BS - advice on these results please

[mum2westiesGill]

As my thread title says i'm looking for advice on these results please

Sat 14/04
Bedtime (2313pm) - 5.9

Sun 15/04 (low bs all day)
Hypo (0755am) - 2.6
Bedtime (2311pm) - 3.8

Mon 16/04
Hypo (0714am) - 2.6
Bedtime (2335pm) - 21.4

Tue 17/04
Hypo (0754am) - 2.8
Bedtime (2326pm) - 3.2

Wed 18/04
Fasting (first test of the day) (0834am) - 17.4
Bedtime (2310am) - 17.7

Thur 19/04
Breakfast (first test of the day) (1137am) - 6.1
Bedtime (no bedtime test)

Fri 20/04
Fasting (0724am) - 5.9
Bedtime (2247pm) - 12.8

Sat 21/04
Hypo (0818am) - 2.8

 

[Pigeon]

Hi Gill, what a week!

Can't give any advice on here, but if it were me with all those morning lows I would look at reducing my basal insulin. For example, on Monday night and Wed night when you were high did you take a correction dose at all? If not then that is a massive drop in BG by the next morning, so I would knock a few units off my basal dose. The mornings when you woke up high could have been because you had a night time hypo and your liver dumps out glucose and ends up sending you high.

Do you check at other times of the day, e.g. before lunch and dinner? That can help you to see if your meal doses are correct as well.

Hope you manage to get sorted soon, do you run your BG results past your DSN? With so many readings at the low and high end of the range I would be asking for proffessional advice.

 

[mum2westiesGill]

Hi Pigeon,

Thanks for replying. Yes i did actually reduce my basal insulin a few weeks ago then ended up getting a lot more highs than lows. On Monday night i did 4u QA correction & when i look at the comments in my diary it says "may not have done QA at teatime, pen needle still in case" so obviously realised this. On Wednesday night i didn't do a correction maybe because i have something about doing corrections at bedtime in case i have a massive hypo. I've heard of waking up to high levels - Dawn Phoenomenon.

Yes i do check at other times of the day

Sun 15/04
Other (0814am) - 4.6
Bfast (1147am) - 5.6
Lunch (1514pm) - 5.4
Dinnr (1919pm) - 5.2

Mon 16/04
Hypo (0731am) - 3.6
Other (0757am) - 8.2
Bfast (1110am) - 7.3
Lunch (1522pm) - 6.1
Dinnr (1927pm) - 8.3

Tue 17/04
Other (0818am) - 7.4
Bfast (1104am) - 13.1 (had bfast insulin plus 2u correction)
Lunch (1619pm) - 8.1
Dinnr (1956pm) - 7.5

Wed 18/04
Bfast (1126am) - 12.3
Lunch (1459pm) - 12.0
Dinnr (2027pm) - 12.8

Thur 19/04
Dinnr (1944pm) - 14.2

Fri 20/04
Bfast (1048am) - 8.9
Lunch (1253pm) - 13.6
Dinnr (2056pm) - 16.0

 

[trophywench]

Well .....

Looks to me like your Lantus is OK ish overnight, as what you are looking for is a change of no more than 2.0 (exactly 1.7 to be precise but 2.0 is usually used to KIS) overnight - up or down. If you are going to drop overnight, which you do - then you need to go to beddy byes with a reading of sufficient for your waking reading not to be hypo - so in your case that would be precisely 6.0.

However on a couple of those days a couple of things appear to have happened. One night you either rose all might OR you had a hypo followed by reactive hyPER glycaemia and then you have 2 days where you were far too high all day.

There's summat not at all right somewhere Mrs.

You'll have to do a 24 hour basal test - ie over 4 days. And when you've done that, do it again and see if you get much the same results and that tells you anything.

http://www.diabetes-support.org.uk/info/?page_id=120

Personally I never got anywhere adjusting Lantus, not till after I changed to 2 x Levemir did I feel anywhere near control, for the first time in about forever.

 

[mum2westiesGill]

Hi trophywench,

Thank you for your reply.

Like you say "There's summat not at all right somewhere Mrs".

I've done a spot of basal testing on occasions but i really dread doing the night time one because i HATE having my phone alarm set & disturbing my OH 😱. I sometimes put my phone under my pillow to catch the alarm as soon as it goes off. Dosen't matter though if Whisky (our doggie) disturbs OH though. Also i've never done the day time basal test.