PATIENTNEWHEALTHREPORT2024
Patienthealthreport
18/3/2015
Patient did not have any problem till 4 months ago...
The first problem was stomach ache in the first 3 months, which went away after some time, then gradually another problem started arising, which was the problem of defecating even after eating food...
At the same time the problem of stomach ache also started. Since then this problem has been going on continuously. Just 11 days ago I went to the hospital to see a doctor and found out that I had a sugar problem .At the same time the problem of stomach ache also started. Since then this problem has been going on continuously. Just 11 days ago I went to the hospital to see a doctor and found out that I had a sugar problem.
Patient Daily used to eat food made from flour (Maida)
And she used to drink cold drinks about 2 to 3 times a month.
Daily Activity
Wake up - - 7- 8:30 am
Then walk for half an hour
Breakfast -- 9 to 10 am
Then did the housework
Eat 1 apple - - 12 pm
Drink 1 Glass buttermilk - - 1 pm
Cooking food - - 1 to 2 pm
Lunch - - 2 to 2:30 pm
Then took some rest
Eat roasted gram and peas - - 5 pm
Eat melon or apple - - 6:30 pm
Cooking Food - - 8 to 9 pm
Dinner - - 8:30 to 9: 30 pm
Walk - - 9:45 to 11 pm
Then Sleeping - - 12:30 am
INSULIN - REGULAR - BEFORE BREAKFAST 4 UNIT
INSULIN - REGULAR - BEFORE LUNCH 2 UNIT
INSULIN - LANTUS 12 UNIT AT 7 PM
INSULIN - REGULAR - BEFORE DINNER 4 UNIT
MAY 2024
19/5/24
8 am- - Fasting Sugar 289
Taken Insulin Regular 6 Unit
2 Hours After Breakfast Sugar 349
2:25 pm -- Before Lunch Sugar 337
2:30 pm - - Insulin Regular 8 Unit
Rice with Bottle Gourd, Drumstick and Brinjal Curry
4:30 pm - - After Lunch Sugar 273
4:30 pm - - Drink 1 cup Coffee Without Sugar
6 pm - - Insulin Lantus 16 unit
9:33 pm - - Before Dinner Sugar 190
9:40 pm - -Insulin Regular 8 Unit
Cucumber , 4 Roti with Bottle Gourd , Toor Dal and Paneer Curry
11:40 pm - - After Dinner Sugar 273
PaJR PHR Moderat: It would have been a little better if the sugar values and time table and food table were shared
+2 increase regular insulin with glucometer monitoring 7 times before meals and two hours after meals or you can use the more convenient CGM monitoring (Libre) which is a type of painless sensor through the skin. based glucose How much insulin did you take and what did you eat b?
Patient : Sir, t of insulin before lunch.
and Drink 1 Cup coffee at 4:30 pm
PaJR PHR Moderator : Before breakfast?
Patient : I took 6 units of regular insulin
PaJR PHR Moderator :
How much was the fasting sugar and 2 hours after breakfast
Patient :
Fasting was 289
and After breakfast 349
PaJR PHR Moderator :
Regular insulin glucose chart to be maintained :
Fasting sugar
Insulin dose
Breakfast image
2 hour after breakfast sugar
Pre lunch sugar
Lunch image
2 hour after lunch sugar
Pre dinner sugar
Dinner Image
2 hours after dinner sugar
Patient : Ok Sir
PaJR PHR Moderator :
Pre dinner how much insulin taken?
Lantus taken?
Patient : Sir Insulin Regular 8 unit
Lantus 16 unit
20/5/24
8 am - - Fasting Sugar 245
Before Breakfast Sugar 245
8:30 am - - Insulin Regular 10 unit
Eat Sandwich (two whole wheat breads with cucumbers and tomatoes and black pepper)
10:30 am - - After Breakfast Sugar 314
11 am - - Eat 1 Apple
1 pm - - Drink 1 Glass Butter Milk
1:55 pm - - Before Lunch Sugar 283
2 pm - - Insulin Regular 10 Unit
Salad , Rice with Jackfruit Curry, Toor Dal and Brinjal Fry 
4:30 pm - - After Lunch Sugar 269
5 pm - - Eat Some Makhana
6 pm - - Insulin Lantus 16 Unit
6: 30 pm - - Eat 4 Marry Biscuits
9:10 pm - - Before Dinner Sugar 283
9:15pm - - Insulin Regular 10 Unit
Salad , 3 Roti with ladyfinger Curry, Coriander Chutney, Toor dal and Jackfruit Curry
11:15 pm - - After Dinner Sugar 175
PaJR PHR Moderator : Fasting Sugar today?
Patient : Sir Fasting sugar is 245
PaJR PHR Moderator :
19/5/24
Currently missing data points are the precise time stamps (although approximations available as breakfast, lunch dinner etc) for each glycemic event recorded below
Insulin glucose chart :
Fasting sugar 289
Insulin dose - 6U Regular
Breakfast image
2 hour after breakfast sugar - 349
Pre lunch sugar - 337
Lunch image
Insulin dose - 8U regular
2 hour after lunch sugar - 273
Taken 8U sugar! 🧐😳 and taken coffee!
At 6 PM - Lantus 16 U
Pre dinner sugar - 9:33 PM 190
Insulin Regular 8U
Dinner image
2 hour after dinner 273
Recommendation :
Can increase regular insulin by +2 today
Patient : Ok Sir
PaJR PHR Moderator : Please add the precise timings of each recorded event as illustrated above
Patient : Ok sir
PaJR PHR Moderator : Sir said after seeing the photo of breakfast
Avoid all types of bread and biscuits
They are all maida
There's no real whole wheat. Even whole wheat is 80% maida
Patient : ok sir
21/5/ 24
7 am - - Fasting Sugar 267
8:15 am - - Insulin Regular 12 Unit
Upma 
10:15 am - - After Breakfast Sugar 216
11 am - - Eat 1 Apple
1 pm - - Drink 1 Glass Butter Milk
2:40 pm - - Before Lunch Sugar 102
2 :45 pm - - Insulin Regular 10 Unit
Salad, Rice with lentils, Pumpkin Curry and Laal Saag Fry
4:45 pm - - After Lunch Sugar 53
6 pm - - Insulin Lantus 16 Unit
7 pm - - Black Gram Salad
9:25 pm - - Before Dinner Sugar 216
9:30pm - - Insulin Regular 12 Unit
Salad , 3 Roti with Black Gram Fry , Lentils And Curd
11:30 pm - - After Dinner Sugar 243
PaJR PHR Moderator : Lantus 6PM yesterday?
The insulin R can go up by +2 today along with the monitoring
Patient : 16 unit and ok sir
22/5/24
8 am - - Fasting Sugar 283
8:35 am - - Before Breakfast Sugar 297
8:40 am - - Insulin Regular 12 Unit
2 Roti with Bottle Gourd Fry And Cucumbers 
10:40 am - - After Breakfast Sugar 323
11:30 am - - Eat Some Makhana
1 pm - - Drink 1 Glass Butter Milk
2:10 pm - - Before Lunch Sugar 149
2 :15 pm - - Insulin Regular 8 Unit
Salad, Rice with Bottle Gourd Curry, Long Beans and Pointed Gourd Fry
4:15 pm - - After Lunch Sugar 189
5 pm - - Eat 1 Apple
6 pm - - Insulin Lantus 16 Unit
7 pm - - Drink 1 Glass Bottle Gourd Juice
8:40 pm - - Before Dinner Sugar 222
8:45 pm - - Insulin Regular 12 Unit
Salad , 3 Roti with Panner Fry and Mint Chutney 
10:45 pm - - After Dinner Sugar 168
PaJR PHR Moderator : Sir said after looking at the after lunch sugar value of 21/5/24
Reduce pre lunch by -4 units today
Patient : ok sir
23/5/24
12:10 am - - Sugar 53
7 am - - Fasting Sugar 282
8:40 am - - Before Breakfast Sugar 273
8:45 am - - Insulin Regular 12 Unit
Porridge and Cucumbers 
10:45 am - - After Breakfast Sugar 276
12 pm - - Eat 1 Apple
1 pm - - Drink 1 Glass Butter Milk
2:35 pm - - Before Lunch Sugar 222
2 :40 pm - - Insulin Regular 8 Unit
Salad, Rice with Bottle Gourd Fry, Brinjal Fry and Yellow Lentils 
4:40 pm - - After Lunch Sugar 130
6 pm - - Insulin Lantus 16 Unit
9:15 pm - - Before Dinner Sugar 191
9:20 pm - - Insulin Regular 12 Unit
Salad , 3 Roti with Soya Chunks Curry ,Yellow Lentils and Curd Raita 
11:20 pm - - After Dinner Sugar 121
24/5/24
7:30 am - - Fasting Sugar 167
8:10 am - - Before Breakfast Sugar 237
8:15 am - - Insulin Regular 12 Unit
Upma 
10:15 am - - After Breakfast Sugar 293
11:30 am - - Eat 1 Apple
1 pm - - Drink 1 Glass Butter Milk
2:10 pm - - Before Lunch Sugar 165
2 :15 pm - - Insulin Regular 8 Unit
Salad, Rice with Brinjal Curry ,Pointed Gourd and Poopy Seeds Vegetable
4:15 pm - - After Lunch Sugar 119
6 pm - - Insulin Lantus 16 Unit
6:30 pm - - Eat Some Muskmelon
8:55 pm - - Before Dinner Sugar 293
9 pm - - Insulin Regular 12 Unit
Salad , 3 Roti with Long Beans Fry and Pointed Gourd and Poopy Seeds Vegetable
11 pm - - After Dinner Sugar 189
PaJR PHR Moderator : Sir said after looking at the after sugar value of 23/5/24
12:10 am sugar 53
Any repeat hypoglycemia at 12:10 AM similar to yesterday?
Patient : Sir, I felt like I was sleeping, that's why the check was not done.
25/5/24
8 am - - Fasting Sugar 243
8:40 am - - Before Breakfast Sugar 255
8:45 am - - Insulin Regular 12 Unit
Black Gram Salad 
10:45 am - - After Breakfast Sugar 198
11 am - - Eat Some Makhana
1 pm - - Drink 1 Glass Butter Milk
1:55 pm - - Before Lunch Sugar 109
2 pm - - Insulin Regular 4 Unit
Salad, Rice with Pumpkin Fry and Toor Dal
4 pm - - After Lunch Sugar 112
5 pm - - Eat 1 Apple
6 pm - - Insulin Lantus 16 Unit
7:30 pm - - Eat Some Muskmelon
8:40 pm - - Before Dinner Sugar 222
9:25 pm - - Insulin Regular 12 Unit
Salad , 3 Roti with Toor Dal ,Black Gram Fry And Curd Raita
11:30 pm - - After Dinner Sugar 226
PaJR PHR Moderator : Lantus?
Patient : 16 unit
Patient : Sir why is fasting sugar not decreasing?
PaJR PHR Moderator :For that Lantus needs to be increased or Lantus needs to be taken at night after dinner
Seen decreasing (fasting is not mentioned anywhere) but again before breakfast (again not mentioned but I guess 8:15 AM) Why did Jodi go out before breakfast why does the patient stay there)?
Sir said after seeing the fasting sugar of 24/5/24
Patient : Sir sugar checked at 7 am
Sir, don't eat anything before breakfast in the morning.
PaJR PHR Moderator : Then from 7 am to 8 am, Lantos which was taken at 6 pm on 24/5/24, whose action suddenly stopped between 8 pm. @+880 1733-506870 Has anyone ever reported such Lantus fasting glucose events?
PaJR PHR Moderator :
You correctly changed from taking 8 yesterday to taking 4 today based on the pre lunch value?
Patient : Yes Sir
26/5/24
8 am - - Fasting Sugar 208
8:55 am - - Before Breakfast Sugar 248
9 am - - Insulin Regular 12 Unit
1 Rawa Dosa With Mint Chutney
11 am - - After Breakfast Sugar 300
11 :30 am - - Eat 1 Apple
1 pm - - Drink 1 Glass Butter Milk
2:25 pm - - Before Lunch Sugar 234
2:30 pm - - Insulin Regular 12 Unit
Salad, Rice with Bottle Gourd Fry and Brinjal Curry
4:30 pm - - After Lunch Sugar 165
5 pm - - Eat 1 Apple
5:30 PM - - Sugar was 51
7 pm - - Insulin Lantus 16 Unit
7:30 pm - - Eat Some Muskmelon
8:40 pm - - Before Dinner Sugar 440
8:45 pm - - Insulin Regular 12 Unit
Salad , 3 Roti with Brinjal Curry and Onion and Tomato Fry
10:45 pm - - After Dinner Sugar 252
PaJR PHR Moderator : Mint chutney had sugar?
Sir said after looking at the breakfast image
Patient : No Sir
Patient : Sir headache since morning
PaJR PHR Moderator :In what hours does your patient's headache increase, how many hours does it last, how does it decrease, how many days a week, how many years?
Patient : Sir, today I have a headache and sometimes I get headache due to increase in sugar.
PaJR PHR Moderator :Sugar taken at 5:30 PM? Did the patient feel any symptoms?
Sir said after looking at the Lunch image
Patient : Excessive sweating and body trembling
PaJR PHR Moderator : Did she take sugar to relieve the symptoms? What was taken?
Patient: Glucose, puffed rice and apple
27/5/24
8 am - - Fasting Sugar 220
8:55 am - - Before Breakfast Sugar 280
9 am - - Insulin Regular 12 Unit
1 Besan Chila
11 am - - After Breakfast Sugar 224
12 pm - - Eat 1 Apple
1 pm - - Drink 1 Glass Butter Milk
2:25 pm - - Before Lunch Sugar 134
2:30 pm - - Insulin Regular 8 Unit
Salad, Rice with Lentils and Ladyfinger Fry
4:30 pm - - After Lunch Sugar 114
5 pm - - Drink 1 Glass Aam Pana Sharbat
7 pm - - Insulin Lantus 16 Unit
7:30 pm - - Eat Some Muskmelon
9:25 pm - - Before Dinner Sugar 216
9:30 pm - - Insulin Regular 12 Unit
Salad , 3 Roti with Lentils and Ladyfinger Fry and Brinjal Fry
11:30 pm - - After Dinner Sugar 193
PaJR PHR Moderator :How much glucose? That was causing the 440 before dinner
Patient : Sir 2 spoons with 1 glass of water
28/5/24
2:30 am - - Sugar 67
8:30 am - - Fasting Sugar 223
9:10 am - - Before Breakfast Sugar 271
9:15 am - - Insulin Regular 12 Unit
1 Dosa With Curd
11:15 am - - After Breakfast Sugar 283
12 pm - - Eat Muskmelon
1:40 pm - - Before Lunch Sugar 225
1:45 pm - - Insulin Regular 10 Unit
Salad, Rice with Lentils ,Drumstick Curry Spinach Fry
3 :45 pm - - After Lunch Sugar 88
7 pm - - Insulin Lantus 16 Unit
7:30 pm - - Eat Cucumbers
8:40 pm - - Before Dinner Sugar 276
8:45 pm - - Insulin Regular 12 Unit
Salad , 3 Roti with Lentils , Spinach Fry and Brinjal Fry
10 : 45 pm - - After Dinner Sugar 221
PaJR PHR Moderator : Aam Pana had sugar?
Patient: Yes sir , Because at that time sugar started decreasing
29/5/24
8 am - - Fasting Sugar 247
9:25 am - - Before Breakfast Sugar 269
9:30 am - - Insulin Regular 10 Unit
2 Roti With Curd
11:30 am - - After Breakfast Sugar 240
12 pm - - Eat 10 - 12 Cashew Nuts
1 pm - - Drink 1 Glass Coffee Without Sugar
2:40 pm - - Before Lunch Sugar 161
2:45 pm - - Insulin Regular 8 Unit
Salad, Rice with Jackfruit Curry And Sponge Gourd Fry
4 :45 pm - - After Lunch Sugar 137
5 pm - - Eat 1 Apple
6 pm - - Sugar was 80 then eat 2 puri with jackfruit curry
7 pm - - Insulin Lantus 16 Unit
8:55 pm - - Before Dinner Sugar 257
9 pm - - Insulin Regular 10 Unit
Salad , 2 Roti with Jackfruit curry ,Sponge Gourd Fry ,Pointed Gourd Fry And Curd Raita
11 pm - - After Dinner Sugar 275
30/5/24
8 am - - Fasting Sugar 281
9:10 am - - Before Breakfast Sugar 272
9:15 am - - Insulin Regular 14 Unit
Oats
11:15 am - - After Breakfast Sugar 179
11:30 am - - Drink 1 Glass Butter Milk
12:30 pm - - Eat 1 Apple
2:25 pm - - Before Lunch Sugar 70
2:30 pm - - Insulin Regular 4 Unit
Salad, Rice with Yellow Lentils ,Long Beans and Bottle Gourd Fry
5 pm - - After Lunch Sugar 128
6 pm - - Eat Roasted Gram
7 pm - - Insulin Lantus 16 Unit
7:30 pm - - Eat Some Aalu Bhujiya
8:55 pm - - Before Dinner Sugar 271
9 pm - - Insulin Regular 14 Unit
Salad , 2 Roti with Yellow Lentils ,Long Beans and Bottle Gourd Fry
11 pm - - After Dinner Sugar 300
PaJR PHR Moderator :
Reduce pre lunch by -2 and can increase the others by +2
(Sir said after looking at the Pre Lunch Sugar)
Patient : Ok Sir
31/5/24
8 am - - Fasting Sugar 198
9:55 am - - Before Breakfast Sugar 243
10 am - - Insulin Regular 14 Unit
Black Gram Salad
12 pm - - After Breakfast Sugar 201
12:30 pm - - Eat some Muskmelon
1:55 pm - - Before Lunch Sugar 116
2 pm - - Insulin Regular 4 Unit
Salad, Rice with Jackfruit Curry ,Brinjal Fry And Kolar Thor Bhaja
4 pm - - After Lunch Sugar 150
6 pm - - Eat Boiled Black Gram
7 pm - - Insulin Lantus 16 Unit
7:30 pm - - Eat Some Aalu Bhujiya
8:55 pm - - Before Dinner Sugar 202
9 pm - - Insulin Regular 14 Unit
Salad , 2 Roti with Jackfruit Curry ,Brinjal Fry And Spinach Fry
11 pm - - After Dinner Sugar 234
PaJR PHR Moderator :
After 7 PM lantus you don't really need to eat anything!
And fried potato should never be consumed alone. It can only be consumed with other vegetables as part of lunch and dinner
(Sir said after looking at the Pre Dinner Sugar)
Patient : Ok Sir
Sir, Aloo Bhujiya is not fried, it is like a mixture of besan and aloo.
PaJR PHR Moderator :Any fry should never be eaten alone. consume them with food
Patient : ok sir
Patient did not share any photo of food from 26/5/24 to 1/6/24 because patient had gone to maternal uncle's house.
JUNE 2024
1/6/24
8:30 am - - Fasting Sugar 193
9:55 am - - Before Breakfast Sugar 223
10 am - - Insulin Regular 14 Unit
1 Dosa With Coconut Chutney
12 pm - - After Breakfast Sugar 294
12:30 pm - - Eat some Muskmelon
2:25 pm - - Before Lunch Sugar 169
2:30 pm - - Insulin Regular 6 Unit
Salad, Rice with Bitter Gourd Fry ,Saag Fry and Brinjal Fry
4:30 pm - - After Lunch Sugar 80
5pm - - Sugar was 51 Eat Kheer
7 pm - - Insulin Lantus 16 Unit
8:55 pm - - Before Dinner Sugar 193
9 pm - - Insulin Regular 14 Unit
Salad , 2 Roti with Brinjal Fry and Cabbage Fry
10:45 pm - - After Dinner Sugar 57
2/6/24
8 am - - Fasting Sugar 249
9:55 am - - Before Breakfast Sugar 225
9:30 am - - Insulin Regular 14 Unit
2 roti with Curd
11 am - - After Breakfast Sugar 50
2:25 pm - - Before Lunch Sugar 239
2:30 pm - - Insulin Regular 4 Unit
Salad, Rice with Bitter Gourd Fry , Bottle Gourd Fry And Lentils
4:30 pm - - After Lunch Sugar 199
5:30 pm - - Eat 1 Sabudana Vada
7 pm - - Insulin Lantus 16 Unit
9 pm - - Vanila Ice -Cream
9:40 pm - - Before Dinner Sugar 294
9:45 pm - - Insulin Regular 10 Unit
Salad , 2 Roti with Bottle Gourd Fry, Lentils, Coriander Chutney And Long Beans Fry
11:45 pm - - After Dinner Sugar 254
PaJR PHR Moderator : Why did we increase the pre lunch sugar again by +2 yesterday? Yesterday she used 6 units and had post lunch hypoglycemia while on 31/5 she had used 4U when the post lunch was okay. Should have continued 4U yesterday also!
Patient :Sorry sir, from today onwards I will apply 4 unit daily before lunch
Sir, it happened 2 times last night and today
PaJR PHR Moderator :
Reduce the pre dinner Insulin by -4 to 10U
Reduce the breakfast sugar to 10U
Sugar Dependent Core:
1) physical activity (activity that increases absolute sugar levels),
2) Eating and drinking (too much sugar)
3) And insulin dose (more whole sugar less)
Check your patient's current dose of our purified insulin
It would have been better to get a picture of the daily activities and meals (only the description of the route is not enough)
Patient : Ok sir
3/6/24
2:40 am - - Sugar 44
8 :30 am - - Fasting Sugar 332
9:25 am - - Before Breakfast Sugar 335
9:30 am - - Insulin Regular 14 Unit
Sprouts
11:30 am - - After Breakfast Sugar 223
12 pm - - Drink 1 Glass Butter Milk
1:55 pm - - Before Lunch Sugar 200
2 pm - - Insulin Regular 4 Unit
Salad, 2 Roti ,Lentils and Pumpkin Fry
4 pm - - After Lunch Sugar 80
4:30 pm - - Eat Roasted Black Gram
6 pm - - Eat Some Muskmelon
7 pm - - Insulin Lantus 16 Unit
9:25 pm - - Before Dinner Sugar 288
9:30 pm - - Insulin Regular 10 Unit
Salad , 2 Roti with ,Lentils ,Ivy Gourd Fry And Round Gourd Vegetables
11:30 pm - - After Dinner Sugar 164
PaJR PHR Moderator :
Vanilla ice-cream!!
Occasion?
(Sir asked after eating ice cream yesterday)
Summer was the occasion?
Patient: No sir, I have eaten ice cream for the first time during summer.
No sir, I will not eat ice cream after this.
4/6/24
9 am - - Fasting Sugar 189
10:25 am - - Before Breakfast Sugar 203
10:30 am - - Insulin Regular 10 Unit
1 Rawa Dosa with Curd 
12: 30 pm - - After Breakfast Sugar 209
1 pm - - Drink 1 Glass Butter Milk
2:40 pm - - Before Lunch Sugar 126
2:45 pm - - Insulin Regular 2 Unit
Salad, Rice with Bottle Gourd Curry ,Saag Fry And Sponge Gourd
4:45 pm - - After Lunch Sugar 52
5/6/24
8:45 am - - Fasting Sugar 250
9:40 am - - Before Breakfast Sugar 262
9:45 am - - Insulin Regular 6 Unit
Upma 
11: 45 am - - After Breakfast Sugar 283
1 pm - - Drink 1 Glass Butter Milk
1:40 pm - - Before Lunch Sugar 206
1:45 pm - - Insulin Regular 2 Unit
Salad, Rice with Lenties, Ladyfinger Fry , Brinjal Fry And Fish Curry
3:45 pm - - After Lunch Sugar 215
6 pm - - Eat Some Roasted Peas
7 pm - - Insulin Lantus 14 Unit
9:20 pm - - Before Dinner Sugar 269
9:25 pm - - Insulin Regular 10 Unit
Salad, Rice with Lenties, Ladyfinger Fry , Brinjal Fry And Fish Curry 
11:25 pm - - After Dinner Sugar 227
PaJR PHR Moderator :
Reduce pre breakfast insulin by -4
Take 6U today
4:45 PM symptoms?
(Sir said after looking at the after dinner Sugar)
Patient: Body trembling and sweating
Sir, insulin should be taken before lunch.
PaJR PHR Moderator :Can be decided after seeing pre lunch
Pre lunch sugar?
Patient : 206
PaJR PHR Moderator :
No insulin taken before lunch?
6/6/24
8:30 am - - Fasting Sugar 220
8:55 am - - Before Breakfast Sugar 250
9 am - - Insulin Regular 10 Unit
Black Gram Salad 
11 am - - After Breakfast Sugar 188
12 pm - - Mashed Mango (Aam Makha)
1:55 pm - - Before Lunch Sugar 154
2 pm - - Insulin Regular 4 Unit
Salad, Rice with Bottle Gourd, Drumstick Curry ,Pointed Gourd Fry And Spinach
4 pm - - After Lunch Sugar 176
4:30 pm - - Banana Chips
6 pm - - Drink 1 Glass Butter Milk
7 pm - - Insulin Lantus 14 Unit
8:55 pm - - Before Dinner Sugar 287
9 pm - - Insulin Regular 10 Unit
Salad, 2 Roti with Potato Fry ,Drumstick Curry, Spinach, Pointed Gourd Fry And Curd Bundi Raita
11 pm - - After Dinner Sugar 126
7/6/24
8:30 am - - Fasting Sugar 202
8:40 am - - Before Breakfast Sugar 212
8:45 am - - Insulin Regular 6 Unit
Sprouts Salad 
11:45 am - - After Breakfast Sugar 176
12:30 pm - - Kachori
2:25 pm - - Before Lunch Sugar 175
2:30 pm - - Insulin Regular 2 Unit
Salad, Rice with Lenties, Ladyfinger Fry , And Fish Curry
4 :30 pm - - After Lunch Sugar 123
7 pm - - Insulin Lantus 14 Unit
8:40 pm - - Before Dinner Sugar 298
8:45 pm - - Insulin Regular 10 Unit
Salad, Rice with Lenties And Fish Curry 
10:45 pm - - After Dinner Sugar 137
8/6/24
12:05 am - - Sugar 51
7:30 am - - Fasting Sugar 255
8:55 am - - Before Breakfast Sugar 285
9 am - - Insulin Regular 6 Unit
Oats 
11 am - - After Breakfast Sugar 185
12 pm - - 1 Cup Black Tea Without Sugar
1 pm - - Eat 1 Apple
2:40 pm - - Before Lunch Sugar 99
2:45 pm - - Insulin Regular 2 Unit
Salad, Rice with Lenties, Brinjal Fry And Pointed Gourd and Poppy Seeds Vegetable
6 pm - - After Lunch Sugar 215
7 pm - - Insulin Lantus 14 Unit
9:40 pm - - Before Dinner Sugar 298
9:45 pm - - Insulin Regular 10 Unit
Salad, 2 Roti with Mushroom Fry ,Toor Dal Fry and Pointed Gourd and Poppy Seeds Vegetable
11:45 pm - - After Dinner Sugar 228
9/6/24
1:40 am - - Sugar 61
8:20 am - - Fasting Sugar 261
9:25 am - - Before Breakfast Sugar 267
9 :30 am - - Insulin Regular 6 Unit
Omlet 
11:30 am - - After Breakfast Sugar 145
1:55 pm - - Before Lunch Sugar 120
2 pm - - Insulin Regular 2 Unit
Salad, Rice with Toor Dal,Bottle Gourd Curry , Fish Curry And Macher Dim Bhaja
4 pm - - After Lunch Sugar 189
7 pm - - Insulin Lantus 12 Unit
9:20 pm - - Before Dinner Sugar 200
9:25 pm - - Insulin Regular 8 Unit
Salad, 2 Roti with Toor Dal and Bottle Gourd Curry , Coriander Chutney And Macher Dim Bhaja
11:25 pm - - After Dinner Sugar 101
PaJR PHR Moderator :
Somehow the Lantus appears to be working too well only during post dinner and hence you reduced it by 2U which was good.
Also the pre dinner actrapid insulin can be reduced by 2U
(Sir said after looking at the Sugar value)
Patient: Ok sir
10/6/24
1:20 am - - Sugar 56
6:15 am - - Fasting Sugar 270
7:55 am - - Before Breakfast Sugar 255
8 am - - Insulin Regular 6 Unit
Upma 
10 am - - After Breakfast Sugar 310
1 pm - - Drink 1 Glass Butter Milk
2:50 pm - - Before Lunch Sugar 191
2:55 pm - - Insulin Regular 2 Unit
Salad, Rice with Pointed Gourd Fry ,Bitter Gourd Fry And Ridge Gourd Curry 
4:55 pm - - After Lunch Sugar 192
6 pm - - Eat Some Muskmelon
7 pm - - Insulin Lantus 14 Unit
8:40 pm - - Before Dinner Sugar 156
8:45 pm - - Insulin Regular 6Unit
Salad, 2 Roti with Pointed Gourd Fry ,Ridge Gourd Curry And Long Beans Fry
10:25 pm - - After Dinner Sugar 61
PaJR PHR Moderator :
Pre dinner needs to be reduced by -2
(Sir said after looking at the Sugar value)
Patient: Ok sir
11/6/24
8 am - - Fasting Sugar 177
9:25 am - - Before Breakfast Sugar 205
9:30 am - - Insulin Regular 6 Unit
Uttapam
11:30 am - - After Breakfast Sugar 141
2:25 pm - - Before Lunch Sugar 166
2:30 pm - - Insulin Regular 2 Unit
Salad, Rice with Pointed Gourd Fry ,Bitter Gourd Fry , Pumpkin Fry and Arbi ki sabji
4:10 pm - - After Lunch Sugar 49
7 pm - - Insulin Lantus 14 Unit
8:40 pm - - Before Dinner Sugar 267
9:15 pm - - Insulin Regular 6Unit
Salad, 2 Roti with Pumpkin Fry and Arbi ki sabji and Ily Gourd Fry
11:15 pm - - After Dinner Sugar 210
PaJR PHR Moderator :
Difficult to explain why the sugars fell today two hours after lunch!!
Any symptoms at 4:10PM?
What did your patient take for the hypoglycemia?
Patient: Sweating and body trembling continues for a long time
PaJR PHR Moderator :
What did you eat during that time?
Patient: Eat some roasted gram , apple and glucose
12/6/24
8 am - - Fasting Sugar 121
9:10 am - - Before Breakfast Sugar 151
9:15 am - - Insulin Regular 6 Unit
Omlet
11:15 am - - After Breakfast Sugar 74
12 pm - - Eat 1 Apple
2:40 pm - - Before Lunch Sugar 171
2:45 pm - - Insulin Regular 2 Unit
2 idli with Sambar ,Mint, Coconut And Peanut Chutney
4:45 pm - - After Lunch Sugar 119
6 pm - - Eat Some Makhana
7 pm - - Insulin Lantus 14 Unit
8:55 pm - - Before Dinner Sugar 112
9 pm - - Insulin Regular 6Unit
Salad,2 idli with Sambar ,Mint, Coconut And Peanut Chutney
11 pm - - After Dinner Sugar 131
PaJR PHR Moderator :
Only one omlette at breakfast?
Patient: Yes sir
13/6/24
8:20 am - - Fasting Sugar 171
9:10 am - - Before Breakfast Sugar 205
9:15 am - - Insulin Regular 6 Unit
Upma 
11:15 am - - After Breakfast Sugar 117
12 pm - - Eat Some Makhana
2:55 pm - - Before Lunch Sugar 171
3 pm - - Insulin Regular 2 Unit
Salad, 2 Roti with Pointed Gourd Fry ,Brinjal Curry And Labra (Mix Veg)
5 pm - - After Lunch Sugar 104
5 pm - - Eat 1 Apple
6 pm - - Eat Some Muskmelon
7 pm - - Insulin Lantus 14 Unit
9:25 pm - - Before Dinner Sugar 128
9:30 pm - - Insulin Regular 6 Unit
Salad,2 Roti with Pointed Gourd Fry ,Brinjal Curry , Labra (Mix Veg) and Potato Fry
11:30 pm - - After Dinner Sugar 117
14/6/24
7:15 am - - Fasting Sugar 109
8:40 am - - Before Breakfast Sugar 128
8:45 am - - Insulin Regular 6 Unit
1 Dosa With Coconut Chutney
10:45 am - - After Breakfast Sugar 115
2:40 pm - - Before Lunch Sugar 121
2:45 pm - - Insulin Regular 2 Unit
Salad, Rice with Chicken Curry And Pumpkin Fry
4:45 pm - - After Lunch Sugar 184
6 pm - - Eat 1 Apple
7 pm - - Insulin Lantus 14 Unit
9:15 pm - - Before Dinner Sugar 161
9:20 pm - - Insulin Regular 6 Unit
Salad,2 Roti with Chicken Curry and Round Gourd Curry
11:20 pm - - After Dinner Sugar 69
PaJR PHR Moderator :
Getting a little better control. Be careful for hypoglycemia
(Sir said after looking at the yesterday Sugar value)
Patient: Yes sir
Sir, what can be eaten when sugar is low?
PaJR PHR Moderator :Normal food
Patient: Ok sir
15/6/24
7:20 am - - Fasting Sugar 162
9:30 am - - Before Breakfast Sugar 198
8:35 am - - Insulin Regular 6 Unit
Fry Idli 
11:35 am - - After Breakfast Sugar 120
12 pm - - Eat Some Roasted Gram
2:55 pm - - Before Lunch Sugar 118
3 pm - - Insulin Regular 2 Unit
Salad, Rice with Lenties ,Bitter Gourd and Bottle Gourd Fry
5 pm - - After Lunch Sugar 177
6 pm - - Eat Some Muskmelon
7 pm - - Insulin Lantus 14 Unit
10:10 pm - - Before Dinner Sugar 151
9:20 pm - - Insulin Regular 6 Unit
Salad,2 Roti with Lenties and Green Chili Fry 
PaJR PHR Moderator :
How much regular insulin before 9:20pm yesterday?
(Sir said after looking at the yesterday Sugar value)
Patient: Sir 6 unit
16/6/24
12:10 am - - Sugar 74
7:20 am - - Fasting Sugar 161
9 am - - Before Breakfast Sugar 190
9:10 am - - Insulin Regular 6 Unit
Omlet
11:10 am - - After Breakfast Sugar 107
2:55 pm - - Before Lunch Sugar 207
3 pm - - Insulin Regular 2 Unit
Salad, Rice with Yellow Lentil ,Brinjal Fry And Mutton Curry
5 pm - - After Lunch Sugar 131
7 pm - - Insulin Lantus 14 Unit
9:40 pm - - Before Dinner Sugar 151
9:45 pm - - Insulin Regular 6 Unit
Salad,2 Roti with Ladyfinger Fry And Mutton Curry
11:40 pm - - After Dinner Sugar 141
Patient:
Sir, the back part of my foot, probably called the heel, has been hurting a lot since yesterday.
PaJR PHR Moderator :
Have you ever had this kind of pain before?
Patient: No sir, it just started a few days ago
PaJR PHR Moderator :The swelling of the ligaments there feels very painful. There is no need to worry, but if you have pain within 24 hours, let us know when and how long the pain lasts.
Patient: Sir, the pain increases at night
PaJR PHR Moderator :
How long does the pain last
Patient : 1-2 hours at night
But this is happening even today sir
PaJR PHR Moderator :
From what time to what time does this pain ?
Patient: Sir, Friday and Saturday after 10 pm
PaJR PHR Moderator :
What time did she sleep?
Patient : After 11:30 pm on Friday and after 12 am Saturday night
PaJR PHR Moderator :
Did you have pain on Sunday
Patient : Sir, I cannot sleep at night because of the pain.
PaJR PHR Moderator : Otherwise you should sleep by 10 pm?
Patient:
Sir, when there is pain, I cannot sleep.
Otherwise I check my sugar and go to sleep.
17/6/24
7:45 am - - Fasting Sugar 158
9:05 am - - Before Breakfast Sugar 171
9:10 am - - Insulin Regular 6 Unit
Upma 
11:10 am - - After Breakfast Sugar 120
12 pm - - Drink 1 Glass Butter Milk
2:35 pm - - Before Lunch Sugar 141
2:40 pm - - Insulin Regular 2 Unit
Salad, 2 Roti with Pointed Gourd Fry ,Green Chili Fry And Raw Papaya Curry
4:40 pm - - After Lunch Sugar 219
6 pm - - Eat 10 -15 Cashew Nuts
7 pm - - Insulin Lantus 14 Unit
9:30 pm - - Before Dinner Sugar 119
9:35 pm - - Insulin Regular 6 Unit
Salad, 2 Roti with Pointed Gourd Fry ,Green Chili Fry And Long Beans Fry
11:35 pm - - After Dinner Sugar 230
PaJR PHR Moderator :
Today for the first time post lunch values have increased slightly
Patient: Yes Sir
18/6/24
6:45 am - - Fasting Sugar 182
8:55 am - - Before Breakfast Sugar 170
9 am - - Insulin Regular 6 Unit
Sprouts Salad 
11:10 am - - After Breakfast Sugar 93
12 pm - - Eat 1 Apple and Some Makhana
1:30 pm - - Sugar 57
2:55 pm - - Before Lunch Sugar 92
3 pm - - Did not take insulin
Salad, 2 Roti with Palak Panner And Toor Dal
5 pm - - After Lunch Sugar 157
7 pm - - Insulin Lantus 14 Unit
7:30 pm - - Eat Some Sprouts
9:35 pm - - Before Dinner Sugar 145
9:40 pm - - Insulin Regular 6 Unit
Salad, 2 Roti with Palak Panner And Toor Dal
11:40 pm - - After Dinner Sugar 178
19/6/24
7:45 am - - Fasting Sugar 140
9:25 am - - Before Breakfast Sugar 173
9:30 am - - Insulin Regular 6 Unit
Omlet
11:30 am - - After Breakfast Sugar 115
2:25 pm - - Before Lunch Sugar 99
2:30 pm - - Did not take insulin
Salad, Rice with Palak Panner And Chicken Curry
4:30 pm - - After Lunch Sugar 169
7 pm - - Insulin Lantus 14 Unit
7:30 pm - - Eat 1 Apple
9:15 pm - - Before Dinner Sugar 141
9:20 pm - - Insulin Regular 6 Unit
Salad, 2 Roti with Chicken Curry
20/6/24
7:45 am - - Fasting Sugar 140
9:15 am - - Before Breakfast Sugar 206
9:20 am - - Insulin Regular 6 Unit
Oats
11:20 am - - After Breakfast Sugar 227
12 pm - - Drink 1 Glass Butter Milk
2:30 pm - - Before Lunch Sugar 148
2:35 pm - - Insulin Regular 2 unit
Salad, Rice with Brinjal Fry ,Bottle Gourd Fry and Cauliflower Curry
4:35 pm - - After Lunch Sugar 98
7 pm - - Insulin Lantus 14 Unit
9:25 pm - - Before Dinner Sugar 110
9:30 pm - - Insulin Regular 6 unit
Cucumbers,2 Roti with Bottle Gourd Fry, Long Beans Fry And Cauliflower Curry
11:25 pm - - After Dinner Sugar 46
PaJR PHR Moderator :
The after dinner came close to hypoglycemia!
Any symptoms yesterday at 11:15 PM
Patient:
No sir, took glucose and ate apple at night.
PaJR PHR Moderator :
Oh! Should also mention that.
Took glucose and apple even without symptoms?
Patient:
Sir, sugar did not reduce again at night, that's why I took it.
PaJR PHR Moderator :
You mean the patient took it as prevention so that it doesn't reduce again at night.
Patient : Yes Sir
21/6/24
5:50 am - - Fasting Sugar 204
9:25 am - - Before Breakfast Sugar 272
9:30 am - - Insulin Regular 6 Unit
Black Gram Salad
11:30 am - - After Breakfast Sugar 60
Eat some makhana and apple
2:05 pm - - Before Lunch Sugar 91
2:10 pm - - Did not take insulin
Salad, Rice with Brinjal Fry , Pointed Gourd Fry ,Sponge gourd fry and Yellow Lentil
5 pm - - After Lunch Sugar 111
6 pm - - Drink 1 cup black tea without sugar and eat 2 marry biscuit
7 pm - - Insulin Lantus 12 Unit
9:10 pm - - Before Dinner Sugar 205
9:15 pm - - Insulin Regular 4 unit
Salad, 2 Roti With Pointed Gourd Fry ,Sponge gourd fry and Yellow Lentil
11:15 pm - - After Dinner Sugar 117
PaJR PHR Moderator :
When you saw that she had 72 after dinner with 6 units here why did you not reduce the night dose to 2 or 4 units yesterday?
Patient : Sorry Sir , From today I will take 4 units of insulin before breakfast and dinner.
PaJR PHR Moderator :
Currently reduce all insulin before meals to 2U and get pre meal sugar values and don't take any insulin before meals if the pre meals are low.
Patient: Ok Sir
22/6/24
8:10 am - - Fasting Sugar 119
9:25 am - - Before Breakfast Sugar 136
9:30 am - - Insulin Regular 4 Unit
Sprouts Salad
11:30 am - - After Breakfast Sugar 122
12:30 pm - - Eat 1 Apple
2:05 pm - - Before Lunch Sugar 116
2:10 pm - - Did not take insulin
Salad, Rice with Cabbage Fry , Bottle Gourd Curry and Drumstick Curry
4:10 pm - - After Lunch Sugar 125
6:30 pm - - Eat some fried papad
7 pm - -Insulin Lantus 12 Unit
9:30 pm - - Before Dinner Sugar 174
9:35 pm - - Insulin Regular 4 Unit
Salad ,2 Roti With Cabbage Fry and Bottle Gourd Curry
11:35 pm - - After Dinner Sugar 126
23/6/24
8:40 am - - Fasting Sugar 158
9:35 am - - Before Breakfast Sugar 156
9:40 am - - Insulin Regular 4 unit
Chickpea Salad
12:30 pm - - Drink 1 Glass Butter Milk
3:30 pm - - Before Lunch Sugar 119
3:35 pm - - Did not take insulin
Salad , Rice With Chickpea Curry, Egg Curry And Raw Papaya Curry
18/3/2015
Patient did not have any problem till 4 months ago...
The first problem was stomach ache in the first 3 months, which went away after some time, then gradually another problem started arising, which was the problem of defecating even after eating food...
At the same time the problem of stomach ache also started. Since then this problem has been going on continuously. Just 11 days ago I went to the hospital to see a doctor and found out that I had a sugar problem .At the same time the problem of stomach ache also started. Since then this problem has been going on continuously. Just 11 days ago I went to the hospital to see a doctor and found out that I had a sugar problem.
Patient Daily used to eat food made from flour (Maida)
And she used to drink cold drinks about 2 to 3 times a month.
Daily Activity
Wake up - - 7- 8:30 am
Then walk for half an hour
Breakfast -- 9 to 10 am
Then did the housework
Eat 1 apple - - 12 pm
Drink 1 Glass buttermilk - - 1 pm
Cooking food - - 1 to 2 pm
Lunch - - 2 to 2:30 pm
Then took some rest
Eat roasted gram and peas - - 5 pm
Eat melon or apple - - 6:30 pm
Cooking Food - - 8 to 9 pm
Dinner - - 8:30 to 9: 30 pm
Walk - - 9:45 to 11 pm
Then Sleeping - - 12:30 am
INSULIN - REGULAR - BEFORE BREAKFAST 4 UNIT
INSULIN - REGULAR - BEFORE LUNCH 2 UNIT
INSULIN - LANTUS 12 UNIT AT 7 PM
INSULIN - REGULAR - BEFORE DINNER 4 UNIT
MAY 2024
19/5/24
8 am- - Fasting Sugar 289
Taken Insulin Regular 6 Unit
2 Hours After Breakfast Sugar 349
2:25 pm -- Before Lunch Sugar 337
2:30 pm - - Insulin Regular 8 Unit
Rice with Bottle Gourd, Drumstick and Brinjal Curry
4:30 pm - - After Lunch Sugar 273
4:30 pm - - Drink 1 cup Coffee Without Sugar
6 pm - - Insulin Lantus 16 unit
9:33 pm - - Before Dinner Sugar 190
9:40 pm - -Insulin Regular 8 Unit
Cucumber , 4 Roti with Bottle Gourd , Toor Dal and Paneer Curry
11:40 pm - - After Dinner Sugar 273
PaJR PHR Moderat: It would have been a little better if the sugar values and time table and food table were shared
+2 increase regular insulin with glucometer monitoring 7 times before meals and two hours after meals or you can use the more convenient CGM monitoring (Libre) which is a type of painless sensor through the skin. based glucose How much insulin did you take and what did you eat b?
Patient : Sir, t of insulin before lunch.
and Drink 1 Cup coffee at 4:30 pm
PaJR PHR Moderator : Before breakfast?
Patient : I took 6 units of regular insulin
PaJR PHR Moderator :
How much was the fasting sugar and 2 hours after breakfast
Patient :
Fasting was 289
and After breakfast 349
PaJR PHR Moderator :
Regular insulin glucose chart to be maintained :
Fasting sugar
Insulin dose
Breakfast image
2 hour after breakfast sugar
Pre lunch sugar
Lunch image
2 hour after lunch sugar
Pre dinner sugar
Dinner Image
2 hours after dinner sugar
Patient : Ok Sir
PaJR PHR Moderator :
Pre dinner how much insulin taken?
Lantus taken?
Patient : Sir Insulin Regular 8 unit
Lantus 16 unit
20/5/24
8 am - - Fasting Sugar 245
Before Breakfast Sugar 245
8:30 am - - Insulin Regular 10 unit
Eat Sandwich (two whole wheat breads with cucumbers and tomatoes and black pepper)
10:30 am - - After Breakfast Sugar 314
11 am - - Eat 1 Apple
1 pm - - Drink 1 Glass Butter Milk
1:55 pm - - Before Lunch Sugar 283
2 pm - - Insulin Regular 10 Unit
Salad , Rice with Jackfruit Curry, Toor Dal and Brinjal Fry
4:30 pm - - After Lunch Sugar 269
5 pm - - Eat Some Makhana
6 pm - - Insulin Lantus 16 Unit
6: 30 pm - - Eat 4 Marry Biscuits
9:10 pm - - Before Dinner Sugar 283
9:15pm - - Insulin Regular 10 Unit
Salad , 3 Roti with ladyfinger Curry, Coriander Chutney, Toor dal and Jackfruit Curry
11:15 pm - - After Dinner Sugar 175
PaJR PHR Moderator : Fasting Sugar today?
Patient : Sir Fasting sugar is 245
PaJR PHR Moderator :
19/5/24
Currently missing data points are the precise time stamps (although approximations available as breakfast, lunch dinner etc) for each glycemic event recorded below
Insulin glucose chart :
Fasting sugar 289
Insulin dose - 6U Regular
Breakfast image
2 hour after breakfast sugar - 349
Pre lunch sugar - 337
Lunch image
Insulin dose - 8U regular
2 hour after lunch sugar - 273
Taken 8U sugar! 🧐😳 and taken coffee!
At 6 PM - Lantus 16 U
Pre dinner sugar - 9:33 PM 190
Insulin Regular 8U
Dinner image
2 hour after dinner 273
Recommendation :
Can increase regular insulin by +2 today
Patient : Ok Sir
PaJR PHR Moderator : Please add the precise timings of each recorded event as illustrated above
Patient : Ok sir
PaJR PHR Moderator : Sir said after seeing the photo of breakfast
Avoid all types of bread and biscuits
They are all maida
There's no real whole wheat. Even whole wheat is 80% maida
Patient : ok sir
21/5/ 24
7 am - - Fasting Sugar 267
8:15 am - - Insulin Regular 12 Unit
Upma
10:15 am - - After Breakfast Sugar 216
11 am - - Eat 1 Apple
1 pm - - Drink 1 Glass Butter Milk
2:40 pm - - Before Lunch Sugar 102
2 :45 pm - - Insulin Regular 10 Unit
Salad, Rice with lentils, Pumpkin Curry and Laal Saag Fry
4:45 pm - - After Lunch Sugar 53
6 pm - - Insulin Lantus 16 Unit
7 pm - - Black Gram Salad
9:25 pm - - Before Dinner Sugar 216
9:30pm - - Insulin Regular 12 Unit
Salad , 3 Roti with Black Gram Fry , Lentils And Curd
11:30 pm - - After Dinner Sugar 243
PaJR PHR Moderator : Lantus 6PM yesterday?
The insulin R can go up by +2 today along with the monitoring
Patient : 16 unit and ok sir
22/5/24
8 am - - Fasting Sugar 283
8:35 am - - Before Breakfast Sugar 297
8:40 am - - Insulin Regular 12 Unit
2 Roti with Bottle Gourd Fry And Cucumbers
10:40 am - - After Breakfast Sugar 323
11:30 am - - Eat Some Makhana
1 pm - - Drink 1 Glass Butter Milk
2:10 pm - - Before Lunch Sugar 149
2 :15 pm - - Insulin Regular 8 Unit
Salad, Rice with Bottle Gourd Curry, Long Beans and Pointed Gourd Fry
4:15 pm - - After Lunch Sugar 189
5 pm - - Eat 1 Apple
6 pm - - Insulin Lantus 16 Unit
7 pm - - Drink 1 Glass Bottle Gourd Juice
8:40 pm - - Before Dinner Sugar 222
8:45 pm - - Insulin Regular 12 Unit
Salad , 3 Roti with Panner Fry and Mint Chutney
10:45 pm - - After Dinner Sugar 168
PaJR PHR Moderator : Sir said after looking at the after lunch sugar value of 21/5/24
Reduce pre lunch by -4 units today
Patient : ok sir
23/5/24
12:10 am - - Sugar 53
7 am - - Fasting Sugar 282
8:40 am - - Before Breakfast Sugar 273
8:45 am - - Insulin Regular 12 Unit
Porridge and Cucumbers
10:45 am - - After Breakfast Sugar 276
12 pm - - Eat 1 Apple
1 pm - - Drink 1 Glass Butter Milk
2:35 pm - - Before Lunch Sugar 222
2 :40 pm - - Insulin Regular 8 Unit
Salad, Rice with Bottle Gourd Fry, Brinjal Fry and Yellow Lentils
4:40 pm - - After Lunch Sugar 130
6 pm - - Insulin Lantus 16 Unit
9:15 pm - - Before Dinner Sugar 191
9:20 pm - - Insulin Regular 12 Unit
Salad , 3 Roti with Soya Chunks Curry ,Yellow Lentils and Curd Raita
11:20 pm - - After Dinner Sugar 121
24/5/24
7:30 am - - Fasting Sugar 167
8:10 am - - Before Breakfast Sugar 237
8:15 am - - Insulin Regular 12 Unit
Upma
10:15 am - - After Breakfast Sugar 293
11:30 am - - Eat 1 Apple
1 pm - - Drink 1 Glass Butter Milk
2:10 pm - - Before Lunch Sugar 165
2 :15 pm - - Insulin Regular 8 Unit
Salad, Rice with Brinjal Curry ,Pointed Gourd and Poopy Seeds Vegetable
4:15 pm - - After Lunch Sugar 119
6 pm - - Insulin Lantus 16 Unit
6:30 pm - - Eat Some Muskmelon
8:55 pm - - Before Dinner Sugar 293
9 pm - - Insulin Regular 12 Unit
Salad , 3 Roti with Long Beans Fry and Pointed Gourd and Poopy Seeds Vegetable
11 pm - - After Dinner Sugar 189
PaJR PHR Moderator : Sir said after looking at the after sugar value of 23/5/24
12:10 am sugar 53
Any repeat hypoglycemia at 12:10 AM similar to yesterday?
Patient : Sir, I felt like I was sleeping, that's why the check was not done.
25/5/24
8 am - - Fasting Sugar 243
8:40 am - - Before Breakfast Sugar 255
8:45 am - - Insulin Regular 12 Unit
Black Gram Salad
10:45 am - - After Breakfast Sugar 198
11 am - - Eat Some Makhana
1 pm - - Drink 1 Glass Butter Milk
1:55 pm - - Before Lunch Sugar 109
2 pm - - Insulin Regular 4 Unit
Salad, Rice with Pumpkin Fry and Toor Dal
4 pm - - After Lunch Sugar 112
5 pm - - Eat 1 Apple
6 pm - - Insulin Lantus 16 Unit
7:30 pm - - Eat Some Muskmelon
8:40 pm - - Before Dinner Sugar 222
9:25 pm - - Insulin Regular 12 Unit
Salad , 3 Roti with Toor Dal ,Black Gram Fry And Curd Raita
11:30 pm - - After Dinner Sugar 226
PaJR PHR Moderator : Lantus?
Patient : 16 unit
Patient : Sir why is fasting sugar not decreasing?
PaJR PHR Moderator :For that Lantus needs to be increased or Lantus needs to be taken at night after dinner
Seen decreasing (fasting is not mentioned anywhere) but again before breakfast (again not mentioned but I guess 8:15 AM) Why did Jodi go out before breakfast why does the patient stay there)?
Sir said after seeing the fasting sugar of 24/5/24
Patient : Sir sugar checked at 7 am
Sir, don't eat anything before breakfast in the morning.
PaJR PHR Moderator : Then from 7 am to 8 am, Lantos which was taken at 6 pm on 24/5/24, whose action suddenly stopped between 8 pm. @+880 1733-506870 Has anyone ever reported such Lantus fasting glucose events?
PaJR PHR Moderator :
You correctly changed from taking 8 yesterday to taking 4 today based on the pre lunch value?
Patient : Yes Sir
26/5/24
8 am - - Fasting Sugar 208
8:55 am - - Before Breakfast Sugar 248
9 am - - Insulin Regular 12 Unit
1 Rawa Dosa With Mint Chutney
11 am - - After Breakfast Sugar 300
11 :30 am - - Eat 1 Apple
1 pm - - Drink 1 Glass Butter Milk
2:25 pm - - Before Lunch Sugar 234
2:30 pm - - Insulin Regular 12 Unit
Salad, Rice with Bottle Gourd Fry and Brinjal Curry
4:30 pm - - After Lunch Sugar 165
5 pm - - Eat 1 Apple
5:30 PM - - Sugar was 51
7 pm - - Insulin Lantus 16 Unit
7:30 pm - - Eat Some Muskmelon
8:40 pm - - Before Dinner Sugar 440
8:45 pm - - Insulin Regular 12 Unit
Salad , 3 Roti with Brinjal Curry and Onion and Tomato Fry
10:45 pm - - After Dinner Sugar 252
PaJR PHR Moderator : Mint chutney had sugar?
Sir said after looking at the breakfast image
Patient : No Sir
Patient : Sir headache since morning
PaJR PHR Moderator :In what hours does your patient's headache increase, how many hours does it last, how does it decrease, how many days a week, how many years?
Patient : Sir, today I have a headache and sometimes I get headache due to increase in sugar.
PaJR PHR Moderator :Sugar taken at 5:30 PM? Did the patient feel any symptoms?
Sir said after looking at the Lunch image
Patient : Excessive sweating and body trembling
PaJR PHR Moderator : Did she take sugar to relieve the symptoms? What was taken?
Patient: Glucose, puffed rice and apple
27/5/24
8 am - - Fasting Sugar 220
8:55 am - - Before Breakfast Sugar 280
9 am - - Insulin Regular 12 Unit
1 Besan Chila
11 am - - After Breakfast Sugar 224
12 pm - - Eat 1 Apple
1 pm - - Drink 1 Glass Butter Milk
2:25 pm - - Before Lunch Sugar 134
2:30 pm - - Insulin Regular 8 Unit
Salad, Rice with Lentils and Ladyfinger Fry
4:30 pm - - After Lunch Sugar 114
5 pm - - Drink 1 Glass Aam Pana Sharbat
7 pm - - Insulin Lantus 16 Unit
7:30 pm - - Eat Some Muskmelon
9:25 pm - - Before Dinner Sugar 216
9:30 pm - - Insulin Regular 12 Unit
Salad , 3 Roti with Lentils and Ladyfinger Fry and Brinjal Fry
11:30 pm - - After Dinner Sugar 193
PaJR PHR Moderator :How much glucose? That was causing the 440 before dinner
Patient : Sir 2 spoons with 1 glass of water
28/5/24
2:30 am - - Sugar 67
8:30 am - - Fasting Sugar 223
9:10 am - - Before Breakfast Sugar 271
9:15 am - - Insulin Regular 12 Unit
1 Dosa With Curd
11:15 am - - After Breakfast Sugar 283
12 pm - - Eat Muskmelon
1:40 pm - - Before Lunch Sugar 225
1:45 pm - - Insulin Regular 10 Unit
Salad, Rice with Lentils ,Drumstick Curry Spinach Fry
3 :45 pm - - After Lunch Sugar 88
7 pm - - Insulin Lantus 16 Unit
7:30 pm - - Eat Cucumbers
8:40 pm - - Before Dinner Sugar 276
8:45 pm - - Insulin Regular 12 Unit
Salad , 3 Roti with Lentils , Spinach Fry and Brinjal Fry
10 : 45 pm - - After Dinner Sugar 221
PaJR PHR Moderator : Aam Pana had sugar?
Patient: Yes sir , Because at that time sugar started decreasing
29/5/24
8 am - - Fasting Sugar 247
9:25 am - - Before Breakfast Sugar 269
9:30 am - - Insulin Regular 10 Unit
2 Roti With Curd
11:30 am - - After Breakfast Sugar 240
12 pm - - Eat 10 - 12 Cashew Nuts
1 pm - - Drink 1 Glass Coffee Without Sugar
2:40 pm - - Before Lunch Sugar 161
2:45 pm - - Insulin Regular 8 Unit
Salad, Rice with Jackfruit Curry And Sponge Gourd Fry
4 :45 pm - - After Lunch Sugar 137
5 pm - - Eat 1 Apple
6 pm - - Sugar was 80 then eat 2 puri with jackfruit curry
7 pm - - Insulin Lantus 16 Unit
8:55 pm - - Before Dinner Sugar 257
9 pm - - Insulin Regular 10 Unit
Salad , 2 Roti with Jackfruit curry ,Sponge Gourd Fry ,Pointed Gourd Fry And Curd Raita
11 pm - - After Dinner Sugar 275
30/5/24
8 am - - Fasting Sugar 281
9:10 am - - Before Breakfast Sugar 272
9:15 am - - Insulin Regular 14 Unit
Oats
11:15 am - - After Breakfast Sugar 179
11:30 am - - Drink 1 Glass Butter Milk
12:30 pm - - Eat 1 Apple
2:25 pm - - Before Lunch Sugar 70
2:30 pm - - Insulin Regular 4 Unit
Salad, Rice with Yellow Lentils ,Long Beans and Bottle Gourd Fry
5 pm - - After Lunch Sugar 128
6 pm - - Eat Roasted Gram
7 pm - - Insulin Lantus 16 Unit
7:30 pm - - Eat Some Aalu Bhujiya
8:55 pm - - Before Dinner Sugar 271
9 pm - - Insulin Regular 14 Unit
Salad , 2 Roti with Yellow Lentils ,Long Beans and Bottle Gourd Fry
11 pm - - After Dinner Sugar 300
PaJR PHR Moderator :
Reduce pre lunch by -2 and can increase the others by +2
(Sir said after looking at the Pre Lunch Sugar)
Patient : Ok Sir
31/5/24
8 am - - Fasting Sugar 198
9:55 am - - Before Breakfast Sugar 243
10 am - - Insulin Regular 14 Unit
Black Gram Salad
12 pm - - After Breakfast Sugar 201
12:30 pm - - Eat some Muskmelon
1:55 pm - - Before Lunch Sugar 116
2 pm - - Insulin Regular 4 Unit
Salad, Rice with Jackfruit Curry ,Brinjal Fry And Kolar Thor Bhaja
4 pm - - After Lunch Sugar 150
6 pm - - Eat Boiled Black Gram
7 pm - - Insulin Lantus 16 Unit
7:30 pm - - Eat Some Aalu Bhujiya
8:55 pm - - Before Dinner Sugar 202
9 pm - - Insulin Regular 14 Unit
Salad , 2 Roti with Jackfruit Curry ,Brinjal Fry And Spinach Fry
11 pm - - After Dinner Sugar 234
PaJR PHR Moderator :
After 7 PM lantus you don't really need to eat anything!
And fried potato should never be consumed alone. It can only be consumed with other vegetables as part of lunch and dinner
(Sir said after looking at the Pre Dinner Sugar)
Patient : Ok Sir
Sir, Aloo Bhujiya is not fried, it is like a mixture of besan and aloo.
PaJR PHR Moderator :Any fry should never be eaten alone. consume them with food
Patient : ok sir
Patient did not share any photo of food from 26/5/24 to 1/6/24 because patient had gone to maternal uncle's house.
JUNE 2024
1/6/24
8:30 am - - Fasting Sugar 193
9:55 am - - Before Breakfast Sugar 223
10 am - - Insulin Regular 14 Unit
1 Dosa With Coconut Chutney
12 pm - - After Breakfast Sugar 294
12:30 pm - - Eat some Muskmelon
2:25 pm - - Before Lunch Sugar 169
2:30 pm - - Insulin Regular 6 Unit
Salad, Rice with Bitter Gourd Fry ,Saag Fry and Brinjal Fry
4:30 pm - - After Lunch Sugar 80
5pm - - Sugar was 51 Eat Kheer
7 pm - - Insulin Lantus 16 Unit
8:55 pm - - Before Dinner Sugar 193
9 pm - - Insulin Regular 14 Unit
Salad , 2 Roti with Brinjal Fry and Cabbage Fry
10:45 pm - - After Dinner Sugar 57
2/6/24
8 am - - Fasting Sugar 249
9:55 am - - Before Breakfast Sugar 225
9:30 am - - Insulin Regular 14 Unit
2 roti with Curd
11 am - - After Breakfast Sugar 50
2:25 pm - - Before Lunch Sugar 239
2:30 pm - - Insulin Regular 4 Unit
Salad, Rice with Bitter Gourd Fry , Bottle Gourd Fry And Lentils
4:30 pm - - After Lunch Sugar 199
5:30 pm - - Eat 1 Sabudana Vada
7 pm - - Insulin Lantus 16 Unit
9 pm - - Vanila Ice -Cream
9:40 pm - - Before Dinner Sugar 294
9:45 pm - - Insulin Regular 10 Unit
Salad , 2 Roti with Bottle Gourd Fry, Lentils, Coriander Chutney And Long Beans Fry
11:45 pm - - After Dinner Sugar 254
PaJR PHR Moderator : Why did we increase the pre lunch sugar again by +2 yesterday? Yesterday she used 6 units and had post lunch hypoglycemia while on 31/5 she had used 4U when the post lunch was okay. Should have continued 4U yesterday also!
Patient :Sorry sir, from today onwards I will apply 4 unit daily before lunch
Sir, it happened 2 times last night and today
PaJR PHR Moderator :
Reduce the pre dinner Insulin by -4 to 10U
Reduce the breakfast sugar to 10U
Sugar Dependent Core:
1) physical activity (activity that increases absolute sugar levels),
2) Eating and drinking (too much sugar)
3) And insulin dose (more whole sugar less)
Check your patient's current dose of our purified insulin
It would have been better to get a picture of the daily activities and meals (only the description of the route is not enough)
Patient : Ok sir
3/6/24
2:40 am - - Sugar 44
8 :30 am - - Fasting Sugar 332
9:25 am - - Before Breakfast Sugar 335
9:30 am - - Insulin Regular 14 Unit
Sprouts
11:30 am - - After Breakfast Sugar 223
12 pm - - Drink 1 Glass Butter Milk
1:55 pm - - Before Lunch Sugar 200
2 pm - - Insulin Regular 4 Unit
Salad, 2 Roti ,Lentils and Pumpkin Fry
4 pm - - After Lunch Sugar 80
4:30 pm - - Eat Roasted Black Gram
6 pm - - Eat Some Muskmelon
7 pm - - Insulin Lantus 16 Unit
9:25 pm - - Before Dinner Sugar 288
9:30 pm - - Insulin Regular 10 Unit
Salad , 2 Roti with ,Lentils ,Ivy Gourd Fry And Round Gourd Vegetables
11:30 pm - - After Dinner Sugar 164
PaJR PHR Moderator :
Vanilla ice-cream!!
Occasion?
(Sir asked after eating ice cream yesterday)
Summer was the occasion?
Patient: No sir, I have eaten ice cream for the first time during summer.
No sir, I will not eat ice cream after this.
4/6/24
9 am - - Fasting Sugar 189
10:25 am - - Before Breakfast Sugar 203
10:30 am - - Insulin Regular 10 Unit
1 Rawa Dosa with Curd
12: 30 pm - - After Breakfast Sugar 209
1 pm - - Drink 1 Glass Butter Milk
2:40 pm - - Before Lunch Sugar 126
2:45 pm - - Insulin Regular 2 Unit
Salad, Rice with Bottle Gourd Curry ,Saag Fry And Sponge Gourd
4:45 pm - - After Lunch Sugar 52
5/6/24
8:45 am - - Fasting Sugar 250
9:40 am - - Before Breakfast Sugar 262
9:45 am - - Insulin Regular 6 Unit
Upma
11: 45 am - - After Breakfast Sugar 283
1 pm - - Drink 1 Glass Butter Milk
1:40 pm - - Before Lunch Sugar 206
1:45 pm - - Insulin Regular 2 Unit
Salad, Rice with Lenties, Ladyfinger Fry , Brinjal Fry And Fish Curry
3:45 pm - - After Lunch Sugar 215
6 pm - - Eat Some Roasted Peas
7 pm - - Insulin Lantus 14 Unit
9:20 pm - - Before Dinner Sugar 269
9:25 pm - - Insulin Regular 10 Unit
Salad, Rice with Lenties, Ladyfinger Fry , Brinjal Fry And Fish Curry
11:25 pm - - After Dinner Sugar 227
PaJR PHR Moderator :
Reduce pre breakfast insulin by -4
Take 6U today
4:45 PM symptoms?
(Sir said after looking at the after dinner Sugar)
Patient: Body trembling and sweating
Sir, insulin should be taken before lunch.
PaJR PHR Moderator :Can be decided after seeing pre lunch
Pre lunch sugar?
Patient : 206
PaJR PHR Moderator :
No insulin taken before lunch?
6/6/24
8:30 am - - Fasting Sugar 220
8:55 am - - Before Breakfast Sugar 250
9 am - - Insulin Regular 10 Unit
Black Gram Salad
11 am - - After Breakfast Sugar 188
12 pm - - Mashed Mango (Aam Makha)
1:55 pm - - Before Lunch Sugar 154
2 pm - - Insulin Regular 4 Unit
Salad, Rice with Bottle Gourd, Drumstick Curry ,Pointed Gourd Fry And Spinach
4 pm - - After Lunch Sugar 176
4:30 pm - - Banana Chips
6 pm - - Drink 1 Glass Butter Milk
7 pm - - Insulin Lantus 14 Unit
8:55 pm - - Before Dinner Sugar 287
9 pm - - Insulin Regular 10 Unit
Salad, 2 Roti with Potato Fry ,Drumstick Curry, Spinach, Pointed Gourd Fry And Curd Bundi Raita
11 pm - - After Dinner Sugar 126
7/6/24
8:30 am - - Fasting Sugar 202
8:40 am - - Before Breakfast Sugar 212
8:45 am - - Insulin Regular 6 Unit
Sprouts Salad
11:45 am - - After Breakfast Sugar 176
12:30 pm - - Kachori
2:25 pm - - Before Lunch Sugar 175
2:30 pm - - Insulin Regular 2 Unit
Salad, Rice with Lenties, Ladyfinger Fry , And Fish Curry
4 :30 pm - - After Lunch Sugar 123
7 pm - - Insulin Lantus 14 Unit
8:40 pm - - Before Dinner Sugar 298
8:45 pm - - Insulin Regular 10 Unit
Salad, Rice with Lenties And Fish Curry
10:45 pm - - After Dinner Sugar 137
8/6/24
12:05 am - - Sugar 51
7:30 am - - Fasting Sugar 255
8:55 am - - Before Breakfast Sugar 285
9 am - - Insulin Regular 6 Unit
Oats
11 am - - After Breakfast Sugar 185
12 pm - - 1 Cup Black Tea Without Sugar
1 pm - - Eat 1 Apple
2:40 pm - - Before Lunch Sugar 99
2:45 pm - - Insulin Regular 2 Unit
Salad, Rice with Lenties, Brinjal Fry And Pointed Gourd and Poppy Seeds Vegetable
6 pm - - After Lunch Sugar 215
7 pm - - Insulin Lantus 14 Unit
9:40 pm - - Before Dinner Sugar 298
9:45 pm - - Insulin Regular 10 Unit
Salad, 2 Roti with Mushroom Fry ,Toor Dal Fry and Pointed Gourd and Poppy Seeds Vegetable
11:45 pm - - After Dinner Sugar 228
9/6/24
1:40 am - - Sugar 61
8:20 am - - Fasting Sugar 261
9:25 am - - Before Breakfast Sugar 267
9 :30 am - - Insulin Regular 6 Unit
Omlet
11:30 am - - After Breakfast Sugar 145
1:55 pm - - Before Lunch Sugar 120
2 pm - - Insulin Regular 2 Unit
Salad, Rice with Toor Dal,Bottle Gourd Curry , Fish Curry And Macher Dim Bhaja
4 pm - - After Lunch Sugar 189
7 pm - - Insulin Lantus 12 Unit
9:20 pm - - Before Dinner Sugar 200
9:25 pm - - Insulin Regular 8 Unit
Salad, 2 Roti with Toor Dal and Bottle Gourd Curry , Coriander Chutney And Macher Dim Bhaja
11:25 pm - - After Dinner Sugar 101
PaJR PHR Moderator :
Somehow the Lantus appears to be working too well only during post dinner and hence you reduced it by 2U which was good.
Also the pre dinner actrapid insulin can be reduced by 2U
(Sir said after looking at the Sugar value)
Patient: Ok sir
10/6/24
1:20 am - - Sugar 56
6:15 am - - Fasting Sugar 270
7:55 am - - Before Breakfast Sugar 255
8 am - - Insulin Regular 6 Unit
Upma
10 am - - After Breakfast Sugar 310
1 pm - - Drink 1 Glass Butter Milk
2:50 pm - - Before Lunch Sugar 191
2:55 pm - - Insulin Regular 2 Unit
Salad, Rice with Pointed Gourd Fry ,Bitter Gourd Fry And Ridge Gourd Curry
4:55 pm - - After Lunch Sugar 192
6 pm - - Eat Some Muskmelon
7 pm - - Insulin Lantus 14 Unit
8:40 pm - - Before Dinner Sugar 156
8:45 pm - - Insulin Regular 6Unit
Salad, 2 Roti with Pointed Gourd Fry ,Ridge Gourd Curry And Long Beans Fry
10:25 pm - - After Dinner Sugar 61
PaJR PHR Moderator :
Pre dinner needs to be reduced by -2
(Sir said after looking at the Sugar value)
Patient: Ok sir
11/6/24
8 am - - Fasting Sugar 177
9:25 am - - Before Breakfast Sugar 205
9:30 am - - Insulin Regular 6 Unit
Uttapam
11:30 am - - After Breakfast Sugar 141
2:25 pm - - Before Lunch Sugar 166
2:30 pm - - Insulin Regular 2 Unit
Salad, Rice with Pointed Gourd Fry ,Bitter Gourd Fry , Pumpkin Fry and Arbi ki sabji
4:10 pm - - After Lunch Sugar 49
7 pm - - Insulin Lantus 14 Unit
8:40 pm - - Before Dinner Sugar 267
9:15 pm - - Insulin Regular 6Unit
Salad, 2 Roti with Pumpkin Fry and Arbi ki sabji and Ily Gourd Fry
11:15 pm - - After Dinner Sugar 210
PaJR PHR Moderator :
Difficult to explain why the sugars fell today two hours after lunch!!
Any symptoms at 4:10PM?
What did your patient take for the hypoglycemia?
Patient: Sweating and body trembling continues for a long time
PaJR PHR Moderator :
What did you eat during that time?
Patient: Eat some roasted gram , apple and glucose
12/6/24
8 am - - Fasting Sugar 121
9:10 am - - Before Breakfast Sugar 151
9:15 am - - Insulin Regular 6 Unit
Omlet
11:15 am - - After Breakfast Sugar 74
12 pm - - Eat 1 Apple
2:40 pm - - Before Lunch Sugar 171
2:45 pm - - Insulin Regular 2 Unit
2 idli with Sambar ,Mint, Coconut And Peanut Chutney
4:45 pm - - After Lunch Sugar 119
6 pm - - Eat Some Makhana
7 pm - - Insulin Lantus 14 Unit
8:55 pm - - Before Dinner Sugar 112
9 pm - - Insulin Regular 6Unit
Salad,2 idli with Sambar ,Mint, Coconut And Peanut Chutney
11 pm - - After Dinner Sugar 131
PaJR PHR Moderator :
Only one omlette at breakfast?
Patient: Yes sir
13/6/24
8:20 am - - Fasting Sugar 171
9:10 am - - Before Breakfast Sugar 205
9:15 am - - Insulin Regular 6 Unit
Upma
11:15 am - - After Breakfast Sugar 117
12 pm - - Eat Some Makhana
2:55 pm - - Before Lunch Sugar 171
3 pm - - Insulin Regular 2 Unit
Salad, 2 Roti with Pointed Gourd Fry ,Brinjal Curry And Labra (Mix Veg)
5 pm - - After Lunch Sugar 104
5 pm - - Eat 1 Apple
6 pm - - Eat Some Muskmelon
7 pm - - Insulin Lantus 14 Unit
9:25 pm - - Before Dinner Sugar 128
9:30 pm - - Insulin Regular 6 Unit
Salad,2 Roti with Pointed Gourd Fry ,Brinjal Curry , Labra (Mix Veg) and Potato Fry
11:30 pm - - After Dinner Sugar 117
14/6/24
7:15 am - - Fasting Sugar 109
8:40 am - - Before Breakfast Sugar 128
8:45 am - - Insulin Regular 6 Unit
1 Dosa With Coconut Chutney
10:45 am - - After Breakfast Sugar 115
2:40 pm - - Before Lunch Sugar 121
2:45 pm - - Insulin Regular 2 Unit
Salad, Rice with Chicken Curry And Pumpkin Fry
4:45 pm - - After Lunch Sugar 184
6 pm - - Eat 1 Apple
7 pm - - Insulin Lantus 14 Unit
9:15 pm - - Before Dinner Sugar 161
9:20 pm - - Insulin Regular 6 Unit
Salad,2 Roti with Chicken Curry and Round Gourd Curry
11:20 pm - - After Dinner Sugar 69
PaJR PHR Moderator :
Getting a little better control. Be careful for hypoglycemia
(Sir said after looking at the yesterday Sugar value)
Patient: Yes sir
Sir, what can be eaten when sugar is low?
PaJR PHR Moderator :Normal food
Patient: Ok sir
15/6/24
7:20 am - - Fasting Sugar 162
9:30 am - - Before Breakfast Sugar 198
8:35 am - - Insulin Regular 6 Unit
Fry Idli
11:35 am - - After Breakfast Sugar 120
12 pm - - Eat Some Roasted Gram
2:55 pm - - Before Lunch Sugar 118
3 pm - - Insulin Regular 2 Unit
Salad, Rice with Lenties ,Bitter Gourd and Bottle Gourd Fry
5 pm - - After Lunch Sugar 177
6 pm - - Eat Some Muskmelon
7 pm - - Insulin Lantus 14 Unit
10:10 pm - - Before Dinner Sugar 151
9:20 pm - - Insulin Regular 6 Unit
Salad,2 Roti with Lenties and Green Chili Fry
PaJR PHR Moderator :
How much regular insulin before 9:20pm yesterday?
(Sir said after looking at the yesterday Sugar value)
Patient: Sir 6 unit
16/6/24
12:10 am - - Sugar 74
7:20 am - - Fasting Sugar 161
9 am - - Before Breakfast Sugar 190
9:10 am - - Insulin Regular 6 Unit
Omlet
11:10 am - - After Breakfast Sugar 107
2:55 pm - - Before Lunch Sugar 207
3 pm - - Insulin Regular 2 Unit
Salad, Rice with Yellow Lentil ,Brinjal Fry And Mutton Curry
5 pm - - After Lunch Sugar 131
7 pm - - Insulin Lantus 14 Unit
9:40 pm - - Before Dinner Sugar 151
9:45 pm - - Insulin Regular 6 Unit
Salad,2 Roti with Ladyfinger Fry And Mutton Curry
11:40 pm - - After Dinner Sugar 141
Patient:
Sir, the back part of my foot, probably called the heel, has been hurting a lot since yesterday.
PaJR PHR Moderator :
Have you ever had this kind of pain before?
Patient: No sir, it just started a few days ago
PaJR PHR Moderator :The swelling of the ligaments there feels very painful. There is no need to worry, but if you have pain within 24 hours, let us know when and how long the pain lasts.
Patient: Sir, the pain increases at night
PaJR PHR Moderator :
How long does the pain last
Patient : 1-2 hours at night
But this is happening even today sir
PaJR PHR Moderator :
From what time to what time does this pain ?
Patient: Sir, Friday and Saturday after 10 pm
PaJR PHR Moderator :
What time did she sleep?
Patient : After 11:30 pm on Friday and after 12 am Saturday night
PaJR PHR Moderator :
Did you have pain on Sunday
Patient : Sir, I cannot sleep at night because of the pain.
PaJR PHR Moderator : Otherwise you should sleep by 10 pm?
Patient:
Sir, when there is pain, I cannot sleep.
Otherwise I check my sugar and go to sleep.
17/6/24
7:45 am - - Fasting Sugar 158
9:05 am - - Before Breakfast Sugar 171
9:10 am - - Insulin Regular 6 Unit
Upma
11:10 am - - After Breakfast Sugar 120
12 pm - - Drink 1 Glass Butter Milk
2:35 pm - - Before Lunch Sugar 141
2:40 pm - - Insulin Regular 2 Unit
Salad, 2 Roti with Pointed Gourd Fry ,Green Chili Fry And Raw Papaya Curry
4:40 pm - - After Lunch Sugar 219
6 pm - - Eat 10 -15 Cashew Nuts
7 pm - - Insulin Lantus 14 Unit
9:30 pm - - Before Dinner Sugar 119
9:35 pm - - Insulin Regular 6 Unit
Salad, 2 Roti with Pointed Gourd Fry ,Green Chili Fry And Long Beans Fry
11:35 pm - - After Dinner Sugar 230
PaJR PHR Moderator :
Today for the first time post lunch values have increased slightly
Patient: Yes Sir
18/6/24
6:45 am - - Fasting Sugar 182
8:55 am - - Before Breakfast Sugar 170
9 am - - Insulin Regular 6 Unit
Sprouts Salad
11:10 am - - After Breakfast Sugar 93
12 pm - - Eat 1 Apple and Some Makhana
1:30 pm - - Sugar 57
2:55 pm - - Before Lunch Sugar 92
3 pm - - Did not take insulin
Salad, 2 Roti with Palak Panner And Toor Dal
5 pm - - After Lunch Sugar 157
7 pm - - Insulin Lantus 14 Unit
7:30 pm - - Eat Some Sprouts
9:35 pm - - Before Dinner Sugar 145
9:40 pm - - Insulin Regular 6 Unit
Salad, 2 Roti with Palak Panner And Toor Dal
11:40 pm - - After Dinner Sugar 178
19/6/24
7:45 am - - Fasting Sugar 140
9:25 am - - Before Breakfast Sugar 173
9:30 am - - Insulin Regular 6 Unit
Omlet
11:30 am - - After Breakfast Sugar 115
2:25 pm - - Before Lunch Sugar 99
2:30 pm - - Did not take insulin
Salad, Rice with Palak Panner And Chicken Curry
4:30 pm - - After Lunch Sugar 169
7 pm - - Insulin Lantus 14 Unit
7:30 pm - - Eat 1 Apple
9:15 pm - - Before Dinner Sugar 141
9:20 pm - - Insulin Regular 6 Unit
Salad, 2 Roti with Chicken Curry
20/6/24
7:45 am - - Fasting Sugar 140
9:15 am - - Before Breakfast Sugar 206
9:20 am - - Insulin Regular 6 Unit
Oats
11:20 am - - After Breakfast Sugar 227
12 pm - - Drink 1 Glass Butter Milk
2:30 pm - - Before Lunch Sugar 148
2:35 pm - - Insulin Regular 2 unit
Salad, Rice with Brinjal Fry ,Bottle Gourd Fry and Cauliflower Curry
4:35 pm - - After Lunch Sugar 98
7 pm - - Insulin Lantus 14 Unit
9:25 pm - - Before Dinner Sugar 110
9:30 pm - - Insulin Regular 6 unit
Cucumbers,2 Roti with Bottle Gourd Fry, Long Beans Fry And Cauliflower Curry
11:25 pm - - After Dinner Sugar 46
PaJR PHR Moderator :
The after dinner came close to hypoglycemia!
Any symptoms yesterday at 11:15 PM
Patient:
No sir, took glucose and ate apple at night.
PaJR PHR Moderator :
Oh! Should also mention that.
Took glucose and apple even without symptoms?
Patient:
Sir, sugar did not reduce again at night, that's why I took it.
PaJR PHR Moderator :
You mean the patient took it as prevention so that it doesn't reduce again at night.
Patient : Yes Sir
21/6/24
5:50 am - - Fasting Sugar 204
9:25 am - - Before Breakfast Sugar 272
9:30 am - - Insulin Regular 6 Unit
Black Gram Salad
11:30 am - - After Breakfast Sugar 60
Eat some makhana and apple
2:05 pm - - Before Lunch Sugar 91
2:10 pm - - Did not take insulin
Salad, Rice with Brinjal Fry , Pointed Gourd Fry ,Sponge gourd fry and Yellow Lentil
5 pm - - After Lunch Sugar 111
6 pm - - Drink 1 cup black tea without sugar and eat 2 marry biscuit
7 pm - - Insulin Lantus 12 Unit
9:10 pm - - Before Dinner Sugar 205
9:15 pm - - Insulin Regular 4 unit
Salad, 2 Roti With Pointed Gourd Fry ,Sponge gourd fry and Yellow Lentil
11:15 pm - - After Dinner Sugar 117
PaJR PHR Moderator :
When you saw that she had 72 after dinner with 6 units here why did you not reduce the night dose to 2 or 4 units yesterday?
Patient : Sorry Sir , From today I will take 4 units of insulin before breakfast and dinner.
PaJR PHR Moderator :
Currently reduce all insulin before meals to 2U and get pre meal sugar values and don't take any insulin before meals if the pre meals are low.
Patient: Ok Sir
22/6/24
8:10 am - - Fasting Sugar 119
9:25 am - - Before Breakfast Sugar 136
9:30 am - - Insulin Regular 4 Unit
Sprouts Salad
11:30 am - - After Breakfast Sugar 122
12:30 pm - - Eat 1 Apple
2:05 pm - - Before Lunch Sugar 116
2:10 pm - - Did not take insulin
Salad, Rice with Cabbage Fry , Bottle Gourd Curry and Drumstick Curry
4:10 pm - - After Lunch Sugar 125
6:30 pm - - Eat some fried papad
7 pm - -Insulin Lantus 12 Unit
9:30 pm - - Before Dinner Sugar 174
9:35 pm - - Insulin Regular 4 Unit
Salad ,2 Roti With Cabbage Fry and Bottle Gourd Curry
11:35 pm - - After Dinner Sugar 126
23/6/24
8:40 am - - Fasting Sugar 158
9:35 am - - Before Breakfast Sugar 156
9:40 am - - Insulin Regular 4 unit
Chickpea Salad
12:30 pm - - Drink 1 Glass Butter Milk
3:30 pm - - Before Lunch Sugar 119
3:35 pm - - Did not take insulin
Salad , Rice With Chickpea Curry, Egg Curry And Raw Papaya Curry
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