High blood sugar: 50-year-old diabetic man seeks insulin advice

Ans: Blood Sugars look OK considering the factor that you are on Insulin
Please include daily walks into your routine and continue the same

Ans: Managing type 2 diabetes can be challenging, but it’s great that you’re actively working on it with medication, diet, and exercise. Maintaining a balanced diet and regular physical activity is crucial. Since you’ve been doing yoga, you might also consider incorporating other forms of exercise like walking or strengthening exercises and aim at losing fat mass. Many people with type 2 diabetes use insulin to achieve better control. However, it’s important to work closely with your doctor to determine if this is the ideal treatment for your condition.

Ans: You are on maximum doses of 4 antidiabetic drugs and with that your HbA1c is in the range which is higher than acceptable range of 7%.
Then, considering you are 45 year only and have a long life expectancy ahead, a better and stricter control is needed. This essentially mean we should aim for reducing oral medications and starting on basal insulin is a good idea.

There are many myths in the mind of people about insulin.
You need antidiabetic medications and it should be focused on reducing blood sugar levels. I agree that starting on insulin is a good idea and we can reduce some oral medications.

best
Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
Safdarjung Enclave, New Delhi