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A.
According to the information provided, your mother is suffering from Type 2 diabetes mellitus and has severe chest infection, which was treated with insulin, antibiotics and steroids. There is a small possibility that she might have a heart problem as well. My advise for her current problem is as follows:
1. During any infection blood glucose shoots up and insulin is given to control high glucose levels. Once the infection is controlled, one can switch over to oral medications. But in case someone has a heart attack then insulin is continued for at least three months as it reduces future chances of cardiac complications. Please ensure from your treating physician that she did not have a heart attack. In case insulin has to be continued (if she had a heart problem) then shift her to Human Mixtard (30:70) 24 units before breakfast and 12 units before dinner (30 minutes before meals).
2. Type of oral medication: If she is above 60 years then I will strongly advise against using glucored forte. She will benefit more with glimepride (Amaryl) and you can start with a dose of 2 mg half an hour before breakfast along with Gluconorm SR 500mg twice a day.
3. Rice is a carbohydrate with high glycaemic index and to reduce this effect you can give it mixed with green vegetables. Its preferable to avoid rice if possible.
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