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BG FEEDBACK PLEASE

Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
mum2westiesGill

mum2westiesGill

Well-Known Member
Relationship to Diabetes
Type 1
Hi

The DSN from the community diabetes team at the hospital who supports me has been on leave for 2 weeks & as promised I've put my BG'S together & emailed them to her. If anybody could give me any feedback before she replies to me in the next day or so it would be interesting to see what others say/think. Tia

Each line is a separate day ie
waking 7.2 @ 6:39am = 20/10/2017
7.4 @ 8:41am = 21/10/2017

20/10/2017 - 25/10/2017
Waking
7.2 @ 6:39am
7.4 @ 8:41am
13.0 @ 9:13am
9.6 @ 6:58am
11.6 @ 6:52am ~ didn't do correction because last bolus was less than 4 hours ago ~ maybe after effects of extra carbs last night
12.2 @ 6:52am
(hypers 3 / hypos 0)

Breakfast
5.8 @ 9:18am
6.6 @ 11:24am
same as above re BG & time
8.2 @ 10:11am
10.9 @ 10:13am ~ did correction dose as well as mealtime bolus
7.2 @ 10:31am
(hypers 1 / hypos 0)

After breakfast
8.2 @ 11:00am
no test
no test
no test
no test
no test
(hypers 0 / hypos 0)

Lunch
6.4 @ 13:31pm
6.8 @ 16:15pm
6.5 @ 15.05pm
6.5 @ 13:56pm
5.7 @ 14:55pm
5.5 @ 15:01pm
(hypers 0 / hypos 0)

After lunch
no test
no test
no test
no test
no test
no test
(hypers 0 / hypos 0)

Dinner
20.3 @ 20:32pm ~ forgot to add crisps into carb count at lunchtime
9.4 @ 20:39pm
5.8 @ 20:21pm
6.8 @ 19:04pm
6.0 @ 19:19pm
10.8 @ 20:18pm
(hypers 2 / hypos 0)

After dinner
no test
no test
no test
no test
no test
no test
(hypers / hypos)

Bedtime
7.7 @ 23:59pm
18.4 @ 00:46am ~ forgot to do bolus for 2nd portion of dinner ~ did correction 3.5iu
5.2 @ 23:08pm
4.3 @ 23:34pm ~ below target ~ had sandwich for supper ~ bolused for carbs eaten
9.2 @ 23:24pm
10.2 @ 00:07am
(hypers 2 / hypos 0)

During night
no test
12.7 @ 3:26am ~ didn't do correction because last bolus/correction was less than 4 hours ago
5.6 @ 3:15am
12.7 @ 4:16am ~ re high BG ate extra carbs at bedtime because felt low when eating
no test
no test
(hypers 2 / hypos 0)


26/10/2017 ~ 31/10/2017
Waking
10.5 @ 6:52am ~ did correction
9.5 @ 6:51am
16.0 @ 7:36am ~ correction
14.8 @ 9:02am
13.9 @ 7:25am ~ correction
8.7 @ 7:19am
(hypers 4 / hypos 0)

Breakfast
7.3 @ 9:30am
8.5 @ 9:21am
5.5 @ 11:05am
same BG & time as breakfast
9.3 @ 9:23am
12.3 @ 9:28am ~ correction done re high BG felt stressed or maybe earlier hypo
(hypers 1 / hypos 0)

After breakfast
no test
no test
no test
no test
no test
no test
(hypers / hypos)

Lunch
5.4 @ 13:53pm
3.6 @ 14:32pm ~ treated hypo / 6.0 @ 14:48pm
4.3 @ 13:34pm ~ bolused after meal in case I go hypo during eating
8.5 @ 14:11pm
5.2 @ 14:12pm
9.3 @ 15:12pm
(hypers 0 / hypos 1)

After lunch
no test
no test
no test
no test
no test
no test
(hypers / hypos)

Dinner
5.4 @ 19:28pm
15.2 @ 20:26pm ~ eating out after meal ~ alcohol ~ bolused after meal
8.1 @ 20:28pm
11.4 @ 19:34pm ~ correction
14.0 @ 19:09pm
9.6 @ 19:41pm
(hypers 3 / hypos 0)

After dinner
no test
no test
no test
no test
no test
no test
(hypers / hypos)

Bedtime
10.7 @ 23:31pm
10.9 @ 2:22am!!
12.8 @ 1:02am ~ re high BG probably from dinner ~ chinese takeaway
7.7 @ 23:59pm
8.7 @ 23:31pm
10.5 @ 23:25pm
(hypers 4 / hypos 0)

During night
6.2 @ 3:40am
no test
no test
no test
3.7 @ 4:32am ~ treated then fell asleep
no test
(hypers 0 / hypos 1)

1/11/2017
Waking
8.0 @ 7:35am
(hypers 0 / hypos 0)

Breakfast
12.1 @ 9:54am
(hypers 1 / hypos 0)

After breakfast
no test
(hypers / hypos)

Lunch
3.1 @ 14:09pm
3.1 @ 14:27pm
5.9 @ 14:44pm
(hypers 0 / hypos 2)

After lunch
no test
(hypers / hypos)

Dinner
17.1 @ 20:26pm ~ re high BG maybe from earlier hypo / maybe because did levemir later than usual
(hypers 1 / hypos 0)

Bedtime
17.9 @ 00:11am
(hypers 1 / hypos 0)

During night
9.7 @ 3:09am
7.5 @ 6:02am
(hypers 0 / hypos 0)

Target range
5-10mmol

Carb ratio
1:10 ~ for every meal & snack

Correction
1: 3mmol
 
Hi Gill, there's certainly a lot of information there for the DSN to work on 🙂 The notes explaining the 'out-of-range' numbers show that you are thinking about reasons for the levels, which is what you need to do - and try to remember for the future. The more you realise things go wrong when you forget to bolus for something, for example, the more likely it is to stick in your mind and make you stop and think the next time 🙂
 
Hi Gill

I think it would be easier to see patterns if you listed the readings in chronological order!
 
So the DSN said "it looks like your BG readings are held from going to bed to waking which would suggest in theory that your dose of Levemir at night is correct. However, the readings during the night show that generally your readings tend to drop"

Here's what she has asked me "I wonder how you feel about perhaps increasing your ratio with your evening meal but dropping your dose of Levemir at night?" ~ I'm waiting for a reply for what to alter the 2 things to
 
mum2westiesGill said:
So the DSN said "it looks like your BG readings are held from going to bed to waking which would suggest in theory that your dose of Levemir at night is correct. However, the readings during the night show that generally your readings tend to drop"

Here's what she has asked me "I wonder how you feel about perhaps increasing your ratio with your evening meal but dropping your dose of Levemir at night?" ~ I'm waiting for a reply for what to alter the 2 things to
Click to expand...
Usually, the advice would be to change only one thing at a time, so you know the effect of that one particular change - if you change two things it might not be clear which might need further tweaking if the changes don't have the desired effect. You might want to question the DSN about this 🙂
 
Northerner said:
Usually, the advice would be to change only one thing at a time, so you know the effect of that one particular change - if you change two things it might not be clear which might need further tweaking if the changes don't have the desired effect. You might want to question the DSN about this 🙂
Click to expand...

Thanks for mentioning this ~ I had thought about it ~ I will wait for the reply then go back & question her
 
Radders said:
Hi Gill

I think it would be easier to see patterns if you listed the readings in chronological order!
Click to expand...


Each line is a separate day ie
waking 7.2 @ 6:39am = 20/10/2017
7.4 @ 8:41am = 21/10/2017
 
So here's what the DSN suggested changing the 2 things to
I would be tempted to try 1.5 units of insulin to 10g ~ The ratio change is in line with DAFNE but if you use an Expert bolus advisor, you would have the option of 1:11g or 1:12g, etc. It may be a trial and error change.
and reduce the Levemir at night by 2 units.
again this may be too much but it should be a safe trial and can be adjusted from there.
I decided to call her and question about changing 2 things at once & she said to do whatever I feel comfortable doing ie if I would prefer to do just one thing at a time & see how things go...... The DSN said she would be tempted to change the levemir before trying the ratio change ~ this is what I'm going to do & maybe give it a week from now to see what happens

I also asked about the times of taking Levemir ~ The general advice is to take the Levemir before bed - there appears to be little evidence of a benefit to keeping the injections 12 hours apart however, there appears to be little evidence against doing this. I would be swayed by your own person preference, if you are likely to forget before bed then earlier is fine, but if you find it restrictive taking it earlier, I would be tempted to take it before bed.
 
Northerner said:
I think it's wise to just change the levemir to begin with Gill 🙂 Good luck, please let us know how you get on 🙂
Click to expand...

Thank you & I will certainly let you know how I'm going on ~ I'll make a start later on by catching up with some of my morning readings on the Group 7-day waking average? thread 🙂

Tonight will be the first night of changing my levemir from 8iu to 6iu so we'll see what happens...
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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