It can be concerning when blood sugars rise despite taking insulin. Please do not adjust your doses of Insulin Mixtard 30 and Actrapid on your own, as this can lead to dangerous drops in blood sugar (hypoglycemia). Your doctor may need to increase your doses, adjust the timing, or evaluate your injection technique. Infection, stress, or dietary changes can also cause insulin resistance. Next Steps: Keep a 3-day log of your blood sugar levels (fasting, pre-meals, and 2 hours post-meals). Check for expired insulin or lumps at injection sites. Consult your doctor immediately with this log to safely adjust your insulin prescription.

Your fasting blood sugar of 110 is near normal, but a random blood sugar of 200 indicates that your sugar rises significantly after meals. Do not change or switch insulin on your own. You should consult your doctor, who may adjust your dose, add another type of insulin, or recommend dietary and lifestyle modifications to control your blood sugar better.

You should follow a balanced diet with consistent carbohydrate intake to match your insulin doses. Consume whole grains, brown rice, oats, vegetables, fruits, and lean proteins, while limiting refined flour, sugar, and unhealthy fats. Eat your meals and snacks evenly throughout the day to align with your insulin action and prevent large blood sugar spikes. Consult a dietitian for a personalised meal plan tailored to your insulin regimen and daily activity for optimal blood sugar control.

Human Actrapid is a short-acting insulin that works mainly around meal times, while Human Insulatard is an intermediate-acting insulin that provides background or basal control over a longer period. These two insulins work in different ways, and one cannot simply replace the other. Changing insulin without medical guidance may lead to poor sugar control or episodes of low blood sugar. The right treatment depends on your daily sugar pattern, diet, physical activity, and overall health. Your doctor may adjust your doses or suggest a combination of insulins to achieve stable control. It is advisable to monitor your blood sugar regularly and share the readings with your doctor before making any changes.

Whether you can switch from Human Actrapid injection to oral hypoglycaemic medicines depends on your blood sugar control, duration of diabetes, pancreatic function, body weight, kidney function, and other health conditions. Many people who need multiple daily insulin doses cannot safely stop insulin, but in some cases, doctors may reduce insulin or combine it with oral medications after careful evaluation and monitoring of blood sugar levels. You should never change insulin on your own. Erectile dysfunction is common in long-standing diabetes. It can happen due to damage to blood vessels and nerves, stress, or poor sugar control. Improving blood sugar control, regular exercise, stopping smoking if applicable, and managing blood pressure and cholesterol may help. Medicines for erectile dysfunction may also be prescribed after a medical assessment. It is important to discuss both issues with your doctor for a personalised treatment plan.