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Basal needs gone down

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Flo15

Flo15

Well-Known Member
Relationship to Diabetes
Type 2
Since being on the libre I have eaten much better, it had given me more motivation. However I now think I am on too much levemir in the morning. I split my dose. Last night and nearly every night this week at about 9pm my bloods start dropping. It took 3 orange juice cartons, a mini can of coke, a cheese sandwich to get them stable. I have now lost 5 lbs in weight in 12 days of being on the libre so dont know if this has affected it at all. I have already reduced my night levemir by 5 units and have done the same with this morning's just so i feel safer.I really need an easy day! Will contact my dsn tomorrow.
 
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Are you sure it isn't your carb ratio at dinner time that's out? - cos it's unusual for morning Levemir to be 'very' active by that time in the evening.

If you reduce the morning dose - won't your BG then be a bit high all morning and afternoon?
 
trophywench said:
Are you sure it isn't your carb ratio at dinner time that's out? - cos it's unusual for morning Levemir to be 'very' active by that time in the evening.

If you reduce the morning dose - won't your BG then be a bit high all morning and afternoon?
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Yes you may be right, i wonder if my ratio has changed. I put in 2 units for every 10 carbs. I have significantly less carbs than I used to have. I had my tea at 5pm yesterday and was still trying to get my bloods up at 10 pm and again I am sure my novo rapid lasts for at least five hours. I think I am just in a mess and muddle about it all tbh. Also my stress about what my son is doing education wise has nearly been sorted and I dont feel the overwhelming stress and worry about that either. Will see how today goes and try to get back on track. Its probably too late now to add a bit extra levemir, maybe , I put it in at 10am this morning.
 
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Well - check the profile graph - I always increase screen resolution to 300% - as big as you can without it becoming blurry - cos otherwise the lines are a bit close together to follow very accurately- to see how long your dosage of Levemir is predicted to last (you need your accurate weight in kilos and a calculator for that LOL)

This is intended for T1s primarily of course since nobody or thing can calculate how much insulin any T2 ever makes or when so it isn't 'Gospel' for T2s but is at least a guideline. Again with Novo or Huma - they do both only last about 4.5 to 5 hours and it doesn't matter what Type you are, they run out when they run out for everyone - but if you DO contribute to the party by lobbing in some of your own - well - who knows!!

A lot of T2s will have an absence at least if not a complete lack of 'Phase1' insulin. That's when the carbs are still in your mouth still being chewed and your mouth tells your brain you have carbs on board so it tells your pancreas to lob some insulin in. As you progress with the meal, it produces more to cover the rest of the carbs - Phase 2 insulin. Even where there is no Phase 1 - most T2s have a Phase 2 response - but how much and when - anybody's guess!

http://www.diabetes-support.org.uk/info/?page_id=428
 
I find that my basal requirements are affected by the amount of carbs eaten over the previous few days. My basal requirements (verified, unusually for me,by basal testing) when I tried going back to a higher carb diet on reaching my target weight, were about 20% higher overnight and in the morning. My theory, and I have no idea whether this is likely, is that my liver has more stored glucose from the carbs eaten and so it spits it out more when I don’t really need it!
 
I wonder if i am kicking out insulin natually too. I had lunch at 12.30pm and in the last 20 minutes have gone down 2.5mmol and libre has pointing down arrow too. My blood sugars have been steady all afternoon with a steady arrow. Gone down another 1mmol since.
 
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5.7 now , had two cartons juice. Why are they radiply falling in half an hour, had no rapid since 12.30
 
5.7 is fine . What is that arrow saying.
Basically 4.0 is the floor, below that is hypo territory, though if your body has been used to higher BG levels you can get hypo symptoms above that level, sometimes well above.
We call these false hypo’s, they feel just as bad as real ones but are not dangerous.
Do keep us updated on how it’s goungok, we all know how worrying it can be.


Do you know how to do a Basal Test ?
 
I went from 8.8 which had been that for three hours down to 3.9 in half an hour which was five hours after novo rapid. The arrow is pointing up now as I panicked and over treated. So all this week it is the 4-5 hour mark after injecting novo rapid that my blood fall quickly.
 
Yes I do know how to do a basal test, I was going to skip tea tonight and start it but can't now :(
 
Do you get seen by the hospital and by a properly qualified Diabetes Specialist Nurse, Flo?

Cos I actually think your whole diabetes medication needs revision and I'd prefer an actual expert to oversee it. It isn't a simple tweak here or there - I think Mr Pancreas and his mate Mr Liver, have been asleep and have now livened their ideas up - and though I'll happily suggest a this or a that where I think it's appropriate - I know I am out of my depth frankly.
 
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