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Group 7-day waking average?

Lanny said:
The leaflet I was given after my hospital stay in May 2017 says to continue taking insulin even if you can’t eat, drink liquids with the bolus instead: there’s things like a mug of ovaltine or horlicks, juice etc. even lucozade as it was before the sugar tax came into existence; just poured too much!
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I did understand correctly! (I was a bit freaked at the time out cos I had ketones at 1.6).
 
Thanks for the clarification.
The advice I remember from DAFNE was to drink sugar free fluids at a rate of 100mls per hour when ill and check levels regularly. Then depending on if ketones were present and the levels of them, you used QA corrections and/or adjusted your basal.

Just dug out my course handbook and thankfully I remember correctly.

Strange that the advice is totally contradictory regarding the nature of the fluids.
 
This is from a page from My Diabetes My Way
How can I manage diabetes when I am ill?
Eating and drinking
If you are vomiting, you do not need to eat until you feel well enough to do so. However, it is important to keep sipping fluids to prevent dehydration. You should drink at least 100 ml per hour of sugar-free fluids aiming for a total intake of 2 ½ to 3 litres per day.

If you do not feel like eating normal meals, try to eat foods that are easy to digest (e.g. soup, ice cream, milk puddings). If you are unable to eat, sip carbohydrate-containing fluids (e.g. fruit juice or a soft drink).

Notice it says both so nobody is right or wrong, just 2 different ways of doing things
xx
 
With DAFNE there is no mention of needing to ingest carbs at all. It just says that you may need larger Quick Acting(QA) insulin corrections than your usual ratio if you are not eating and you are above range but if you are within range you may only need your basal if you are not eating.
 
But then again we all know DAFNE's guidance isn't for everyone xx
 
Ok, 4 hours after NR 18:16, looking AT the meter so no maths involved, BS down to 10.3. Which is where I’ll cautiously leave it & doze. Will try a packet soup mix when I wake later: have a few knorr packets that’ll be a lot at 900ml of water to be added but, will try making up half a packet as I don’t have any cuppa soups; changed my tesco order for tomorrow yet again to more fresh home made soups & cuppa soups with less of the other stuff for later in the week when, hopefully, I’ll eat easier as I get better! 🙄
 
@Lanny.... Put your hands down and don't worry. This is an exchange of knowledge and information and we are all here to learn after all! I have wondered a few times when you have mentioned drinking OJ when not hypo and thought it was odd. At least I now know why.

@Kaylz DAFNE guidance probably suits me less than most since I don't really eat "Normally" whatever that is, but I still find the general guidance useful. I do wonder if the carbs thing in sick day rules is old school when they thought that starvation ketones were toxic like DKA or perhaps from an era when BG levels could not so easily be monitored, or both.
 
rebrascora said:
@Lanny.... Put your hands down and don't worry. This is an exchange of knowledge and information and we are all here to learn after all! I have wondered a few times when you have mentioned drinking OJ when not hypo and thought it was odd. At least I now know why.

@Kaylz DAFNE guidance probably suits me less than most since I don't really eat "Normally" whatever that is, but I still find the general guidance useful. I do wonder if the carbs thing in sick day rules is old school when they thought that starvation ketones were toxic like DKA or perhaps from an era when BG levels could not so easily be monitored, or both.
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@Lanny is a Type 2 on Insulin.
 
@rebrascora many people choose to drink sugary drinks and just bolus for it, it isn't uncommon for people to do so, I know many that do and why not if that's the way you want to go about it and feel comfortable doing so, I don't choose to but that's more to do with my eating disorder

I doubt if the advice was that old fashioned that they would still be advising it now, other aspects that have changed have been recognised and taught so I would assume it would be the same with that and that's the advice I was handed on a sheet when I was diagnosed and My Diabetes My Way is updated regularly with newer advice etc
xx
 
I think the info I had was from My Diabetes My Way too @Kaylz. I printed it off and took it into hozzie with me - then completely forgot about it, der. 🙄 The nurse told me my ketones were high cos I hadn’t eaten all day - starvation ketones, I guess. If I’d been more compos mentis, I’d have had a correction dose, but my brain was a bit flabby-la-la... 😛😛 ...hope you’re back on solids again soon @Lanny (I hate soup!).🙂
 
@Lanny how are you enjoying Picard? I’ve just watched Discovery on Netflix in advance of the new season starting soon. And then we’ve the new series with Captain Archer and pre-Kirk Enterprise to look forward to soon!

Do love a bit of Star Trek from time to time!
 
@ColinUK , it was panned by the critics on Amazon Prime, which gave me pause, but, I love it! But, then I’m a die hard Star Trek fan, I guess, but, oddly enough didn’t like the original series back in the day as Shatner et al were too camp & not taking it seriously enough: it wasn’t until the move to the big screen with the films that I liked the original cast as things were taken more seriously across the board; nobody in the 60’s thought it would become SUCH a cult classic & become so long lastingly entrenched in culture regardless of whether you ever saw any Star Trek ANYTHING with Warp Speed making it into the dictionary! My favourite was the Next Generation which I watched, at the time, as a teenager when I was introduced to the Star Trek world but, was supplanted later by Voyager, the best of the lot, I think! 😛😎:D😉

A bit better I think & actually just woke & had a whole, all 900ml, of a packet soup 22:56 BS 7.6!🙂 Bunged in the 24 units of bolus & will take my basal as usual at midnight! Still very tender in the throat/neck but, hungry & that’s a good sign I think: haven’t been hungry all day & just had water & juice!🙄🙂😉
 
rebrascora said:
Thanks for the clarification.
The advice I remember from DAFNE was to drink sugar free fluids at a rate of 100mls per hour when ill and check levels regularly. Then depending on if ketones were present and the levels of them, you used QA corrections and/or adjusted your basal.

Just dug out my course handbook and thankfully I remember correctly.

Strange that the advice is totally contradictory regarding the nature of the fluids.
Click to expand...

There are two things you need to do when ill.
Hydrate.
And take in food.

The hydration part requires several litres of fluid and that should be sugar free.
The food bit is what the orange juice is replacing.

I think you might be confusing the orange juice with the hydration part which is not it's purpose.
 
04:43 BS 5.9! :D First decent BS back in the 5’s since quite a while, it seems! AND I dialled the midnight Levemir back down a bit from 50 last night, albeit in 2 goes, to 46 to avoid nearly going too low in the early hours of yesterday! Pitched it more or less bang on! 🙄🙂😉 But, I’m about to turn in after being awake all night! I definitely feel I’ve turned a corner & starting to feel better! My neck, under the chin, is not as swollen or as tender as it was & will try solid food later today! My tesco shopping is a bit later today 14:00 to 15:00 so, I can have a good snooze before that! My head feels a lot better, not so achey & can think better too!🙂 The AB’s are. doing their thing!😎

A very early Very Good Morning to you all & have a Wonderful Day!😉

I’m off to get some more z’s! A stream of z’s emoji!
 
7.1 this morning. Horrible day at work again yesterday to the point I was job hunting last night. Couple of things I might be interested in. Hoping to have a meeting with one of the practice managers tomorrow and us 3 secretaries but won’t hold my breath, it’s as though they can’t see or hear us, incredibly frustrating and demoralising.
Have a good day all xx
 
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