First day

[Jd1961]

Hi I'm just looking for a bit of advice/guidance. I've been on novermix since 2002 lately my control has been a bit ropy, the medics think my pancreas has given up on me, so been decided that I should change to noverapid and toujeo, this is my first day. When I woke up my blood sugar was 9.7 I had the toujeo and went of to work half an hour later I had a massive hypo down to 1.7! Half a pack of glucose tables later and my porridge my bloods were in double figures , is that normal or have I done something wrong?

 

[Robin]

Hi I'm just looking for a bit of advice/guidance. I've been on novermix since 2002 lately my control has been a bit ropy, the medics think my pancreas has given up on me, so been decided that I should change to noverapid and toujeo, this is my first day. When I woke up my blood sugar was 9.7 I had the toujeo and went of to work half an hour later I had a massive hypo down to 1.7! Half a pack of glucose tables later and my porridge my bloods were in double figures , is that normal or have I done something wrong?

Hello Jd, I think it's inevitable that when you change insulins there's going to be a bit of a steep learning curve while you get to grips with it. Firstly, the 1.7. That is dangerously low. Have you been given advice on how much Toujeo to start off with? If you hadn't got any other insulin on board at the time, it does sound like you'd taken too much. Half a pack of glucose tabs and porridge would probably spike me into double figures, but it's very easy to overtreat a hypo when you start from a very low figure. What happened later? Did you start to level out, or were you chasing lows all day? Probably worth discussing your figures with your health care team, who should be on hand to sort you out as you effect the change.
It might be worth your looking at the pinned thread at the top of the Newbie's section. I know you're not a newbie to insulin, but there's some good links there to articles on basal testing, etc, which you might find useful. A book I found particularly useful was 'Think like a pancreas' other people swear by the Ragnar Hanas book for children, which is actually relevant to all ages.

 

[Jd1961]

Hello Jd, I think it's inevitable that when you change insulins there's going to be a bit of a steep learning curve while you get to grips with it. Firstly, the 1.7. That is dangerously low. Have you been given advice on how much Toujeo to start off with? If you hadn't got any other insulin on board at the time, it does sound like you'd taken too much. Half a pack of glucose tabs and porridge would probably spike me into double figures, but it's very easy to overtreat a hypo when you start from a very low figure. What happened later? Did you start to level out, or were you chasing lows all day? Probably worth discussing your figures with your health care team, who should be on hand to sort you out as you effect the change.
It might be worth your looking at the pinned thread at the top of the Newbie's section. I know you're not a newbie to insulin, but there's some good links there to articles on basal testing, etc, which you might find useful. A book I found particularly useful was 'Think like a pancreas' other people swear by the Ragnar Hanas book for children, which is actually relevant to all ages.

Thanks I think it was a bit of a communication problem, I was told to take the insulin in the morning the use the rapid on after every meal, I think I should have taken both with breakfast, well that's what I'm doing now, and apart from being a little to high I've had no more hypo's