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Group 7-day waking average?

14.9 - 22:37pm - bedtime
- had corned beef sandwich 2 slices = 30g carbs, had 3u QA - a first time ever for me I think before bed but......then had 2 rich tea biscuits 11.2g carbs
6.9 - 10:38am - fasting

lantus decreases:
Tue 29.10 from 24u to 22u
Sat 02.10 from 22u to 20u
Tue 6.11 from 20u to 18u
Wed 20.11 from 18u to 16u
Wed 27.11 from 16u to 14u

Have just spoken with my DSN who I know from the drop-in & also who works at the hospital
- read out all BGs from Monday
- in between all the highs (ie in the teens) the last couple of days I've had hypos so she suggested reducing the lantus from 14u to 12u to try & stop the hypos then to go and see her at the drop in clinic which won't be until next Thursday


what does anyone here think?
 
Last edited:
whiskysmum said:
14.9 - 22:37pm - bedtime
- had corned beef sandwich 2 slices = 30g carbs, had 3u QA - a first time ever for me I think before bed but......then had 2 rich tea biscuits 11.2g carbs
6.9 - 10:38am - fasting

lantus decreases:
Tue 29.10 from 24u to 22u
Sat 02.10 from 22u to 20u
Tue 6.11 from 20u to 18u
Wed 20.11 from 18u to 16u
Wed 27.11 from 16u to 14u

Have just spoken with my DSN who I know from the drop-in & also who works at the hospital
- read out all BGs from Monday
- in between all the highs (ie in the teens) the last couple of days I've had hypos so she suggested reducing the lantus from 14u to 12u to try & stop the hypos then to go and see her at the drop in clinic which won't be until next Thursday


what does anyone here think?
Click to expand...

Well, the three units brought your levels down quite a lot as well as 'covering' the extra carbs you ate. I wonder, however, if your levels would have dropped quite so much if you had used a different carbs to insulin ratio for your late night snack rather than 1 unit per 10g? Given that you would be fairly inactive as you slept, it's possible you didn't need quite so much for the carbs, but part of what you gave was also a correction. For example, if your bedtime level was lower - say 6.0 - then you wouldn't have needed any correction insulin, so a better ratio would have been maybe one unit to 15 or even 20g carbs to cover the food?

It's hard to say without having a full and clear picture, but possibly your lantus is running out before bedtime, so maybe tow injections would suit you better. However, I still think you are complicating things by eating carbs at night as it's making it difficult to determine how much your actual basal requirements are. Sorry, probably not much help!
 
Northerner said:
Well, the three units brought your levels down quite a lot as well as 'covering' the extra carbs you ate. I wonder, however, if your levels would have dropped quite so much if you had used a different carbs to insulin ratio for your late night snack rather than 1 unit per 10g? Given that you would be fairly inactive as you slept, it's possible you didn't need quite so much for the carbs, but part of what you gave was also a correction. For example, if your bedtime level was lower - say 6.0 - then you wouldn't have needed any correction insulin, so a better ratio would have been maybe one unit to 15 or even 20g carbs to cover the food?

It's hard to say without having a full and clear picture, but possibly your lantus is running out before bedtime, so maybe tow injections would suit you better. However, I still think you are complicating things by eating carbs at night as it's making it difficult to determine how much your actual basal requirements are. Sorry, probably not much help!
Click to expand...


No it is of some help thank you. Like you say maybe trying 2 injections of lantus might be better - 50/50? so 12u (which I reduced to last night) would be 6u am then 6u pm. Or altering/tweaking mealtime ratios - I really don't know, I'm just at a complete loss at the moment 😡
 
16.0 - 22:31pm - bedtime
- had a Chinese for tea at 20:11pm, did a split bolus injection, BG at this time was 12.1
12.1 - 10:25am - fasting

lantus decreases:
Tue 29.10 from 24u to 22u
Sat 02.10 from 22u to 20u
Tue 6.11 from 20u to 18u
Wed 20.11 from 18u to 16u
Wed 27.11 from 16u to 14u
Fri 06.12 from 14u to 12u
 
whiskysmum said:
No it is of some help thank you. Like you say maybe trying 2 injections of lantus might be better - 50/50? so 12u (which I reduced to last night) would be 6u am then 6u pm. Or altering/tweaking mealtime ratios - I really don't know, I'm just at a complete loss at the moment 😡
Click to expand...

Well, I think the main thing always has to be to get the basal right first, but that does mean doing proper basal testing without clouding the issue with extra carbs and injections. You've made some good progress over the past month or so by showing that your lantus was much too high, but now I think you have reached a point where you are doing more 'fine-tuning' so you need to just have that one problem to deal with. This means doing a few nights where you test at least 5 hours after your last meal insulin (might mean eating earlier in the evening so that your bedtime test is a reflection of where you are without any QA insulin still circulating). Then test in the night to see what happens. Has your DSN ever covered basal testing with you.

Good luck, you can do it! 🙂
 
Mine was a fairly disappointing 5.9 today but I understand why as I've got a high temperature and a sore throat. :(
 
Carmina said:
Mine was a fairly disappointing 5.9 today but I understand why as I've got a high temperature and a sore throat. :(
Click to expand...

Same goes for my 7.5 this morning, I've been sniffling and sneezing all day :( I blame the ten-minute wait in the Surgery collecting my prescription a couple of days ago - receptionist took forever (well, ten minutes!) to deal with some people in front of my who appeared to be booking about 10 appointments at one, grrr! Onlt time I get ill is when I have to go to the surgery!

Hope you are feeling better soon!
 
Northerner said:
Has your DSN ever covered basal testing with you.

Good luck, you can do it! 🙂
Click to expand...


No, I don't even think they (being my "proper" one who is the practice nurse at my GP surgery & the DSN who I see at the drop in clinic) even know about it 😱

Thanks for the good luck wish 🙂 I can do it & I will do it especially also with the help from the forum 🙂
 
Haven't posted mine for a bit but they've been mostly high fives since I got out of hospital. Not bad at all, considering.
 
Much better now Alan. I haven't had any internal problems since that rock was removed.
 
Good morning 🙂 A not-so-clever 9.4 for me today :( Probably my worst waking level for many a month and possibly due to a bad night's sleep and feeling under the weather. Either that, or perhaps my lantus is beckoning me...
 
Sorry to hear that you're not feeling great Alan. I was 6.2 at 3am and 5.7 when I woke up at 8.30🙂
 
8.6... 😱 I blame that panettone that Pine Marten and I are so fond of...
 
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