Group 7-day waking average?

5.1 this morning
 
Northerner said:
Sorry to hear that Katie :( Hope your levels get back to normal and you have a better night tonight - any idea what caused the hypo?
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yep...the wonderful puzzle that is exercise!! I had active insulin when I went into the class, I was 5.0 when we finished, half hour later (before dinner) I was 7.5. Injected full amount for dinner as levels were rising. 2.5 hours later before bed I was 8.9. 2 hours after that, woke up in a sweaty mess :(

I thought I'd done alright as the levels were rising rather than falling before going to bed. Had I injected less for dinner, I'd have been high surely...?

Makes no sense, but yes, that's why! 🙂
 
imtrying said:
yep...the wonderful puzzle that is exercise!! I had active insulin when I went into the class, I was 5.0 when we finished, half hour later (before dinner) I was 7.5. Injected full amount for dinner as levels were rising. 2.5 hours later before bed I was 8.9. 2 hours after that, woke up in a sweaty mess :(

I thought I'd done alright as the levels were rising rather than falling before going to bed. Had I injected less for dinner, I'd have been high surely...?

Makes no sense, but yes, that's why! 🙂
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I try never to go to bed with active insulin, which I know isn't always easy for everyone. Often, my levels will rise to around 2.5-3hours after eating/injecting and then can fall quite a lot in the next 1-2 hours, so if I am below around 8.5 at 3 hours I'll usually have a snack. Good example was last night - I was 6.0 3 hours after injecting, so had a snack, but even so 5 hours after injecting I had fallen to 3.2, possibly due to earlier exercise. If I had gone to bed at 2.5 hours after injecting and without the snack I would have been through the floor 😱

It sounds like maybe that 8.9 was the peak and then started falling, but you couldn't know that because you weren't able to test after 4-5 hours. If it was me, I'd probably reduce evening meal insulin after exercise to reduce the risk.
 
Northerner said:
I try never to go to bed with active insulin, which I know isn't always easy for everyone. Often, my levels will rise to around 2.5-3hours after eating/injecting and then can fall quite a lot in the next 1-2 hours, so if I am below around 8.5 at 3 hours I'll usually have a snack. Good example was last night - I was 6.0 3 hours after injecting, so had a snack, but even so 5 hours after injecting I had fallen to 3.2, possibly due to earlier exercise. If I had gone to bed at 2.5 hours after injecting and without the snack I would have been through the floor 😱

It sounds like maybe that 8.9 was the peak and then started falling, but you couldn't know that because you weren't able to test after 4-5 hours. If it was me, I'd probably reduce evening meal insulin after exercise to reduce the risk.
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Thanks Alan. Yeah the active insulin stuff is hard as I don't even have enough hours even if I injected as soon as I walked through my front door!!

I am doing a very similar class tonight (high intensity) so will do the same, but half (???) my suggested dose for the carbs....does that sound about right?
 
imtrying said:
Thanks Alan. Yeah the active insulin stuff is hard as I don't even have enough hours even if I injected as soon as I walked through my front door!!

I am doing a very similar class tonight (high intensity) so will do the same, but half (???) my suggested dose for the carbs....does that sound about right?
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My normal reduction would be around 10-20%, so a 50% drop would probably be too much for me - but then I am able to monitor myself before bed. I know it would be a pain, but perhaps you could set an alarm for around 4.5 hours after eating/injecting so you could test and get an idea for how much of a reduction you make. If you reduce by 50% and you are way too high when you test, you'll have an idea of what the reduction might need to be.
 
Northerner said:
My normal reduction would be around 10-20%, so a 50% drop would probably be too much for me - but then I am able to monitor myself before bed. I know it would be a pain, but perhaps you could set an alarm for around 4.5 hours after eating/injecting so you could test and get an idea for how much of a reduction you make. If you reduce by 50% and you are way too high when you test, you'll have an idea of what the reduction might need to be.
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I can only give it a go, hey?! 2am alarm - good luck! class is 7.30 - 8.30pm so should manage to get back and do myself something to eat by 9pm (and inject). Probably won't make it to bed for 10pm, but hopefully 11.

My pen only does 1u increases so it won't be exact, but I'll give it a go! Maybe I'll try tonight just knocking 2 u off. (my i:c ratio is 1.5u:10g) and I'm planning on having 2 slices of toast...about 15g carbs each, so 30 total, so normal dose would be 4.5 (4 if a little lower, 5 if a little higher)...so maybe inject 3u? What about if a correction dose is needed - should I ignore it, or reduce the adjustment dose, or do the adjustment dose at the normal ratio?? Sorry - so many questions! :(
 
imtrying said:
I can only give it a go, hey?! 2am alarm - good luck! class is 7.30 - 8.30pm so should manage to get back and do myself something to eat by 9pm (and inject). Probably won't make it to bed for 10pm, but hopefully 11.

My pen only does 1u increases so it won't be exact, but I'll give it a go! Maybe I'll try tonight just knocking 2 u off. (my i:c ratio is 1.5u:10g) and I'm planning on having 2 slices of toast...about 15g carbs each, so 30 total, so normal dose would be 4.5 (4 if a little lower, 5 if a little higher)...so maybe inject 3u? What about if a correction dose is needed - should I ignore it, or reduce the adjustment dose, or do the adjustment dose at the normal ratio?? Sorry - so many questions! :(
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If I woke up a bit on the high side in the middle of the night I'd just leave it unless it was scarily high - remember that you will also be more sensitive to your basal insulin, and again, if it was me I wouldn't want to be putting any more active insulin into me unless it was absolutely necessary - I know some people are less concerned about correcting but I've only ever done it about 5 times in 4 years. But obviously, I'm only qualified for my own diabetes management 😉
 
5.5 for me today
 
4.7 for me today
 
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