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Owen
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Sorry forgot to add. She may have different tolerances st different parts of the day, I know its a mind game this diabetes. With time you will know more than anyone else.
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Sigh, dietitian
- Thread starter Shivles
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Owen
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With the reading at 4.7, I would have been tempted to only go for 1u, but you're doing fine. Nothing really worry about.
Pat yourself on the back. Try not to get over zealous about tight control, this can be refined with time.
How do you think you are doing, coping?
bilbie
Well-Known Member
- Relationship to Diabetes
- Type 2
I think you are getting it. Working within the nurses range, looking at chart and making decisions 😉
When a tiny 5g of carb correction goes from 3.8 to 11.5, 3 hours later with a high basal rate dropping it back to 3.2. It makes banging your head against a wall easier
When a tiny 5g of carb correction goes from 3.8 to 11.5, 3 hours later with a high basal rate dropping it back to 3.2. It makes banging your head against a wall easier
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Shivles
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- Relationship to Diabetes
- Parent of person with diabetes
I think most of that rise is 'pizza effect' from her pasta bolognaise, used fatty mince and she had cheese on top. I'd expect the 5g to raise her about 3mmol, it can't all be off one cola bottle!I think you are getting it. Working within the nurses range, looking at chart and making decisions 😉
When a tiny 5g of carb correction goes from 3.8 to 11.5, 3 hours later with a high basal rate dropping it back to 3.2. It makes banging your head against a wall easier
bilbie
Well-Known Member
- Relationship to Diabetes
- Type 2
It is supported by DAFNE to split it, but I would still speak to nurse. The last thing you need is to get nurse's nose out of joint. The nurse may suggest 1U at night and 0.5U in the morning?
http://www.dafne.uk.com/uploads/223...on 1 - September 2013 - Insulin statement.pdf
http://www.dafne.uk.com/uploads/223...on 1 - September 2013 - Insulin statement.pdf
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Owen
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What time do you give the levemir
Shivles
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- Relationship to Diabetes
- Parent of person with diabetes
7pm
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Owen
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I fear that you are so desperate to do the right thing that too many changes may obscure your long term goals.
Right now you have done a remarkable job and fail to give yourself due credit. Your daughter is at relatively low risk from a medical emergency, due to your diligence. You are goal keeping hypo's and keeping her away from the DKA zone. Well done.
Now, you could try bringing the levemir forwards, say half an hour, monitor then reassess. This must be the only change to give a credible response. Then repeat if necessary. Give it a few days before making any additional changes, this will help to know that the result is reliable.
These have be what you want and involve your team with your reasons, evidence and outcomes.
What a wonderful mother you are!!
Right now you have done a remarkable job and fail to give yourself due credit. Your daughter is at relatively low risk from a medical emergency, due to your diligence. You are goal keeping hypo's and keeping her away from the DKA zone. Well done.
Now, you could try bringing the levemir forwards, say half an hour, monitor then reassess. This must be the only change to give a credible response. Then repeat if necessary. Give it a few days before making any additional changes, this will help to know that the result is reliable.
These have be what you want and involve your team with your reasons, evidence and outcomes.
What a wonderful mother you are!!
Shivles
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- Relationship to Diabetes
- Parent of person with diabetes
Thank you 🙂
I think in fact I'm going to leave the dosing as it is for tonight so I can see if the same thing happens, I am feeling the basal isn't lasting 24hrs though
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Owen
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Sounds like a good plan, I give two more days to give a fair balance.
SB2015
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- Relationship to Diabetes
- Type 1
Hi Shivies
First to say you are doing well and managing a complicated condition. Well done.
Pasta quite often gives a delayed rise. One thing I found useful was to split my bolus dose for pasta (and this was when I was on tiny doses) I did a bit before the meal and another 1 hour later. It did mean another injection, and an alarm set to remind me.
With respect to making changes, one thing you could try, although this may not be popular with LO, have the same meals each day for a week, for which you know the carbs exactly. This way you can sort out the ratios with something staying the same.
With regard to your husbands feelings, have you discussed this with the DSN? You could do with some support and they may be able to get him support as well.
First to say you are doing well and managing a complicated condition. Well done.
Pasta quite often gives a delayed rise. One thing I found useful was to split my bolus dose for pasta (and this was when I was on tiny doses) I did a bit before the meal and another 1 hour later. It did mean another injection, and an alarm set to remind me.
With respect to making changes, one thing you could try, although this may not be popular with LO, have the same meals each day for a week, for which you know the carbs exactly. This way you can sort out the ratios with something staying the same.
With regard to your husbands feelings, have you discussed this with the DSN? You could do with some support and they may be able to get him support as well.
Shivles
Well-Known Member
- Relationship to Diabetes
- Parent of person with diabetes
I might try a week of same meals, shes not old enough to care yet haha.
I'm trying just to encourage him to get involved but as it's frustrating I usually just give up, his own management isn't great. I want to help him too without nagging but I feel like because he's got away with it for so long now he's kind of 'it won't happen to me' which translates to 'oh well never did me any harm' when it comes to LO. He feels like I'm shutting him out because I'm doing all this but if I don't do it who will? He disagrees that 11mmol isn't too high a blood sugar for LO, I think he thinks I'm neurotic 🙄
I'm trying just to encourage him to get involved but as it's frustrating I usually just give up, his own management isn't great. I want to help him too without nagging but I feel like because he's got away with it for so long now he's kind of 'it won't happen to me' which translates to 'oh well never did me any harm' when it comes to LO. He feels like I'm shutting him out because I'm doing all this but if I don't do it who will? He disagrees that 11mmol isn't too high a blood sugar for LO, I think he thinks I'm neurotic 🙄
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