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Group 7-day waking average?

6.7 for me today.
 
6.2 this morning after 3.7 at 1.30 am and so 2 rich tea biscuits.
 
Morning all, 12 for me this morning.
 
I can't test enough as the doc said she wouldnt be able to give me enough strips to test all the time - i bought my own previously, but am struggling to fund them on an ongoing basis.

I have enough to test a couple of times a day - so i stick to morning and before travelling home from work, so i know i'm fit to drive (as per DVLA "rules").

From testing i have done previously I know i dont drop particuarly overnight - i did a couple of 3am tests, and they are near enough the same as my morning levels so i would guess i was higher than I should have been at bedtime.

I see the DSNe on Monday night, so will ask about Xpert then. The practice nurse suggested injecting into my legs rather than tum, to see if it makes a difference, so i have been doing that for the last 6 days, but it doesnt seem to have made a difference (apart from my legs are sore!) She also said 40 units of Lantus is a lot, so now i feel like I am taking too much? So confused!! How can it be too much if it isnt doing what it should?
 
If you are on insulin then there should be no restriction on the amount of strips (within reason of course!). You should be able to test more than twice a day if you wish. What if you were to find/felt you were a bit low? You would need to test and if low, treat it then test again to ensure your levels had come up. Have a read of http://www.diabetes.org.uk/Documents/Advocacy/test-strips-advocacy-pack-2012.pdf and go back to your GP for more strips - how many are you currently given?

Are you just on lantus or do you also have a fast-acting insulin with your meals? The amount of lantus you take is dependent on your needs - some take very small doses in comparison to yours, others take considerably more, so it's as long as a piece of string, really 🙂 I would agree that if your levels are in double figures befre bed and on waking then you probably need to increase your dose. Your injection site won't really make a difference regarding size of dose, it's just that some sites will absorb the insulin faster than others. - tummy is normally considered one of the quickest, bum one of the slowest. With something like lantus though, it shouldn't really make much difference.

It does sound as though perhaps you need to bring your levels down generally, but you would need to test more frequently to find out exactly how to achieve this - restricting your strips is a very false economy and needs to be challenged!
 
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I have novorapid for my evening meal too, but was told to use around 16 units of this and haven't been advised about increasing. I do sometimes take more units (up to about 20) if I know its a particuarly carby meal, but not sure about adjusting - hence my wish to attend an Xpert for insulin users course!! I'm sure I will be told its only for T1 though, so hope she has some other suggestions!!

Meant to say I was given 200 strips in August, still have some remaining, but worried to use them up after she said I wont get more!
 
Emmaathome said:
I have novorapid for my evening meal too, but was told to use around 16 units of this and haven't been advised about increasing. I do sometimes take more units (up to about 20) if I know its a particuarly carby meal, but not sure about adjusting - hence my wish to attend an Xpert for insulin users course!! I'm sure I will be told its only for T1 though, so hope she has some other suggestions!!

Meant to say I was given 200 strips in August, still have some remaining, but worried to use them up after she said I wont get more!
Click to expand...

Your doctor really needs educating about insulin use and the necessity for testing!!! Your insulin doses are not dissimilar to those of a Type 1, so essentially you are no different (I take around 13-15 units fr my evening meal currently, so not far off yours). If you could test more then perhaps you would find that you would benefit from taking insulin doses with your other meals. To do this efficiently and to achieve good, safe levels you would need to learn carb-counting so you know how to adjust your doses and also to 'correct' any highs. I think that if you were able to reduce your post-meal levels then it's possible that your lantus is about right, since it seems to keep you steady overnight (i.e. there is not a lot of variation between your bedtime and waking levels).

I test a minimum of 6 times a day, which is far from excessive and I don't drive so don't have those 'extra' tests to take into consideration. I would be tempted to ask to be referred to a consultant-led clinic now you are on dual insulin therapy - clearly your doctor and nurse do not know enough about this to advise you correctly. You have to be assertive about this, your doctor is not giving you the care you are entitled to!
 
Thank you Northie, I need to toughen up, but seem to turn into a mouse when I'm in with the doc!
 
7.2 today =- Much better than the 2.8 yesterday (My own fault ....)
 
4.4 for me this morning🙂
 
Morning, its a 7.0 for me today.
 
6.1 for me. and that's higher than usual. not particularly sure why. am wondering if its the mulled wine ive been knocking back of late that is doing it.

or the new machine i am using is calibrated slightly differently to my old one.

either way. higher than ideal.
 
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