Since your blood sugar levels are still around 200 mg/dL despite using insulin regularly, it is important to consult your doctor to review your diabetes treatment. High sugar levels may occur if the insulin dose is insufficient, the injection timing is incorrect, or diet and stress are affecting control. Sometimes insulin needs adjustment rather than adding a new medicine. Your doctor may advise blood tests, such as HbA1c, kidney function tests, and fasting and post-meal blood sugar levels, before changing treatment. In some patients, medicines such as metformin or other diabetes medications may be added to insulin, depending on overall health and kidney condition. Do not start any new medicine on your own, as this may cause low sugar or other side effects. Continue your daily walking and running, but also focus on diet control by reducing sweets, rice, sugary drinks, and excess carbohydrates. Eating smaller, balanced meals and checking blood sugar regularly can help improve control. Proper sleep and stress management are also important in diabetes management.

If your blood sugar is still high even after taking Insugen 30/70 twice daily, there may be several possible reasons. The insulin dose may not be enough for your current sugar levels, or the timing of the injection, food habits, physical activity, or even the way you inject insulin may need correction. Insulin can also become less effective if it has expired or is not stored properly in the refrigerator. Keep checking your fasting and post-meal blood sugar readings regularly and show them to your doctor. Based on the reports, your doctor may adjust the insulin dose, add medicines, or suggest changes in your diet. Try to avoid sweets, sugary drinks, excess rice, and junk food. Daily walking, regular exercise, and maintaining a healthy weight can also help improve sugar control. Do not increase the insulin dose on your own, as it may cause low blood sugar. If you notice symptoms like excessive thirst, frequent urination, weakness, or weight loss, please consult your doctor soon and get an HbA1c test done for better assessment of your diabetes control.

Since you have been managing diabetes for many years, it is important to continue your medicines regularly and not stop insulin suddenly. The good thing is that there may be some lower-cost options available. Insugen 30/70 is already considered one of the more affordable insulin types in India, but you can still check with generic or government pharmacies, where diabetes medicines and insulin are sometimes available at lower prices. Basalog is a long-acting insulin, and some similar biosimilar or generic versions may cost less while still giving good sugar control. However, do not change your insulin brand or dose on your own. Even if two insulins look similar, they may work slightly differently in the body. Changing insulin without medical advice may lead to low sugar levels or poor diabetes control. Your doctor can suggest a safer and more affordable alternative after reviewing your blood sugar readings, diet, and overall health. Along with medicines, continue following a diabetic diet, regular walking, and routine blood sugar testing to keep your diabetes under control in the long term.