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Bad bg readings

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spiritfree

Well-Known Member
Relationship to Diabetes
Type 1
Please can someone help me. I am having really bad yo yo'ing bg's ranging from 2.7 to now at 13.2. It doesn't matter how much insulin I have it, it will not come down. Any ideas, please.
 
Have you over done the hypo? Easy to do (been there, done that!) Don't rage bolus the high...best is gradually...take a breath...
 
I wouldn't personally be aggressively correcting that high reading, I dont go too high after hypo's but if I am above target say 8's-9's then I'd only take half my usual correction dose as hypos can breed hypos and stabbing loads of insulin will hit at some point, how long are you waiting before corrections? Xx
 
Sorry to hear you are struggling @spiritfree

Sometimes you need to take a breath, and resist the urge to correct high readings until 4 hours after the last dose.

And treat the hypos, but only using the 15 rule - take 15g of fast acting carbs and wait for 15 minutes. Then recheck and retreat only if still below 4.0.

Resisting the urge to eat everything in the house can be hard! But you don't want to bounce from hypo way up into the teens from having eaten 50g’s worth of jelly babies!

Then try to work out why the hypos are happening. And remember that “hypos breed hypos” and that after one, you are more likely to have another.

It is very frustrating that insulin can take so long to get going, and can appear to do nothing at all. But remember that food and insulin are only part of the puzzle, and that there are other things that affect your levels like stress, illness, activity, the weather, alcohol and even the efficiency of the physical absorption of the insulin.

Rapid insulins last for 4-6 hours and some courses like DAFNE suggest only correcting at the next meal as it can really reduce confusion.

Rapid doses and corrections one after another where insulin ‘stacks’ on top of each other can give rise to unpredictable results.

Hope you manage to have a few more stable days over the weekend
 
One of the best pieces of advice I ever picked up from this forum is if you are bouncing between high and low, don’t fully correct the high, only give yourself about half the correction dose. This may not bring you all the way back down to normal level, but it will bring you to a better level than you were at, and should stop you immediately crashing into another low so that you then have a chance to regain some stability. And it totally works!
 
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