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bs wont go down?

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A

aliceb

New Member
Relationship to Diabetes
Type 1
Hi there

I havent been on here much so feel like a bit of a stranger but hi 🙂

I was diagnosed in march with T1 and all has been well with my last hba1c going from 121 to 57 in 3 months 🙂

now I think I'm coming out of the honeymoon period and upping my insulin slowly.. but tonight has completely thrown me.. it was 15.9 earlier so I took a correction dose.. tested again 2 hours later and it comes back with 17.6? Took a couple more units and 2 hours later 16.7? Does anyone know what's going on because I haven't got a clue! Help! X
 
I know the weather affects lots of people and pushes things up.

Can't offer any advice but a couple of things to think about, have you done anything differently? What have you been eating and drininking and what have your activity levels been like?

Hope you get things sorted.
 
Is it a one-off 'one of them things'? Could your insulin have been compromised in some way, or from the batch mentioned in the Pumping forum?

If it's a regular event, it might be worth asking your DSN if you could be becoming resistant, in which case metformin might help like it does for some of us T2s.
 
Hi Alice, there are lots of possible reasons for unexpected high levels. What had you eaten earlier on? Foods like pasta, pizza, or high-fat foods can cause sustained rises in the BG level hours after eating. If you have an illness, fever or infection your levels can go up. There is also an effect from hormones causing high BGs at certain times of the month.

Whatever the cause, you need more insulin. You say you've recently needed to increase your insulin doses, so have you also increased your correction factor? A rule of thumb is to use 100 divided by your TDD (total daily dose of basal+bolus - take an average over the past 3-4 days). E.g. If your TDD is 25 units, a useful correction factor would be 100/25 = 4 mmol reduction for every 1 unit of insulin. If your TDD goes up, your correction factor will go down, ie. 1 unit of insulin won't drop you by as much.

If you're already doing that and it seems ineffective, try a fresh cartridge of insulin from the fridge. Also, don't forget to check your ketones if your levels stay high. Hope they come back down soon 🙂
 
If it is in fact the end of the honeymoon period then it would be wise to 'start at the beginning' if you like, in other words, get your background dose tested........

this will then set you up for your new insulin requirements.......🙂
 
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