 [ Symptoms ] can i take a valium before oral surgery having three extractions can i take amvalium to help the anxiety [ Disease ] hi your body has now got used to insulin as you have been taking it for almost 10 years thats why its effectiveness has reduced if you are taking triglycomet and insulin combination the it will work fine for you nothing to worry just keep a watch on sugar levels till your body readjusts to this new dosage thanks