Basal dose short at moment....

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Matt Cycle said:
Agree with Jenny, not sure why you were changed. If you're not happy with it, tell them. I'd been on Levemir for over 10 years. Had one serious hypo last year (my awareness has all but disappeared) resulting in a car accident and happened to see a new consultant a few days later who suggested Tresiba. I was still shaken up from the accident and agreed to it. After a few months it was clear to me that due to the exercise I do it wasn't working well enough for me. It was okay and I could live with it and had lived with it including carrying on exercising but the split Levemir was a better more flexible option. I spoke to my DSN on the phone and explained all this, she agreed and changed the prescription with the GP back to Levemir. All relatively straightforward.
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They said they are not changing it again! and this is the first time i've changed my insulin! I don't get where all this bad attitiude is coming from.....very unpleasant people to deal with.
 
Amity Island said:
They said they are not changing it again! and this is the first time i've changed my insulin! I don't get where all this bad attitiude is coming from.....very unpleasant people to deal with.
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What area of the country are you in?
 
everydayupsanddowns said:
I can't give you advice, as I am just some random nutter on the internet. But I can share my experience which is that for me it is absolutely NOT the case that diabetes works out like that maths-wise. If my basal is slightly short I can need to add units and units of insulin in corrections, but when I finally basal test and cautiously adjust my background dose I need to add a very small amount spread over the day.

In your shoes I would first do a fasting basal test to ensure that it actually WAS my basal that was adrift. And then adjust by something like 10% of my dose if it seemed an adjustment was necessary. Leave that a couple of days... recheck... repeat... and so on.

There's a helpful guide to basal testing here http://www.diabetes-support.org.uk/info/?page_id=120.

As others have said you do need to be cautious especially with a flat-ish profile insulin like Tresiba, because your requirements through the day might be varied. And you risk your basal over-reaching your needs of you push it up too high, which will more than likely give you a ton of hypos.

Good luck with it!
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Hi, thanks very much for your reply. I have done basal test on missed meals and overnight, background is rising 2mmol per hour. Trouble is I used to take 21 units Lantus, the DSN started me on 8u TRESIBA, so you can probably understand my predicament. The 8u was based on the fact that when I was exercising on Lantus my dose was 12u. But, you can't adjust tresiba each day (takes 3 days to see the change). I haven't been exercising, so my basal needs to be nearer to 21u I think?
 
Some on here have been reffered out of there local area. Diabetes Uk have a helpline number on the main page I suggest you give them a call.
 
You are being treated appallingly. They will have a complaints procedure you can use if you wish to make an official complaint.
Here is Diabetes uk helpline number
0345 123 2399
 
grovesy said:
Some on here have been reffered out of there local area. Diabetes Uk have a helpline number on the main page I suggest you give them a call.
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Thanks so much for your advice, I will do just that tomorrow. Thanks again. I'm just not gettting anywhere with these.
 
Ljc said:
You are being treated appallingly. They will have a complaints procedure you can use if you wish to make an official complaint.
Here is Diabetes uk helpline number
0345 123 2399
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Thanks so much for your advice, I will do just that tomorrow. Thanks again. I'm just not gettting anywhere with these. I've put the number into my phone.
 
The basal test guidelines I use (John Walsh/Ruth Roberts) suggest over the entire course of the test your BG should not move up or down by much more than 2.7mmol/L. If yours is rising 2mmol/L EVERY hour you are really going to struggle. If you dose perfectly for a meal and start bang-on mid range, you will be in double figures after a couple of hours. Sounds like you need to tweak your basal to me. If you do so, just do it gradually and test lots. 🙂
 
everydayupsanddowns said:
The basal test guidelines I use (John Walsh/Ruth Roberts) suggest over the entire course of the test your BG should not move up or down by much more than 2.7mmol/L. If yours is rising 2mmol/L EVERY hour you are really going to struggle. If you dose perfectly for a meal and start bang-on mid range, you will be in double figures after a couple of hours. Sounds like you need to tweak your basal to me. If you do so, just do it gradually and test lots. 🙂
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Hi Mike, it's been a interesting week. Took me the whole week to get the b.g under control, i've been making corrections for the usual highs, plus corrections for the ketones, plus corrections ahead for the shortage of basal. Not had time to do much else this week but test and change etc. First time today got them all under control. I've learnt more these past few weeks than ever. You do learn a lot when you do lots and lots of tests, changes and keep logs.
 
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