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Question: From Jakarta, Indonesia: I have mild diabetes. My A1c is 5.5% and my two hours postprandial average is 168 mg/dl [9.3 mmol/L], but there is something that make me worry: my fasting blood sugar is rather out of control. Its average is 120 mg/dl [6.7 mmol/L] to 135 mg/dl [7.5 mmol/L] without exercise in the morning. If I exercise, it's usually 107 mg/dl [5.9 mmol/L] to 117 mg/dl [6.5 mmol/L], depending on how long I do this exercise or workout. I usually do this around 30 to 45 minutes. Is this common if I use a basal insulin analog like NovoMix 70/30 to make it in range or it will give me some adverse reaction besides hypoglycemia? Answer: The high blood sugar in the morning is usually a function of long-acting basal insulin before breakfast. If your blood sugar rises high after breakfast, this is a result of not enough short-acting bolus insulin. Since the commercial mix has both basal and bolus insulin, it is important to determine which component needs to be altered. For this reason, I am less a fan of mixed insulins because you cannot individually titrate the insulins. JTL DTQ-20070410020029 Original posting 12 Apr 2007 Posted to Insulin and Type 2

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:10:10
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