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confused..... help needed!!

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G

Ginnie

Active Member
Relationship to Diabetes
Type 1
The past few days haven't been great I have had alot of hypos then high levels which have made me feel rubbish and pretty tired but I have started to notice im having a hypo then sometimes another not long after. Last night was a all time record so heres what happened :
23:00-3.5
23:50-3.1
00:10-2.6
00:50-3.3
01:05-6.4
I treated hypos with 4 jelly babies and biscuits each time pretty much apart from one I had milk instead of the biscuits..... Last night was a true test for me plus eating that late at night when I started to feel sick didnt help and now the smell of jelly babies make me feel ill. Any advice would be great :( it was a few days ago my levels were great I actually thought I had some form of control and might of even finally got my insulin right....
 
Hi Ginnie, remind me what insulin you are on? How long before going to bed did you eat/inject? I've had the occasional night where BG keeps dropping and could only put it down to my lantus deciding to suddenly get absorbed over a couple of hours rather than the 24 it's supposed to 😱 Also, it can happen that your insulin requirements change rather abruptly - mine came down very quickly by about 50% about 8-9 months after I was diagnosed so I needed to do a lot of night testing.
 
Im on novo rapid and lantus I carb count and im on 12 units of the lantus. I ate at around 9 last night but I usually eat that late. I was only diagnosed at the end of September but they think iv had diabetes since about may. I dont fancy another night like that again and im not keen on a few hypos instead of the usual one..... Thank you for the quick reply.
 
Hi Ginnie

I think it's advised to check again 15 minutes after a hypo to make sure your hypo treatment has worked and if not take some more. Subsequent hypos are sometimes a continuation of the first hypo.

I was always told to take quick acting followed by slow acting but on a recent Dafne course, they said fast acting, check after 15 minutes, repeat if necessary. I think the latter is on the assumption that you basal's ok though.
 
Hi Ginnie,
Since being on a pump, I can't quite remember my days on lantus, even though I was on it for years.

How about a small in size but slow release snack before bed???

I'd seek advice however from your diabetes care team. I would have expected your requirements to increase slightly due to the 'honeymoon' period possibly ending, not the opposite?

Trophy Wench on this forum gave me a grand piece of advice - if you can get rid of the lows then you'll get rid of the highs!!

Hope it settles down for you
 
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I know what you mean when you said the smell of jelly babies made you feel sick. I am like that with loocazade. Hope you find sone answers 🙂
 
Ginnie said:
Im on novo rapid and lantus I carb count and im on 12 units of the lantus. I ate at around 9 last night but I usually eat that late. I was only diagnosed at the end of September but they think iv had diabetes since about may. I dont fancy another night like that again and im not keen on a few hypos instead of the usual one..... Thank you for the quick reply.
Click to expand...

Sounds like the hypos may have been due to the novorapid then - for me this can still be causing my levels to drop for up to 5 hours. If you had a hypo just two hours after eating then it sounds like you may have miscalculated your meal dose. I try to eat/inject at least 5 hours before bed so that there is less likelihood of hypoing in my sleep, so if possible it would be worth considering eating earlier (or going to bed later!).
 
Thanks lizzy I have the jelly babies for fast acting and toast or biscuits for long lasting I usually text around 20 mins after but ill make sure im on top of it next time..
Hyper suza any suggestions on a snack I use to have some fruit but I still had a hypo? One problem is im sick of eating when I dont have to.
Im trying to find q alternative to jelly babies hobie I dont think I could eat another 1.
Arent you really heating 5 hours before bed? Hmmm maybe I got it wrong which is annoying. Thank you everyone for the advice!
 
Another suggestion, change your carb ratio 🙂 hope you have a hypo free night.
 
I changed it last week but I was hitting 16 and couldnt handle being that high so after two days went back to my old ratio and had a great few days then the past 5 days have been rubbish iv had a few hypos but last night was the worst its ever been. Thank you pumper sue fingers crossed its hypo free...
 
Well if you basal IS correct, and you didn't miscalculate either the carbs or the insulin for your meal, then Yes, it appears your carb ratio is wrong. At least for your evening meal, that's not unusual to have different ratios at different times of day.

You hadn't like done exercise or shovelled snow or anything out of the ordinary yesterday had you - did you have to walk anywhere or something?

By the way, that was entirely ONE hypo. You were plummeting like a 10 ton weight dropped off a cliff, nothing was enough to stop it because it never rose whatsoever in the whole 2 hours till the end and you need to get to the bottom of WHY it was plummeting at that speed.

Dump the jelly babies, use FAST ACTING carb - ie GLUCOSE.

I personally use orange flavour Lucozade, can drink a lot more orange op than I can stomach Original Lucozade, and there are quite a few different flavours now.
 
I hadnt thought of changing my ratio throughout the day I might try a 1:1 ratio for my meal tomorrow night and see if it helps. I did no extra exercise the only thing I did different was have some paracetamol due to a headache but would that effect anything??? Never knew it was one hypo and I wouldnt know where to start with why I dropped its so frustrating not being able to get your levels 'normal' especially after trying for that long and late at night. I might give lucozade a go im not keen on fizzy drinks cant drink it fast :/ but im pretty much at the point where ill give anything a go to get some control back without running high.
 
Ginnie said:
I changed it last week but I was hitting 16 and couldnt handle being that high so after two days went back to my old ratio and had a great few days then the past 5 days have been rubbish iv had a few hypos but last night was the worst its ever been. Thank you pumper sue fingers crossed its hypo free...
Click to expand...

Hi Ginnie,
as TW has mentioned about any unexpected/unplanned exercise being the cause, perhaps see what happens tonight. then do some basal testing. Things do change due to very cold weather or hormones.
If basal fine then it has to be down to bolus.
No chance you made a mistake with your bolus?
What is your carb ratio and what did you change it to last week?
 
I could of made a mistake its just seems to be a pattern recently with so many hypos surely im not making that many mistakes??? I was in a 2:1 last month and this month gone down to 1.5:1 last week I tried 1:1 but was tired all the time due to high levels. My levels have been high tonight but I didnt inject with my meal as I had a hypo just before so.... The other thing I have done differently this month is inject in my leg instead of my belly could that cause more hypos?
 
Hi Ginne, when i work hard (as its not just the gim thats exercise) even the next day it affects my exercise. Your long acting insulin, could you have taken i bit more??
For hypo's i have a small botle of pop, i get them from asda, 12 for ?2.50 and morrison 6 for 99p. There the same size as panda pop botles, but 10 grams.
Hope you have a better night tonight.
 
I have worked more shifts at work maybe thats had something to do with it! I had one hypo before my tea but not at night went to sleep at 10 and woke up for work this morning at 2.8!!!! I dont know why....
 
Yes changing the injection site can definitely make a difference to absorption rates Ginnie.

This is something a good many people notice - I know for instance that Mike (EDUAD) has found a difference and has remarked upon it, plus others have too.
 
Ginnie said:
I have worked more shifts at work maybe thats had something to do with it! I had one hypo before my tea but not at night went to sleep at 10 and woke up for work this morning at 2.8!!!! I dont know why....
Click to expand...

The obvious answer is you are on to much insulin 🙂
Have you actually done any basal testing?
Perhaps make some sugar free jelly for tonight and skip your evening meal and test every hour until you see what's going on.

You obviously have a problem and you need to play detective and find out what and where things are going wrong.
Start with the basal. If you are not sure how to basal test then look at the sticky in the pumping forum and read that. It applies to people on MDI as well.
 
Well I might try injecting in my belly see if it maked any differencr but ill.definitely get on being detective...... Someones got to have fun 🙂
 
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