Dr. Qazi Mujahid Ali
Diabetologist
Welcome dear, all our colleagues suggested several options and very valid and practical.
In short as I suggest start basal insulin at night and Rapid acting before each meal in addition to sitagliptin 50 mg twice daily, SGLT2 inhibitor may also be added.
we have another choice start sitagliptin 50 mg twice and SGLT2 INHIBITOR 10 mg after breakfast. and adjust the dosage of current regime of insulin.
whatever the choice adopted, diet is playing key role the patient must reduce his fatty content in his diet and obviously must stop all sugary things. It Will be preferable if short meals are taken.
If patient can afford physical activity what so ever, is also important.
It would have been better if we had some knowledge about age, weight, height And HbA1c.
SMBG is very important to adjust the dose of insulin.
Further more education to inject insulin is most important it is better if patient or his attendant who is dealing with insulin should be educated.
16.Apr, 02:40am