Patient: My mother is 72 years old, she was diagnosed with diabetes four years ago, she was hospitalized in the county hospital for more than 10 days because she did not control her diet, but the treatment was not effective.
According to your program: Novo 30 insulin 14 in the morning and 12 in the evening; Wanxiangli 3 times/day, 1 tablet/time; Xinkang 1 tablet/day, the pain in the heart is reduced, but still dizziness, blurred vision. Is it appropriate to eat tofu brain, rice cake and bread?
Chang Yulan, Department of Endocrinology, The First Affiliated Hospital of Nanchang University: Tofu brain, rice cakes and bread can be eaten, but they should be eaten as rice, and rice cakes are more likely to raise blood sugar than rice, so the amount eaten should be less. Blood sugar is 11 on fasting and 15.6 2 hours after meal, did you take insulin before breakfast? If you took 14 units, you can add 2 units of insulin in the morning and 2 units in the evening. We will do the test again in a few days and then adjust the amount.
Patient: I took 14 units of insulin before breakfast and 12 units at night. I don’t dare to eat breakfast and dinner every day, as long as I eat a little bit, my chest will not feel good, as if there is a fire from my heart to my throat, and now I also have dizziness, weakness and poor vision. In two days, I will tell you the results of my mother’s laboratory tests.
Patient: I brought my mother to the examination today, fasting blood sugar 7.8, no insulin before breakfast, 13.6 2 hours after meal, what adjustment is needed Patient: Now my mother’s fasting blood sugar 7.8, no insulin before breakfast, 13.6 2 hours after meal, home injection of Novo 30 insulin 16 in the morning, 14 at night. In addition, 1 tablet/3 times/day, 2 boxes, and 1 tablet/day, 1 box of Centrum. I’m almost finished, do I need to take more?
Chang Yulan, Department of Endocrinology, The First Affiliated Hospital of Nanchang University: The measurement of 2 hours postprandial blood sugar is to be measured 2 hours after eating breakfast half an hour after taking insulin before meal. So it is necessary to review it again. Wanxiangli, Xinkang, and also take.
Chang Yulan, Department of Endocrinology, The First Affiliated Hospital of Nanchang University: We’ll talk about it after the results come out.
Patient: Yesterday, I brought my mother to test her blood sugar, fasting 5.7, 2 hours after meal 7.1. I am really grateful to Dr. Chang, so that my mother’s diabetes was quickly controlled. Now I am injecting Novo 30 insulin 16 in the morning and 14 in the evening, how long do I have to take insulin? How long do I need to adjust it? Also, I don’t have Vanzantel 1 tablet/3 times/day, after taking 2 boxes, I don’t have it here (Le’an County), can I replace it with other drugs? I was prescribed isosorbide mononitrate (no extended-release tablets) at the county hospital, 10mg, three times a day, 1-2 tablets each time. What to take Patient: My mother had her blood pressure measured yesterday, 76/140, she used to take Zhenju antihypertensive tablets, 2 tablets/1 time/day, but she didn’t take them this time, should she resume.
Chang Yulan, Department of Endocrinology, The First Affiliated Hospital of Nanchang University: Insulin is still maintained for a period of time. Blood pressure is high, antihypertensive drugs to eat Patient: December 16, my mother to test blood sugar, fasting 7.6, 2 hours after meals 11.1, since October has been in accordance with your medical advice injection of Novo 30 insulin morning 16, evening 14, Wanxiangli 1 tablet / 3 times / day, Xinkang 1 tablet / day, the beginning of a month effect is obvious, the heart does not hurt, but now the heart will hurt 3-4 times a day, but sublingual 1 tablet Isosorbide nitrate (purchased by myself, 10mgr) can relieve the pain, what is the reason? Dr. Chang, do I need to adjust my medication? (To clarify, because I did not buy Wanxiangli, I stopped taking Wanxiangli for nearly 2 weeks. Endocrinology Department of the First Affiliated Hospital of Nanchang University, Chang Yulan: Injecting Novo 30 insulin 16 in the morning and 14 at night remains the same, because of old age, do not be too strict. Heart pain is myocardial ischemia, if the local lack of drugs can see.