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Group 7-day waking average?

Robin said:
I’ve been following your evening Levemir experiments with interest. Don’t you just hate it when the Libre has you dipping in and out of the very top of the red half the night, because it a) ruins your Time in Range, and b) makes the practice nurse faint because the summary says 'you had 15 hypos this week' 'Yes, but they were all in same two nights as I dipped in and out, and I was at least 3.8 at all times, and the Libre reads lower, especially when I’m a bit dehydrated! Please don’t write on my notes that I had 15 hypos last week!'
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It definitely bugs me about ruining my TIR and it causes a little resentment towards Libre because I am then torn between taking carbs on board when it drops into the red even when a finger prick shows I am not hypo just to mitigate it for my stats or leaving it and making it look like I am neglecting my diabetes.
I have to say, I don't worry about my practice nurse as, firstly, she is lovely and totally understanding but secondly, doesn't see my Libre unless I offer to show her it. My consultant is extremely happy with my diabetes control and my approach to my management and I have no worries that I can explain anything on my graph that he wants to query. I think he is also aware that Libre is not overly accurate and often reads lower.
I tend to average about 1 hypo a day according to Libre, but most of those are borderline or not hypo at all and my BG meter can mostly corroborate that although I have to be honest, I don't always double check with it, especially if I can feel it is definitely a hypo or I know I have mistimed my breakfast or something stupid like that.

I do wonder at our mentality that we are more concerned about justifying our less good results to a health care professional than being concerned about them ourselves. I know that self awareness is important in lots of ways with diabetes and I am constantly reassessing how casual my attitude is towards hypos and if I am perhaps becoming a bit too careless or blase. I know it is a fine balance, but fear of them was crippling, so I am happy with my current mindset and I think my records show that I am tweaking my basal whenever necessary to tackle problems.

I think, since my DAFNE course, I feel much more confident about justifying my actions to any health care professional who wants to challenge them as well as feeling much more confident about managing my diabetes itself. Funny that a course, the title of which nearly put me off attending, because of course I don't "eat normally" and much of the course being about carb counting, which was not exactly applicable for me, should help me so much.
 
Morning

6.2 xx
 
rebrascora said:
I have to say, I don't worry about my practice nurse as, firstly, she is lovely and totally understanding but secondly, doesn't see my Libre unless I offer to show her it. My consultant is extremely happy with my diabetes control and my approach to my management and I have no worries that I can explain anything on my graph that he wants to query. I think he is also aware that Libre is not overly accurate and often reads lower.
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I’m probably over anxious about this. Last time I had a telephone review with the hospital, which was supposed to be a follow up after being prescribed the Libre, they hadn’t even logged on to my Libre account until I mentioned something about it. My practice nurse is lovely too, but she freely admits she’s learnt most of what she knows about Type 1 from me, and she gets so worried about it that I feel sorry for her!
 
ColinUK, I too am now self isolating until 2nd Dec for, yes you guessed it, a cataract operation!

Hopefully the first of 2.
 
I did check. 6.1 today.
 
8.6 with a downward arrow. Quite pleased as I have been chasing highs ever since Saturday. I blamed it on the unusually high carb amounts I’d been consuming, but despite correcting multiple times yesterday and eating minimal carbs I was stuck in the high teens/20s. Hubby suggested a cannula change and it turns out it started coming down at that point. Full pump change due today anyway.

@Robin and @rebrascora i’ve been thinking you are both prime candidates for pump therapy with your overnight struggles.
 
Re-reading what I just posted it struck me that this darn disease can lead you down such wrong roads at times. I would have been likely to have picked up on the duff cannula much faster normally, except it coincided with a period when I was eating badly.
 
Pattidevans said:
8.6 with a downward arrow. Quite pleased as I have been chasing highs ever since Saturday. I blamed it on the unusually high carb amounts I’d been consuming, but despite correcting multiple times yesterday and eating minimal carbs I was stuck in the high teens/20s. Hubby suggested a cannula change and it turns out it started coming down at that point. Full pump change due today anyway.

@Robin and @rebrascora i’ve been thinking you are both prime candidates for pump therapy with your overnight struggles.
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@Patti I am not sure you are selling it well (pumps that is) .... with your own results at the moment (typed totally tongue in cheek)

I am pretty sure that my consultant would support me with a pump application but to be honest, if I can average 90% TIR with Libre using Levemir (love my Levemir) and Fiasp then I see no justification for the expense and environmental impact of going for a pump and I think there must be many other people who might benefit more from that funding. I don't mind tweaking my basal regularly and I don't mind my levels dipping a bit into the red during the day or even night occasionally especially when a finger prick says they haven't really or maybe only just. Non diabetic people dip into the red during sleep too, but yes, I know that too often can erode my hypo awareness so it is important to minimize it. The idea of hitting mid teens or above is more horrendous to me which obviously can happen with cannula failure even if a rare occurrence.

I also think that my current mental approach to my diabetes might be disrupted by a pump and I feel like I have a good mental balance with it at the moment. It's a game to me and despite my occasional frustration at unpredictable discrepancies, I am doing pretty well at it, so happy to muddle along with the status quo and my Levemir for now.
 
Emailed work. Taken a mental health day.

And I'm up, showered, breakfasted (scrambled egg on a bed of spinach) etc. Now I'm trying to find anywhere with size 10 trail running shoes in stock because this is a day for me so I'm going to make use of it.

I'm not going to let the echoes of what happened to me impact me today more than they already have. I won't allow him/them the power that gives them.
 
Pattidevans said:
@Robin and @rebrascora i’ve been thinking you are both prime candidates for pump therapy with your overnight struggles.
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To be honest, until this week, my peculiar night time dip has been perfectly do-able on MDI. If I’d had a sudden change on a pump, I’d be doing lots of tweaking and fiddling with it. Time will tell whether this is just a blip as a result of my booster jab, the weather, the gardening, or whatever. I’ve looked at the pump criteria, and with an in-target HbA1c, 70%+ ( more like 80%+) in-range Libre readings, and good hypo awareness, I'm not sure how I’d qualify.
 
1 pair of Asics trail shoes ordered.
Got my eyes on a pair of Hoka ones as well but waiting for them to come down in the sales.
Now off to see Dune xx
 
ASIC ...Application Specific Integrated Circuit. Hmm. Could be uncomfortable on the feet 🙂
 
Forgot to check in this morning. It was 11.3.

Better than 15 but still frustratingly high. I lost 3lb this last week so feeling motivated. Hopefully the downward trend will continue
 
@Michael12421 congrats on your HS - good to see x
8.0 for me today. Have a good one x
 
Good morning 6.6

had a asthma review (by phone the other day) with a pharmacist
What strange times we’re living in ..l 🙄
 
Last edited:
Late up this morning. 4.7 BG still in the 4's

Not much planned for today on 4th day of self isolation.
 
Morning all. 7.6 after being high all night and a 2u correction.

Its a very long week at work, short staffed atm and yesterday i was here there and everywhere and haven't got any of my own work done. This morning i've got to go to another department, hopefully its not all day.

@Michael12421 congrats on the HS.
 
Delighted to be joining @Michael12421 (actually more delighted for him than me)
IMG_20211124_063119912[845].jpg
Mine was slightly engineered by a unit of Fiasp at 4.12am when I woke up on 7.3 and rising and decided to take the initiative and head off the DP before it happened.
Interestingly I used 1.5 units of Levemir last night because my levels, which had been lowish all day and evening, started to rise at bedtime and I had a bit of an unhappy tummy for some unknown reason. Couldn't decide between 1 and 2 units so I split the difference and that seems to have worked out pretty well. Feel fine this morning.... all the better for seeing that reading when my alarm went off and I scanned!
I'm also getting to be a real dab hand at injecting without putting the light on, even at 4am when I am half asleep!
 
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