We’re still coming to terms with my son’s diagnosis. He’s 14. We haven’t been able to get his blood sugars in the normal range and we’ve been out of hospital a week now. He was 22.5 two hours after his supper this evening. They just don’t seem to be prescribing enough insulin. I’m so worried that his levels have been so high for so long. Is this normal for a newly diagnosed person?
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1 week since diagnosis - BG still high
- Thread starter JessD
- Start date
Drummer
Well-Known Member
- Relationship to Diabetes
- Type 2
As it is late ish, although I am not using insulin I read a lot of the posts, and I think it is usual for levels to be brought down slowly to reduce the shock of large alterations.
Have you been given any sort of information about counting the carbs in a meal, or what sort of numbers of carbs the insulin is expected to deal with?
Have you been given any sort of information about counting the carbs in a meal, or what sort of numbers of carbs the insulin is expected to deal with?
Drummer
Well-Known Member
- Relationship to Diabetes
- Type 2
Perhaps it is a matter of fine tuning for foods - I know that if I eat peas or beans I react as though had eaten twice as much.
You are not alone in finding it difficult to sort out doses, particularly in the early days. Were you told about correction doses, that is another thing I have read, to correct any misalignment of food and dosage once it is detected.
You are not alone in finding it difficult to sort out doses, particularly in the early days. Were you told about correction doses, that is another thing I have read, to correct any misalignment of food and dosage once it is detected.
His ketones are good. Consistently very low. They only programmed his smart meter today. I think his insulin to carb ratio is 1:15/1:14 depending on the time of day.
As we’ve only just started carb counting, they’ve told us not to count veg for now (except for starchy veg like potatoes). He’s not a great veg eater though at the best of times! We have been told to test 2 hours after meals and give a correction dose as indicated by the smart meter.
13.3
Due back at the clinic next Friday. The nurse is going to ring us before that though so she might suggest we change his insulin to carb ratio before Friday I guess.
Lucyr
Well-Known Member
- Relationship to Diabetes
- Type 2
The ratios are set by starting with a cautious guess then adjusting by trial and error. It’s totally normal to not have them quite right yet and I’d expect they will increase doses at the next appointment. Keep an eye on the ketones and hopefully things will start improving.
Inka
Well-Known Member
- Relationship to Diabetes
- Type 1
That will be part of the problem then. Eating on a high blood sugar tends to push you higher than the same meal on a normal blood sugar.
Even so, I’d think his ratio needs looking at (presuming you counted the carbs right) and perhaps his basal dose too. That’s all quite normal.
Personally I’d be phoning the nurse rather than waiting for them to phone next week. I’d also ask about the blood sugar range they were aiming for your son to be in, just so you know.
trophywench
Well-Known Member
- Relationship to Diabetes
- Type 1
Contrarywise somewhat - I think it sounds like his basal insulin dose(s) need tweaking too cos until you get the basal as right as it can be right now (which is always temporary anyway cos things need tweaking quite a lot as time goes on) you can't crack the bolus doses.
Patience!! This is a marathon - not a sprint!
Patience!! This is a marathon - not a sprint!
Hi Jess, just to add that those ratios are very small amounts of insulin so there's plenty of scope to increase gradually. To give you an idea, I ended up at 1:7 bolus and 22 units of basal.
Because of the high post meal reading and the high pre meal reading, I would also press for a more rapid increase in bolus and basal.
Try not to worry too much.
Good luck.
trophywench
Well-Known Member
- Relationship to Diabetes
- Type 1
Of course it is wisest to reduce high BG slowly since doing it mega quickly can certainly cause damage eg retinopathy - so let's not risk going there!!
Thebearcametoo
Well-Known Member
- Relationship to Diabetes
- Parent
Frustratingly you’re still at the data gathering phase. With a new diagnosis it will take a while for them to get an idea of if his body is still producing insulin or not, how sensitive he is to the insulin, and other factors. How was he 4 hours after his insulin? Whilst novorapid works hardest 1-2 hours after injecting it does keep working for 4-5 hours after and sometimes we can see with the CGM that my daughter only gets back into target 4 hours after injecting but if we up the ratios she will be hypo 4 hours after injecting. What you may have is that the ratios need a little tweak but it may also be that actually it’s about the timing of the dose. Keeping a record of what he eats (the foods, the carbs, and roughly how fatty it is) may help you work out when to give the injection. Sometimes 20 minutes before a meal is needed. Sometimes splitting the dose so some goes in later is needed. But right now you’re still data gathering so don’t worry about making too many changes just yet. Him going up to 20+ isn’t ideal but is very different to him staying at 20+ for long periods so don’t panic. Keep in touch with your team. Keep data gathering. Have patience.