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BG PATTERNS FOR TYPE 1 - HELP WITH

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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, I'm terrible at spotting bg patterns so if anyone wants to help out here please do 🙂

18/5/2021
14:05pm - 5.9 - 5.3 cp - 4 units humalog - lunch
9:12am - 4.5 - 3.4 cp - 2 units - humalog - breakfast
6:16am - 4.1 - 20 units Tresiba

17/5/2021
22:23pm - 8.9 - bedtime
19:28pm - 7.3 - 5.2 cp - 5 units humalog - teatime
13:55pm - 7.3 - 4.8 cp - 4 units humalog - lunchtime
9:08am - 6.1 - 3.4 cp - 2 units humalog - breakfast
6:26am - 3.7 - waking - 21 units tresiba - ate 4 jelly babies to treat hypo
 
Is there any particular time of day/night that’s bothering you @mum2westiesGill ? The first thing I noticed was that you woke slightly low both days. That would worry me. I always try to wake in the 5s or 6s.
 
Inka said:
Is there any particular time of day/night that’s bothering you @mum2westiesGill ? The first thing I noticed was that you woke slightly low both days. That would worry me. I always try to wake in the 5s or 6s.
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Hi @Inka there's no particular time of the day - what bothers me is that my bgs since 1992 are always so erratic :(
 
Interesting that you need a lower ratio of insulin to carbs for breakfast when most people are the other way around.

I am guessing you reduced your Tresiba dose as a result of the low morning readings, which was obviously the right thing to do. Will be interested to hear what your fasting reading this morning was.

Otherwise those results look very good to me.
 
Those look pretty good to me @mum2westiesGill 🙂 Type 1 is hard work and we’ll never get perfection all the time. I find things can change - usually just when I think I’ve sorted things out well. So many things affect blood sugar.
 
Those results don't look erratic to me.
 
If you want to tighten things up a bit, you could try a half unit pen for your Humalog, if you haven’t already got one. That way you can get your boluses more accurate and that can smooth off blood glucose a bit.
 
I now see you have posted a 5.5 for this morning on the Group 7-day waking average thread, which looks like your basal reduction has done exactly what you needed it to do
 
19/5/2021
9:16am - 8.0 - 3.6 cp or 36g of carbs - 4u humalog - breakfast
7:10am - 5.5 - waking - 20u tresiba

18/5/2021 - follow on
22:51pm - 10.4 - bedtime - had 1 bag of crisps during the evening 9 cp - no humalog
18:45pm - 5.4 - 8.5 cp - 7 units humalog - teatime
 
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That looks like you are managing it really well.
I assume you mean 0.9 cp or 9g carbs for the crisps rather than 9cps as that would be a HUGE bag of crisps!
Is there anything in those results which concerns you?
 
As others have said, these numbers don't look too bad.
One thing that strikes me is that you are only noting the carbs that you consume.
For me to spot any patterns, I also need to consider how much exercise I have done in the last 24 hours and how stressful the day was.
There is also stuff like whether I have had the jab but that's rare so I treat that as a one off.
 
rebrascora said:
Interesting that you need a lower ratio of insulin to carbs for breakfast when most people are the other way around.

I am guessing you reduced your Tresiba dose as a result of the low morning readings, which was obviously the right thing to do. Will be interested to hear what your fasting reading this morning was.

Otherwise those results look very good to me.
Click to expand...

Hi @rebrascora - yes I reduced my tresiba from 21 units to 20 units on 17/5/2021 - this was for the low morning reading and also because I'd had a couple of hypos and low readings ie in the 4s on the previous few days - I hope that's the right thing to do.

You would think that being type 1 since 1992 I would know it all but I do panic as to getting things right which is why I'm liking getting the comments on my thread.
 
rebrascora said:
That looks like you are managing it really well.
I assume you mean 0.9 cp or 9g carbs for the crisps rather than 9cps as that would be a HUGE bag of crisps!
Is there anything in those results which concerns you?
Click to expand...
Yes it was 0.9 cp or 9g of carbs - 9cps would be 9.0 cps or 90g of carbs wouldn't it lol - thanks for noticing this
 
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Inka said:
If you want to tighten things up a bit, you could try a half unit pen for your Humalog, if you haven’t already got one. That way you can get your boluses more accurate and that can smooth off blood glucose a bit.
Click to expand...

Hi @Inka - thank you for the suggestion of a half unit pen but.....I've always used 1 unit pens - after entering bg & carbs amount the mysugr app advises how much insulin to take so how would I go on with a half unit pen?
 
mum2westiesGill said:
Hi @Inka - thank you for the suggestion of a half unit pen but.....I've always used 1 unit pens - after entering bg & carbs amount the mysugr app advises how much insulin to take so how would I go on with a half unit pen?
Click to expand...

A half unit pen just has more ‘stops’ when you dial up your dose. So, for example, instead of choosing between dialling up 4 units or 5 units, there’s an extra ‘stop’ between them which is 4 and 1/2 units.

I’ve never used a bolus advisor so not sure how that would work, but it would mean you wouldn’t have to round up or round down doses so much.
 
helli said:
As others have said, these numbers don't look too bad.
One thing that strikes me is that you are only noting the carbs that you consume.
For me to spot any patterns, I also need to consider how much exercise I have done in the last 24 hours and how stressful the day was.
There is also stuff like whether I have had the jab but that's rare so I treat that as a one off.
Click to expand...

Hi @helli - thank you for your comment - re exercise do you mean keep fit or just simple exercise such as walking the dog, housework, I also work from 11:30am - 1:00pm as a midday assistant in the dinner hall and the playground?
 
mum2westiesGill said:
Hi @rebrascora - yes I reduced my tresiba from 21 units to 20 units on 17/5/2021 - this was for the low morning reading and also because I'd had a couple of hypos and low readings ie in the 4s on the previous few days - I hope that's the right thing to do.

You would think that being type 1 since 1992 I would know it all but I do panic as to getting things right which is why I'm liking getting the comments on my thread.
Click to expand...
Yes, that was exactly the right thing to do. I think you should have more confidence in yourself because it looks like you are doing really well.
I can't comment about how you would manage with a bolus advisor as I don't use one either, but I love my half unit reusable pens both for enabling that more fine adjustment but also because they are more environmentally friendly than disposable pens.
 
rebrascora said:
Yes, that was exactly the right thing to do. I think you should have more confidence in yourself because it looks like you are doing really well.
I can't comment about how you would manage with a bolus advisor as I don't use one either, but I love my half unit reusable pens both for enabling that more fine adjustment but also because they are more environmentally friendly than disposable pens.
Click to expand...

@rebrascora - re having more confidence thank you so much for saying that you think I'm doing really well - it's other type 1 diabetics who will probably understand each other more.

My dsn just keeps saying hmm they're so erratic & this is why I am worrying so much.

I carb count at home mostly by looking at packets followed by weighing then carbs and cals.
My next hurdle is eating out again since all the lockdown - I guess I will either get it right or wrong ie going high or low
 
It may be that the DSN has commented on occasions when your levels have been erratic (it happens to the best of us from time to time.... I have just had a shocking 3 month spell as a result of my Covid vaccines and things are just settling back down now) so lots of things beyond your control can cause problems. Or perhaps you are not getting the timing of your bolus insulin quite right and you are spiking badly after meals but then coming back down before the next meal. The Libre should show if that is happening and carefully adjusting how soon before meals you inject is key to sorting that problem. Do you have Freestyle Libre and if so, are you seeing large spikes on your Libre graph between meals? Maybe going up to mid teens? If you don't have Libre, try testing at one and 2 hour intervals after food to see if this is happening and then adjust your prebolus time by 5 mins longer next time and try again.
 
mum2westiesGill said:
Hi @helli - thank you for your comment - re exercise do you mean keep fit or just simple exercise such as walking the dog, housework, I also work from 11:30am - 1:00pm as a midday assistant in the dinner hall and the playground?
Click to expand...
It is all exercise whether you are wearing lycra or walking boots or whether you are pushing hoover around. Our diabetes does not know what it is.
But, you may find that, the days you are not working your readings are slightly different (probably higher but we are all different) than the days when you are chasing kids around the playground for 90 minutes, for example
 
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