Doctor insights on:
Insulin Nph Medication
I have been on nph and log insulin for 18 years , can I replace my insulin with doses of 500 or 1000 g of metformin only?
Unlikely: While it is possible, it's very unlikely. Your doctor can check if your body is still making your own Insulin (type 2 diabetes) or not. By the way, nph is an outdated insulin. Check with your doc about replacing it with gargine (lantus) which is a true once daily basal insulin. ...Read moreSee 2 more doctor answers
Normal pressure hydrocephalus (nph) affects nearly 500, 000 people in the U.S. As its name implies, the pressure the brain "feels" is normal. Ct scans or MRI scans show dilation of the cerebral ventricles. The classic symptoms are memory problems, trouble with walking, and urinary incontinence and frequency. This typically affects patients> 55years in age. It is very treatable ...Read more
Time course: Hi. NPH & R differ by their time course of action. While they are both now mostly relegated to the history books, some people still use them. R peaks sooner and lasts a shorter time than NPH. Engineered insulins (e.g., Lantus (insulin glargine) vs. Humalog or Novolog) also differ in the time course of action. This gives rise to the notion of "basal" insulin and "meal" insulin. Different insulins fulfill diff. needs. ...Read more
My body is geting cold & shivering after 2hours of insulin nph injection however the BG was around 150(after meal), I want to know Y dis is happning?
Age 54: At your age you most likely have type 2 diabetes. Unlike type 1 diabetes, type 2 can be controlled to a point where you won't have diabetes. Won't happen overnight but you must see your primary doctor and nurse practitioner to help you get rid of diabetes. Yes! That should be your goal. Please let me know how things go. ...Read more
Different insulins: Long acting insulin=nph/levemir/glargine. These help control sugars when one is not eating since the liver keeps making sugar in between meals. Ultra short acting=rapid analogs=glulisine/lispro/aspart=help control sugars that rise after meals. They are the closest we have in timing profile to natural Insulin action in non-diabetics. ...Read more
NPH Drug Treatment: No definitive evidence exists that medication can successfully treat nph. Parkinson drugs have been reported to be of benefit in anecdotal reports, these patients with nph may represent misdiagnosed cases of parkinsonism. In patients who are poor candidates for shunt surgery, repeated lumbar punctures in combination with diuretics may be considered. ...Read moreSee 1 more doctor answer
How can high sugar be controlled if in spite of medication its coming high. When should one change to insulin! thanks?
I am type 2 DM on oral medication. Now I am preganant. Since I am on tablets instead of insulin can I continue my preganancy?
Yes: Some of the oral meds actually decrease the risk of miscarriage. Others do carry some risk and will need to be changed. There is also a chance that you will need to be put on insulin at some point in the pregnancy but you can with close monitoring have a healthy pregnancy and a healthy baby. Best of wishes. ...Read more
Is taking insulin injections only option for diabetes patients or there is also some oral medication available for this purose?
Diabetes: The vast majority of folks w/diabetes have Type ii Diabetes which is primarily from lifestyle. The body can make insulin but it cannot transport it into the cells to make ATP, which gives us energy. W/work it can be reversed. Type I diabetes comes from a malfunctioning pancreas and insulin is not being produced. It is typically diagnosed early in life while Type II develops later.Peace&health. ...Read moreSee 1 more doctor answer
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