CGMS and my insulin resistance has dropped.

[Marc]

So we went for take two of the CGMS today with nicely shaved belly and it worked first time. Now after weeks of high insulin resistance it has dropped like a stone. I often get hypo warnings at 4.5-4.9 mostly hypo munchies and have to control myself. I've had that twice today 😡

But D P CGMS is gonna get you!

Marc

 

[Northerner]

Good stuff. Hope you can track down and solve that DP Marc! 🙂

 

[Natalie123]

Typical! Might it be stress or are you feeling particularly positive about having the CGMS? Sometimes when I feel happy (when I change insulin types and when I got my CGM) my sugars decide to behave themselves! I hope you catch the DP soon! Try not to let the CGM influence what you do, try to ignore it and get on with things as you normally would. Good luck!

 

[Marc]

We may not have the Miss D Phenomenon in custody but we will have CGMS footage. Had me 22 units lantus with BM of 5.8mmol at 23:11 had a 2CP bit of toast as wee bit low. At breakfast 07:03 I was 12.1mmol. So we wait for the DSN to analyse the CGMS results.

Why is it when people mention the diabetic fairy I always think of Mavis Cruet from Willo the Wisp prolly showing my age.

Marc

 

[novorapidboi26]

I assume as you have the sensor you didn't get up for a 3 am test....?

If you did , what was it...........?

 

[Marc]

No because if I do get up at 3am it makes me just as rough as if I don't but TBF sometimes when I've caught one I've still woke up high in the morning. Plus I have early starts so not practical.

Marc

 

[novorapidboi26]

You have the sensor, but if you didn't you could only confirm the DP with a test at that time..........

 

[Robster65]

It would imply that the toast sent you high in the night. Have you tried having less for supper ?

I have some crackers that are about 3.5g each, so I can tweek things without going overboard. If I have 3 of them, when I only needed 1 or 2, I'll be just as high in the morning.

Your lantus may not be far out.

Rob

 

[Marc]

It would imply that the toast sent you high in the night. Have you tried having less for supper ?

Rob

I would think not because when I woke up I was rough as anything so that is why I smell DP all over it. I have personally have to be over 14mmol to start feeling bad.

Marc

 

[trophywench]

I am a bit entirely flummoxed here Marc, I'm easily baffled so please excuse me. I don't understand the need for toast.

2 CP of toast would send my BG up by 6.0, so you were 6 and you landed up at 12, which actually means if it was me, that without the toast I would have woken at 6. Which would mean my Lantus was fine overnight. Now what would you expect 2 CP to send you up by?

If you went to bed with 6, would you normally expect to have a hypo?

 

[heasandford]

Do you expect 2CP to put BG up by 6.0 because you use 1 unit to reduce your BG by 3 when making corrections?

Does everyone else work on this kind of assumption?

Sorry tw, I am also easily confused!

 

[Robster65]

I would think not because when I woke up I was rough as anything so that is why I smell DP all over it. I have personally have to be over 14mmol to start feeling bad.

Marc

But without testing in the night you can't know what's happening. I guessed for about 30 years on and off and have had to concede that I was a long way off for much of that time, although I got away with it.

I hoep your CGM will be able to show patterns and help you to find what's happening through the night, but unless you have evidence of what your BG is doing, I have to agree with TW that the toast could well have sent you high and you'd have been ok without it, or at least a lesser amount.

Rob

 

[trophywench]

No No and thrice No, heasandford!

You have to wait till your BG is stable with only your basal working (and you've tested your basal requirement so you know it's going to stay stable) and you eat an exactly measured X grams of carbohydrate with no insulin (so normally you wouldn't want to eat more than 10g, otherwise you'd potentially have ketones at the end of it!) and test test test for the next several hours.

Then leave it a few days and do it again.

As it happens, yes, my carb ratio is indeed 1u to 10g, and 1u will reduce my BG by 2.5 to 3.0, but it doesn't usually follow quite as neatly as that and you should test that too!

But it is always the starting point, 1u to 1CP and 1u to reduce by 3.0 - and fiddle with it from there.

 

[heasandford]

Thanks, I understand you are trying to stop me from doing something stupid!

I think I really just wanted to know whether everyone knew what rise was caused by a known amount of carbs. My results are so erratic and inconsistent that I can't predict with any consistency. I might start another thread to find out whether everyone finds this out and how they use the information. Thanks again!

 

[Northerner]

Thanks, I understand you are trying to stop me from doing something stupid!

I think I really just wanted to know whether everyone knew what rise was caused by a known amount of carbs. My results are so erratic and inconsistent that I can't predict with any consistency. I might start another thread to find out whether everyone finds this out and how they use the information. Thanks again!

I don't think you can isolate the carbs though, because it will partly depend on what type of carb they are. For example, fast sugar might raise your levels faster than your insulin can deal with it, so you might get a 10 mmol/l rise from 20g carbs. On the other hand if your insulin is peaking it may keep the rise down to 5 mmol/l (if you see what I mean!). So it doesn't just depend on the quantity of carbs, but many other factors too,

 

[trophywench]

Aaah, spotted my deliberate mistake (LOL) Alan - it's 10g FAST carbs!