's related to the overly brisk response of the pancreas to ingestion of simple sugar. ...Read more

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Hb1ac=6,6%(48 mmol).basal glycemia=82mg/dl. Basal insuline=38mUI/mL.Am I diabetic?thanks

Hb1ac=6,6%(48 mmol).basal glycemia=82mg/dl. Basal insuline=38mUI/mL.Am I diabetic?thanks

Yes: A Hba1c above 6.5% is consistent with diabetes. Although your fasting glucose is normal, you likely have high sugars later in the day after eating. You should obtain a glucose monitor and start checking your sugar at different times of the day to see when it is running high. ...Read more

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What is humalog (insulin lispro) insulin?

What is humalog (insulin lispro) insulin?

Rapid acting insulin: Like other Insulin analogs Humalog (insulin lispro) (lispro) is a rapid acting meal time insulin. It can be injected before or immediately after meal. It has a quick onset, short duration of action, less variation in absorption and decrease chances of low blood sugar (hypoglycemia) if use appropriately. Indicated for management of diabetes mellitus. Humalog (insulin lispro) is administered subcutaneously only. Can be use in pumps. ...Read more

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Insulin resistance? fasting insulin 76pmol/l after 75gOral glucose- 1hr-insulin-849pmol/l . 2 hr-864pmol/l glucose fast 5.4mmol/l 1hr10.4 2hr7.5

Insulin resistance? 
fasting insulin 76pmol/l 
after 75gOral glucose- 
1hr-insulin-849pmol/l . 2 hr-864pmol/l

glucose fast 5.4mmol/l
1hr10.4
2hr7.5

Time to get serious: You have normal glucose tolerance. Your fasting and 2 hr glu is not quite at the level of "impaired". Your insulin levels are on the high side, suggesting insulin resistance. Now is the time to start getting your weight under control, proper diet, and physical activity. Talk to your doctor about your particular situation. ...Read more

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Can increased prolactin cause insulin resistance?

Can increased prolactin cause insulin resistance?

Probably not: I am not aware of high prolactin causing Insulin resistance. However, some people with Insulin resistance and polycystic ovarian syndrome can have high prolactin levels. ...Read more

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Basal glucose =81 mg/dl but insuline =38 mU/ml (insuline/glucose > 0,3 ). Symptoms of ipoglycemia... How to exclude an insulinoma? Ultrasound?thanks!

Basal glucose =81 mg/dl but insuline =38 mU/ml (insuline/glucose > 0,3 ). Symptoms of ipoglycemia... How to exclude an insulinoma? Ultrasound?thanks!

Hypoglycemia: To diagnose insulinoma, you need to demonstrate inappropriately high insulin/C-peptide when your glucose is low. A glu of 81 is not low, it is normal. You have symptoms of hypo, but these symptoms are often from something else. Insulinoma is rare. Do not start getting CT/ultrasound etc until you establish the biochemical diagnosis first. An Endocrinologist can help you. ...Read more

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Does this suggest diabetes? Glucose - 62, Glucose Fasting - 69, Insulin Fasting

Does this suggest diabetes? Glucose - 62, Glucose Fasting - 69, Insulin Fasting

Nope: Those are excellent numbers, even going to a little low. Diabetes is not a concern until your fasting glucose starts going over 100, and it isn't called diabetes until higher than that. A1c would also be much higher (6.5% or above is diabetes, 5.7-6.4% is increased risk, 4-5.6% is normal). Good luck! ...Read more

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How's hyperosmolar hyperglycemic nonketotic coma treated?

How's hyperosmolar hyperglycemic nonketotic coma treated?

Insulin and fluid: Insulin and saline are administered intravenously and other medications added depending on the clinical findings and lab tests. ...Read more

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What does insulin resistance mean?

Decreased response: An easy way to think about "insulin resistance" is re-wording it as "decreased responsiveness". Insulin is generally needed to transport glucose (sugar) into cells, such as muscle or fat cells. In diabetes, one of the problems is potentially that these cells have a decreased responsiveness to Insulin and its actions on glucose. ...Read more

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How much does novorapid (insulin aspart) insulin reduce sugar?

How much does novorapid (insulin aspart) insulin reduce sugar?

It depends: How much a given dose of Insulin lowers the blood sugar depends on the individual's sensitivity to Insulin and can vary a great deal. ...Read more

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How much does novorapid (insulin aspart) insulin reduce blood sugar?

How much does novorapid (insulin aspart) insulin reduce blood sugar?

Depends: Depends on your degree of control/resistance and how much of the Insulin you inject. In general, it's a quick acting Insulin and can lower your blood sugar very fast. ...Read more

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What is special about lantus (insulin glargine) insulin ?

Basal insulin: 40% of the Insulin a pancreas makes is done constantly and the other 60% is done to respond to your carbohydrate ingestion(when you eat). Lantus (insulin glargine) is the first Insulin that was design to take care of that 40% because it is designed to work over 24 hrs without any peak in action minimizing low blood sugar reactions. ...Read more

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What causes high insulin levels?

What causes high insulin levels?

Insulin resistance.: High blood sugar will cause Insulin levels to rise, but i suspect you are referring to Insulin resistance. This is a phenomena in which your muscle cells have reduced sensitivity to insulin. This results in higher blood levels of Insulin for any given level of blood sugar as compared to those without Insulin resistance. ...Read more