BI Split - Could this split dose of BI not be working for me?

[mum2westiesGill]

I seem to be hypoing all over the place now 😡

BS readings since Thu eve 21/02 when I started with my split dose of lantus

Thu 21/02
22.00pm - BI split 14u
22.56pm - 8.2 - bed

Fri 22/02
7.18am - 6.2
10.04am - 12.4 breakfast - QA 6u+3u - BI 14u split (had other 14u at 22.00pm)
15.35pm - 5.6 - lunch
18.56pm - 4.8 - teatime
23.07pm - 3.1 - hypo/bed
23.27pm - 5.7 - bed

Sat 23/02
8.22am - 11.3 - fasting
10.00am - 12.6 - breakfast - QA 6u+3u
13.35pm - 2.4 - hypo - jelly babies 4
13.51pm - 4.6 - hypo 15 minute check
14.56pm - 2.8 - hypo - jelly babies 4
15.12pm - 3.3 - hypo 15 minute check - jelly babies 2
15.28pm - 6.5 - lunch - QA 6u

Also supposed to be going out this evening
http://www.diabetessupport.co.uk/boards/showthread.php?t=34985

inarightoldmess.com

 

[Northerner]

I would be looking at reducing my daytime dose of lantus by a couple of units 🙂

 

[MaryPlain]

I've added some thoughts below:

I seem to be hypoing all over the place now 😡

BS readings since Thu eve 21/02 when I started with my split dose of lantus

Thu 21/02
22.00pm - BI split 14u
22.56pm - 8.2 - bed

Fri 22/02
7.18am - 6.2 This is a significant overnight drop, but as you had only just started the split dose I wouldn't do anything about it yet
10.04am - 12.4 breakfast - QA 6u+3u - BI 14u split (had other 14u at 22.00pm) Looks like possible dawn phenomenon to me
15.35pm - 5.6 - lunch Correction seems to have worked - you don't say what your bolus was?
18.56pm - 4.8 - teatime Pretty stable!
23.07pm - 3.1 - hypo/bed Could be teatime dose was too high - impossible to tell really
23.27pm - 5.7 - bed

Sat 23/02
8.22am - 11.3 - fasting Quite a big overnight rise but was this immediately on getting up or had you already been up a while, in which case it might be the dawn phenomenon thing!
10.00am - 12.6 - breakfast - QA 6u+3u Not significantly different from the earlier test - was this the same breakfast you had the day before?
13.35pm - 2.4 - hypo - jelly babies 4 It's possible that the split dose is now kicking in and your ratios may need adjusting, or it could be the split - impossible to tell without fasting test
13.51pm - 4.6 - hypo 15 minute check
14.56pm - 2.8 - hypo - jelly babies 4 This looks like the morning basal could be too high as it's 5 hours after the breakfast bolus - but I'm not sure what short acting insulin you take - I found that Humalog had a long tail
15.12pm - 3.3 - hypo 15 minute check - jelly babies 2 I'm not sure how much carb is in jelly babies but it might be that you just didn't have enough earlier - personally I check after 20 minutes because I find that a hypo fix often hasn't quite finished raising me at 15 minutes
15.28pm - 6.5 - lunch - QA 6u

Also supposed to be going out this evening Have a good evening!
http://www.diabetessupport.co.uk/boards/showthread.php?t=34985

inarightoldmess.com

 

[pgcity]

I don't think you can tell yet. The best thing to do to check is some basal testing in a couple of days

 

[bennyg70]

Think its still too early too tell... however I stick to my guns andsay that when yu DO finally crack this you will be on significantly less lantus. I would drop a few units if still the same by Tuesday. only 2 or 4 at a time though nothing too dramatic.

 

[mum2westiesGill]

Sat 23/02 (cont)
19.16pm - 4.3 - teatime
00.47am - 14.3 - bed - after a night out and having john smiths 2x and baileys 1x then pizza 2x triangles for supper

Sun 24/02
09.08am - 7.7 - fasting
10.06am - 8.0 - breakfast
15.01pm - 3.1 - hypo
15.17pm - 4.3 - lunch
19.01pm - 4.2 - teatime
22.53pm - 5.5 - bed

Mon 25/02
07.07am - 5.8 - fasting
10.10am - 11.1 - breakfast
12.35am - 10.2 - after breakfast
13.36pm - 10.0 - ditto
14.50pm - 5.8 - lunch

A little bit of help needed here please
I've got my DSN phoning me tomorrow to ask me how things are going with my split dose of lantus/BI
If you were me what would you be saying to her?

 

[mum2westiesGill]

Mon 25/02 (cont)
16.48pm - 4.2 - after lunch
18.18pm - 2.6 - hypo
18.36pm - 3.8 - hypo
18.54pm - 6.2
22.35pm - 3.3 - hypo
22.51pm - 3.3 - hypo
23.09pm - 6.1 - bed

Tue 26/02
08.04am - 3.7 - hypo
08.37am - 6.7

So DSN phoned me. From my results since last Thursday (1st day pf BI split) she went through bedtime & morning BS with me then told her of any hypos I've had. I'm reducing Lantus by 4u altogether so 12u instead of 14 at bedtime and 12u instead of 14 morning.

 

[mum2westiesGill]

Last 5 days results

Thu 28/02
07.10am - 9.5
11.13am - 12.3 - breakfast
15.11pm - 6.1 - lunch
19.13pm - 7.0 - dinner
22.49pm - 3.7 - hypo
23.07pm - 5.8 - bedtime

Fri 01/03
07.30am - 4.5
11.17am - 8.3 - breakfast
13.57pm - 7.0 - lunch
19.00pm - 2.9 - hypo
19.18pm - 3.8 - hypo
19.31pm - 7.2 - dinner
22.53pm - 5.9 - bedtime

Sat 02/03
08.38am - 5.8 - fasting
14.52pm - 5.8 - lunch
20.19pm - 7.1 - dinner
23.40pm - 14.7 - bedtime

Sun 03/03
04/04am - 13.9 - during night
07.22am - 14.4 - fasting
10.53am - 13.7 - breakfast
13.10pm - 8.8 - after breakfast
14.31pm - 7.4 - lunch
18.39pm - 5.8 - dinner
22.28pm - 4.1 - bedtime

Mon 04/03
07.25am - 11.1

Thu 21/02
- first night of splitting lantus
- 14u pm
- 14u am

Tue 26/02
- reduced BI from 14u to 12u am & pm

 

[bennyg70]

Time to see some real basal testing then in my opinion...

Nil by mouth nil by fast acting injection and do some testing over a set number of hours night / morning / day / evening /. Its only then really well be able to see whether the basal side of things is doing its job. With the figures you present here, Its hard to tell whether good numbers are masked by over compensating on QA, or whether your only holding steady over night when you do because you eat before bed...

Just my opinion, but its been long enough to have settled in now to your system. Get the old basal test rules out and do some testing.