instruction: hello doctor I am a diabetic my weight is 69 keg and my height is 180 am my up glucose level is 150 210 my do I am taking glynase of one in the morning tablet exermet go 501 one in the evening my be is normal I tested my glucose levels today and postprandial glucose level is 204 my do I am interested in taking insulin replacing oral medicine I heard that oral medicines cause weight reduction and dangerous for kidneys
output: hello the metformin component of the oral anti diabetic medications aids in weight loss and is usually preferred in overweight candidates but there are other medications that do not lead to weight loss so you can definitely ask your physician to shift you to such medication also just like all medications have side effects long term studies in patients taking oral anti diabetic medications have shown deteriorated kidney function many people are not compliant in keeping up with daily injections of insulin also the risk of hypoglycemia is higher with insulin hence not many people prefer it if you feel you can cope up with it please speak to your local physician or diabetologist they would make a chart depending on your daily sugar levels as to how much units of insulin would you require also they would educate you regarding rotation of sites for taking the insulin injections how and when to take them also do not forget to ask your physician to explain the symptoms of hypoglycemia and also to tell you when exactly should you be taking the insulin injections before food during food morning or night basal dose depending on its duration of action I hope this helps