A brief look at my bgl's from the last few days

[mum2westiesGill]

A brief look at my bgl's from the last few days - a bit of feedback about how they're looking would be appreciated

Fri 16/7
7:25am 7.7
9:50am 9.4
14:02pm 11.5
18:51pm 4.5 ate out bolused for this test after eating
23:40pm 5.8

Sat 17/7
8:19am 4.6
10:19am 6.2
13:23pm 10.8
19:42pm 9.0
23:49pm 5.5

Sun 18/7
6:32am 6.2
9:53am 7.9
14:41pm 10.4
19:44pm 6.2
23:34pm 8.2

Today
7:06am 6.4
10:06am 9.7
14:31pm 12.2

 

[Kaylz]

The tests at 13:00's and 14:00's are these after a meal or before your lunch? xx

 

[everydayupsanddowns]

How do you feel they are going Gill? Are you happy with them?

Do you think your recent tweaks and changes in strategies (like fewer corrections) have helped?

Looks like you haven’t had any lows for the past few days.

Well done!

 

[mum2westiesGill]

The tests at 13:00's and 14:00's are these after a meal or before your lunch? xx

Those tests are before my lunch xx

 

[mum2westiesGill]

How do you feel they are going Gill? Are you happy with them?

Do you think your recent tweaks and changes in strategies (like fewer corrections) have helped?

Looks like you haven’t had any lows for the past few days.

Well done!

When I look at them I'm not too happy with the before lunchtime ones that's the ones that @Kaylz has mentioned - they're hyper although thankfully not badly hyper - but I'm almost expecting or knowing the lunchtime ones will be like that - the problem is that at breakfast time my bolus advisor keeps advising a correction dose but I'm dismissing it and going with my DSN's advice of not correcting my bgl's unless they are over 10mmol.
Also the teatime ones are sometimes in the 4s but typical the teatime one in the 4s in these few days was on Friday.
Overall though at least there is only 1 number each day which is hyper.
Yes yippee I'm pleased that I've not had any hypos like I was getting before all the tresiba tweaks.

 

[Kaylz]

From my point of view and you dont have to take what I say but it looks as if your breakfast ratio could do with being adjusted so you arent ending up high by your lunch, many are more insulin resistant at breakfast time and require more insulin than they would for tea xx

 

[mum2westiesGill]

From my point of view and you dont have to take what I say but it looks as if your breakfast ratio could do with being adjusted so you arent ending up high by your lunch, many are more insulin resistant at breakfast time and require more insulin than they would for tea xx

Thanks for your kind reply @Kaylz and I appreciate what you've said. I know it's my choice what I decide to do but if it was you what would you change it to? I'm on 1unit:10g of carbs at breakfast at the moment.

Also I'll mention it here now - I'm away for a few days next week going to Chester from Friday to Tuesday so there will be several times when I'm eating out so everything will no doubt change grrrrrr!! What to do?

 

[everydayupsanddowns]

but I'm almost expecting or knowing the lunchtime ones will be like that - the problem is that at breakfast time my bolus advisor keeps advising a correction dose but I'm dismissing it and going with my DSN's advice of not correcting my bgl's unless they are over 10mmol

Well the advice is working well in terms of hypos. And often fewer hypos will mean fewer high readings too. It’s not unusual for people to be a little more insulin resistant in the mornings. Perhaps your breakfast ratio isn’t quite high enough? Or maybe breakfast is one time when you could do the recommended correction?

Out of interest… Is there a way that you can set mySugr so that it recommends the boluses as you want them? eg it doesn’t recommend a correction until you are above 10? Can you have different targets / settings at different times of day?

What is your ‘target range’ set as in the settings?

 

[Kaylz]

Thanks for your kind reply @Kaylz and I appreciate what you've said. I know it's my choice what I decide to do but if it was you what would you change it to? I'm on 1unit:10g of carbs at breakfast at the moment.

Also I'll mention it here now - I'm away for a few days next week going to Chester from Friday to Tuesday so there will be several times when I'm eating out so everything will no doubt change grrrrrr!! What to do?

If it were me I'd probably try 1u:8g, if I remember correctly your breakfast is usually 36g carbs? So on 1:8 and in range reading thsy would be 4.5u, I cant remember if you have a half unit pen for bolus though xx

 

[mum2westiesGill]

Well the advice is working well in terms of hypos. And often fewer hypos will mean fewer high readings too. It’s not unusual for people to be a little more insulin resistant in the mornings. Perhaps your breakfast ratio isn’t quite high enough? Or maybe breakfast is one time when you could do the recommended correction?

Out of interest… Is there a way that you can set mySugr so that it recommends the boluses as you want them? eg it doesn’t recommend a correction until you are above 10? Can you have different targets / settings at different times of day?

What is your ‘target range’ set as in the settings?

As far as I can see there isn't a setting where it recommends boluses as you want them and re corrections I can only see the correction factor ie 1u:3mmol.

Here's a pic of my target range and that can be changed for different times of the day

 

[mum2westiesGill]

If it were me I'd probably try 1u:8g, if I remember correctly your breakfast is usually 36gu carbs? So on 1:8 and in range reading thsy would be 4.5u, I cant remember if you have a half unit pen for bolus though xx

Thanks @Kaylz your right my breakfast is usually 36g of carbs. Yes I've got a half unit pen and last week I changed the settings in MySugr from full insulin increments to half insulin increments 🙂.

Here's a couple of pics with the insulin:carb ratios which can be changed to different times of the day - at the moment mine is 1u:10g for all day.

 

[Kaylz]

I thought it was from what I remember from the what did you eat yesterday thread

I'd definitely adjust your breakfast time ratio if it were me so I wasn't ending up high come dinner time, approach the subject with your DSN the next time you are talking to her though as she has her own opinions lol
xx

 

[mum2westiesGill]

I thought it was from what I remember from the what did you eat yesterday thread

I'd definitely adjust your breakfast time ratio if it were me so I wasn't ending up high come dinner time, approach the subject with your DSN the next time you are talking to her though as she has her own opinions lol
xx

Thanks and yes if I carry on with the lunchtime highs I will approach the subject with her. I'd love to change it myself. It's so hard because last night and this morning I've been hypo then high and probably go hypo again this morning because I've done some wrong choices then I'm away for a few days next week which will no doubt change everything.

 

[Kaylz]

You haven't made wrong choices, if your correction factor is right then there was no issue doing that before you bolus for your breakfast as your app should take that into account xx

 

[mum2westiesGill]

You haven't made wrong choices, if your correction factor is right then there was no issue doing that before you bolus for your breakfast as your app should take that into account xx

Well I'm down now to 9.5 from 11.7 when I woke up and did my advised 1.5u correction - my correction factor is 1u:3mmol. For my breakfast all I did was 3.5u for my usual 36g of carbs and the app didn't advise any more correction - which even If it did I wouldn’t have done it because of only doing corrections no less than 4 hours apart - we'll see what lunchtime brings - high or hypo - my guess is back to the normal lunchtime high what's your guess @Kaylz?

 

[Kaylz]

Hmmm, I'll go for 8-9mmol, do let me know as don't want to be wondering all day! haha xx

 

[mum2westiesGill]

Hmmm, I'll go for 8-9mmol, do let me know as don't want to be wondering all day! haha xx

I'll be sure to let you know 🙂 xx

 

[mum2westiesGill]

I emailed my DSN to ask about changing my breakfast ratio from 1u:10 grams of carbohydrates to 1u:8g of carbohydrates - I've replied to ask if she meant 1u:8g of carbohydrates which is what I asked about.
I've also asked if she thinks that's a better plan than going with the correction which the bolus advisor keeps suggesting at breakfast time.
My gut feeling is to go with the increase of breakfast ratio.


Hi Gill ,
increasing the breakfast ratio to 1.5: 10 grams of Carbohydrate I think is a good plan

You could always try just going with the correction dose advisor and see how it goes ,
If you start having more hypos, you will know why .

 

[silentsquirrel]

I emailed my DSN to ask about changing my breakfast ratio from 1u:10 grams of carbohydrates to 1u:8g of carbohydrates - I've replied to ask if she meant 1u:8g of carbohydrates which is what I asked about.
I've also asked if she thinks that's a better plan than going with the correction which the bolus advisor keeps suggesting at breakfast time.
My gut feeling is to go with the increase of breakfast ratio.


Hi Gill ,
increasing the breakfast ratio to 1.5: 10 grams of Carbohydrate I think is a good plan

You could always try just going with the correction dose advisor and see how it goes ,
If you start having more hypos, you will know why .

Ah, I just replied on your other thread, now I see why you were asking about 1.5 : 10 !!

Her way of expressing the ratio as something : 10g carb isn't terribly helpful unless you al ways eat in multiples of 10g carb .....

That seems a big change, hence her comment about hypos.

 

[mum2westiesGill]

Ah, I just replied on your other thread, now I see why you were asking about 1.5 : 10 !!

Her way of expressing the ratio as something : 10g carb isn't terribly helpful unless you al ways eat in multiples of 10g carb .....

That seems a big change, hence her comment about hypos.

Haha @silentsquirrel we've obviously crossed over each other popping from 1 thread to another lol.

Like you say such a big difference and now I understand about watching out for all the hypos!