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Group 7-day waking average?

Morning

9.9 for me which I'm totally fine with after yesterday and feeling rough af last night, can only assume I may have hit muscle when I bolused for dinner yesterday and the insulin being "spent" before it's usual 4 hours as I certainly didn't overtreat but was a whopping 17.1 at teatime 😱 haven't been that high in a blooming long time! xx
 
Morning all.

10.3 and a positive PCR test. Struck with covid twice in a year. I’m double jabbed and have been trying to book my booster for well over a week!!
 
6.4 not surprising after a little comfort eating last night
 
TA-DA!! First thing this morning.
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🙂

Dez
 
Park Run done. Mainly uphill and muddy so a real battle but it’s done!

And 5.3 this morning. So close yet so far.
 
Good morning everyone 🙂 at 7:40am it was 4.4 for me - had 15.0 units of tresiba.
Usually I continue with a bit of a lie in then have my breakfast around 9am - 9:30am ish and bg has gone up a little bit when I do my before breakfast test but.......this morning I fell back to sleep and didn't wake until just before 10:34am!! So now my breakfast is much later than usual which means lunch around 1:30pm ish and dinner are going to be later than usual 😡. Then when I tested at 10:34am my bg was 3.2 😡 - I had 4x dextrose tablets and waited 15 minutes then tested again and bg was 8.0 - at this point I ate my breakfast - 45g of carbs but told bolus advisor I'd had 30g so 15g of carbs less which would've been for a slow acting carb follow up to the hypo but instead I had my breakfast. I injected straight after my breakfast and the bolus advisor suggested 3.5 units for food and 0.5 units correction - I didn't do the correction with it being the first injection after my hypo - I just hope I've done the right thing with this.

Question
When I injected straight after my breakfast or any other meal where a hypo is immediately before the meal am I right to inject straight after the meal or should I leave it for a few minutes and if so how many minutes?
 
mum2westiesGill said:
Question
When I injected straight after my breakfast or any other meal where a hypo is immediately before the meal am I right to inject straight after the meal or should I leave it for a few minutes and if so how many minutes?
Click to expand...
If it was me, I would inject as soon as my levels were above 4 and before I ate and I would still bolus for the full breakfast rather than deduct 15g because my liver will be pumping out glucose at that time of the morning anyway, having just got up, so little chance of dropping low again and breakfast should steady things.
I think it is likely you will be high at lunchtime.... but we will see.

I certainly would not delay the breakfast bolus any later than straight after the meal, especially when your levels hit 8 before eating. I try not to eat unless my levels are below 8, so in that scenario I would have injected my bolus and waited a bit for my levels to start coming down and then eaten.
 
rebrascora said:
If it was me, I would inject as soon as my levels were above 4 and before I ate and I would still bolus for the full breakfast rather than deduct 15g
Click to expand...
Would you do this with every meal which follows a hypo or just with breakfast?

rebrascora said:
I think it is likely you will be high at lunchtime.... but we will see.
Click to expand...
Are you thinking that because I've not bolused for the full breakfast?
 
mum2westiesGill said:
Would you do this with every meal which follows a hypo or just with breakfast?


Are you thinking that because I've not bolused for the full breakfast?
Click to expand...
I never have follow up carbs after a hypo because they would send me too high, but I have Levemir rather than Tresiba so I am able to adjust my doses more closely to what my body needs and that means that my levels are less likely to dip again after a hypo treatment unless I have got my doses badly wrong. This is especially the case if it is due to basal insulin as yours was this morning.

Yes, I am saying that you may end up high at lunchtime because you reduced the breakfast bolus calculation by 15g. If you are in range at lunchtime, then what you did was correct for you, but it would put me in double figures for the rest of the day or I would be needing corrections and so we all have to do what works for our bodies and learn to adjust those strategies if they don't work, to find something that does. If you are high at lunchtime then it tells you that deducting those
15g was not a good decision, if you are in range then you were spot on.


15g carbs will usually raise my BG by about 4.5 mmols, so add that on to the 8mmols before you had breakfast and you get about 12.5. That is what would happen to me. Will be interested to know your lunchtime reading if you are happy to post it.
 
rebrascora said:
Will be interested to know your lunchtime reading if you are happy to post it.
Click to expand...
I will post it 🙂

rebrascora said:
If it was me, I would inject as soon as my levels were above 4 and before I ate and I would still bolus for the full breakfast rather than deduct 15g
Click to expand...
Going back to this I was taught in the beginning and my early years of being type 1 diabetic on mdi that for a hypo before a meal treat the hypo (with a mars bar which it was back then lol) then when back to a normal level carry on as normal like you've said above.
For a hypo in between meals treat the hypo then have a follow up snack but no injection.
 
mum2westiesGill said:
I was taught in the beginning and my early years of being type 1 diabetic on mdi that for a hypo before a meal treat the hypo (with a mars bar which it was back then lol) then when back to a normal level carry on as normal like you've said above.
For a hypo in between meals treat the hypo then have a follow up snack but no injection.
Click to expand...
@rebrascora what do you think about this?
 
mum2westiesGill said:
I will post it 🙂


Going back to this I was taught in the beginning and my early years of being type 1 diabetic on mdi that for a hypo before a meal treat the hypo (with a mars bar which it was back then lol) then when back to a normal level carry on as normal like you've said above.
For a hypo in between meals treat the hypo then have a follow up snack but no injection.
Click to expand...
I can see the logic of that advice. A hypo between meals may well be down to an error re the bolus insulin (especially in the early days of carb counting when it is easier to get it wrong) or perhaps your own pancreas contributing in the honeymoon period and therefore a sharper drop in BG levels needing immediate treatment, then more slow acting carbs to soak up any further insulin. If the low is before a meal then it is likely more of a drift in basal needs and likely to be less severe but the meal will help to stabilize it anyway once the hypo treatment has corrected it.

I think the problem for you Gill is that you want hard and fast rules to follow, rather than watching how your body responds and adjusting those "rules" to your own body's needs and responses. You don't seem to have the confidence or intuition to be flexible, so it is maybe best to just follow that suggested hypo treatment you were initially given. If your basal insulin dose is correct it should work fine,
 
Also, great to see @MeeTooTeeTwo back on form with the House Special this morning. Congratulations Dez!
 
rebrascora said:
I never have follow up carbs after a hypo because they would send me too high, but I have Levemir rather than Tresiba so I am able to adjust my doses more closely to what my body needs and that means that my levels are less likely to dip again after a hypo treatment unless I have got my doses badly wrong. This is especially the case if it is due to basal insulin as yours was this morning.

Yes, I am saying that you may end up high at lunchtime because you reduced the breakfast bolus calculation by 15g. If you are in range at lunchtime, then what you did was correct for you, but it would put me in double figures for the rest of the day or I would be needing corrections and so we all have to do what works for our bodies and learn to adjust those strategies if they don't work, to find something that does. If you are high at lunchtime then it tells you that deducting those
15g was not a good decision, if you are in range then you were spot on.


15g carbs will usually raise my BG by about 4.5 mmols, so add that on to the 8mmols before you had breakfast and you get about 12.5. That is what would happen to me.
Click to expand...

rebrascora said:
Will be interested to know your lunchtime reading if you are happy to post it.
Click to expand...
14:31pm (3hrs 25mins after breakfast) 6.9 so I guess what I did was right but who knows
 
mum2westiesGill said:
14:31pm (3hrs 25mins after breakfast) 6.9 so I guess what I did was right but who knows
Click to expand...
Well done! Great result!
That tells you that you should have far more confidence in your own judgement rather than asking other people. We are all different and what works for me or someone else, won't necessarily work for you, so stick with what works for you.
 
rebrascora said:
Well done! Great result!
That tells you that you should have far more confidence in your own judgement rather than asking other people. We are all different and what works for me or someone else, won't necessarily work for you, so stick with what works for you.
Click to expand...
Thank you! But.....I might try it the way I was taught next time and see what happens then
 
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