Feedback Wanted Please

[mum2westiesGill]

Hi,
If anybody has some spare time please could you review my readings & let me know what you would be changing ie BI Insulin, Mealtime insulin or ratios ~ I'm currently taking 7iu of Levemir BI am & 8iu of Levemir BI pm & ratios are all 1:10 except at lunchtime when it is 1.5:10

03/04/2018 07:56 11.8 Waking

02/04/2018 21:19 23.4 Before eating; Dinner
02/04/2018 10:00 19.3 Before eating; Breakfast

01/04/2018 19:15 9.5 Before eating; Dinner
01/04/2018 15:16 11.7 Before eating; Lunch 4m
01/04/2018 10:59 22.5 Before eating; Breakfast

31/03/2018 12:03 15.6 Before eating; Lunch
31/03/2018 09:25 18.1 Waking; Before eating; Breakfast

30/03/2018 22:43 11.4 Before Bed
30/03/2018 16:50 10.8 Before eating; Dinner
30/03/2018 13:20 14.5 Before eating; Lunch
30/03/2018 10:22 11.0 Before eating; Breakfast
30/03/2018 07:08 12.9 Waking
30/03/2018 00:42 11.5 Before Bed

29/03/2018 20:37 13.6 Before eating; Dinner
29/03/2018 13:30 24.9 Before eating; Lunch; Eating Out; Lunch at Filey Bistro & Coffee Bar
29/03/2018 07:42 17.1 Waking

28/03/2018 23:24 17.1 Before Bed
28/03/2018 19:48 4.8 Before eating; Dinner
28/03/2018 14:43 6.5 Before eating; Lunch
28/03/2018 10:54 19.0 Breakfast
28/03/2018 07:41 13.3 Waking

27/03/2018 23:33 22.9 Before Bed
27/03/2018 19:17 5.9 Before eating; Dinner
27/03/2018 15:51 8.2 Before eating; Lunch
27/03/2018 15:35 3.4 Before eating; Lunch; Hypo; Ate x6 jelly babies to treat hypo
27/03/2018 10:35 18.0 Before eating; Breakfast After effects of chinese last night?
27/03/2018 07:15 15.8 Waking Ate chinese for supper ~ chicken omelete, fried rice ~ had bolus

26/03/2018 14:52 17.4 Before eating; Lunch
26/03/2018 06:52 18.1 Waking

25/03/2018 22:43 10.4 Before Bed
25/03/2018 14:05 16.5 Before eating; Lunch
25/03/2018 11:20 17.8 Before eating; Breakfast
25/03/2018 00:09 32.6 Before Bed Correctional after dinner ~ chinese chicken omelete, fried rice

24/03/2018 21:31 18.7 Before eating; Dinner
24/03/2018 16:13 10.2 Before eating; Lunch
24/03/2018 07:08 24.8 Waking Correctional / Night out last night / Alcohol / Forgot bedtime Levemir!!

23/03/2018 14:53 11.8 Before eating; Lunch
23/03/2018 10:08 18.0 Before eating; Breakfast
23/03/2018 06:50 14.8 Waking
22/03/2018 23:16 19.1 Before Bed

22/03/2018 19:00 15.0 Before eating; Dinner
22/03/2018 10:35 15.2 Before eating; Breakfast
22/03/2018 07:20 9.2 Waking

21/03/2018 23:41 14.9 Before Bed
21/03/2018 19:40 7.0 Before eating; Dinner
21/03/2018 16:13 16.0 Before eating; Lunch
21/03/2018 11:03 13.3 Other
21/03/2018 07:19 25.5 Waking Correction / Forgot bedtime levemir!!

20/03/2018 23:54 16.0 Before Bed
20/03/2018 19:24 9.7 Before eating; Dinner
20/03/2018 14:10 8.4 Before eating; Lunch
20/03/2018 10:00 9.2 Before eating; Breakfast
20/03/2018 07:20 6.9 Waking

 

[Kaylz]

This is really something you should be discussing with your team

 

[Sally71]

It's a bit hard to say really, you are high quite a lot so probably do need more of something, but to get the full picture, every time you do a meal bolus or correction dose, you really need to test again 1-2 hours later to see if that dose has worked. E.g. If you do your lunch bolus and 2 hours later you are about where you started but then by the next mealtime you are high again, you probably need more background insulin. If it never goes down at all then you probably need to change your carb ratio. Also what happens after corrections, if you go down into the right range and stay there everything is ok, if you come up again you need more background insulin, if you never get down into the normal range then you need to change the correction factor.

Do you know what caused the hypo, were you perhaps more active that day or something?

Kaylz has a point, you should really discuss this with someone more medically qualified, how good are your medical team? We are very fortunate and have brilliant backup if we get stuck with anything, but I know a lot of people are not so lucky

 

[Chloe91]

I’d say you need to increase your levemir As you wake up quite high so you’re not eating in the night and still going high. Plus your body naturally releases sugar during the night anyone diabetic or not. Maybe you ratio’s need altering too, has your consultant not suggested any of this? Bless you must be driving you mad x

 

[Chloe91]

Your levemir is lower than my 8 year old daughters and your ratios are lower too. I’m not sure how diabetes is as an adult but most adults I know are on a lot more levemir than my daughter is xxx

 

[grainger]

Need to know what you are eating really and if you are sure you are getting the carb count right for them.

Personally I’d start with one section of the day. Take lunch for example. Do a couple of days with no carbs lunches to give you an indication if your background is enough to keep you steady. If it’s staying steady then you can look at ratios for what you are eating. But you need to be testing post eating 2hrs to show you what your food is doing in the meantime.

If I were you I’d stop with Chinese etc takeaways just until you can get your levels down as takeaways can be notoriously difficult to get an accurate carb count for. Once levels are settled then you can test and modify etc but it would be almost impossible to do when starting so high.

Hope your diabetes team are able to help - sometimes it’s easier for them to see patterns and they should be able to give you advice and help.

 

[Robin]

Your levemir is lower than my 8 year old daughters and your ratios are lower too. I’m not sure how diabetes is as an adult but most adults I know are on a lot more levemir than my daughter is xxx

Not necessarily, I'm only on 5 units morning and 2.5 at night. I think the problem is, from Gill's figures, that we don't know if she had fast acting insulin on board on the days when her BG dropped overnight, which it did on several occasions, so an increase of Levemir would be unwise without some basal testing first.

 

[Chloe91]

Not necessarily, I'm only on 5 units morning and 2.5 at night. I think the problem is, from Gill's figures, that we don't know if she had fast acting insulin on board on the days when her BG dropped overnight, which it did on several occasions, so an increase of Levemir would be unwise without some basal testing first.

As I said, I’m not sure how it works with adults with T1D.