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Group 7-day waking average?
- Thread starter Northerner
- Start date
Laureny019
Active Member
- Relationship to Diabetes
- Type 1
4.0 this morning & have upped the lantus to 38 again as my levels ended up fine in the morning but high for the rest of the day when I reduced it to 37.
Northerner
Admin (Retired)
- Relationship to Diabetes
- Type 1
Might be worth considering splitting the lantus into two injections Lauren, if you are fine in the mornings - don't want to risk night hypos 🙂
Laureny019
Active Member
- Relationship to Diabetes
- Type 1
Think that's what I need to do really 🙂 I'm seeing the DSN again on the 14th so will ask her about it then as honestly got no idea how to go about splitting the dose so I get the right ratios.
Laureny019
Active Member
- Relationship to Diabetes
- Type 1
3.4 this morning
I assume you bolused for the 30g carbs using your usual ratio for that time of day?
It could be that you need a higher insulin: carb ratio at that time of day ( because of sleep hence total innactivity following the snack or due to higher insulin requirements for some other reason)
Another possibility is that of going a bit low when asleep - hence " rebound" from a hypo
I had similar problems on mdi and found that despite following DAFNE, blood glucose control often went crazy if I gave in and ate what and when I liked. Seem to get away with more on the pump although if I really splurge control can still go haywire
If you have no snack before bed and have eaten evening meal at least 4 hours before bed ( so no rapid acting in system) do you generally manage to stay quite steady overnight ? ( incuding 2 or 3 am test)- If night time basal isn't spot on then snacking/ bolusing tends to just confuse matters further
It could be that you need a higher insulin: carb ratio at that time of day ( because of sleep hence total innactivity following the snack or due to higher insulin requirements for some other reason)
Another possibility is that of going a bit low when asleep - hence " rebound" from a hypo
I had similar problems on mdi and found that despite following DAFNE, blood glucose control often went crazy if I gave in and ate what and when I liked. Seem to get away with more on the pump although if I really splurge control can still go haywire
If you have no snack before bed and have eaten evening meal at least 4 hours before bed ( so no rapid acting in system) do you generally manage to stay quite steady overnight ? ( incuding 2 or 3 am test)- If night time basal isn't spot on then snacking/ bolusing tends to just confuse matters further
Hi Abi
Yes had 3 QA for 30 carbs When i had the wee mglucose machine in my tummy few months back it mesures your BG ever 10 min or so i did show i was Hypo during night then thrownign massive highs in morn due to DP i believe ,However BI was reduced and thia meant no hypo threew the night and stayd very consistand to target levels I have proven over last few weeks that if i dont eat after main meal at 6 pm then iam right on target nxt morning i also can eat may 1 or 2 cps and still mostly am on target in morning however if i eat more than 2 then i am all over the place in morning with high sugars I did couple of weeks ago a 3 am and 5 am test to which were 6.2 and 7.0
thank you so much for explaining
Yes had 3 QA for 30 carbs When i had the wee mglucose machine in my tummy few months back it mesures your BG ever 10 min or so i did show i was Hypo during night then thrownign massive highs in morn due to DP i believe ,However BI was reduced and thia meant no hypo threew the night and stayd very consistand to target levels I have proven over last few weeks that if i dont eat after main meal at 6 pm then iam right on target nxt morning i also can eat may 1 or 2 cps and still mostly am on target in morning however if i eat more than 2 then i am all over the place in morning with high sugars I did couple of weeks ago a 3 am and 5 am test to which were 6.2 and 7.0
thank you so much for explaining
Hi Marier
How frustrating especially if you are hungry!
On the other hand- diet controlled or tablet controlled people don't have freedom to eat what and when they like ( although there is a plus side for them that they have far less risk of hypos etc)
What about something lower in carb to fill you up if you feel hungry before bed ( although would require some experimentation as many of us find protein causes a slow rise in levels also). I've also heard that some people's ratios change i.e. they need additional insulin over and above what the ratio would suggest, if they eat more than a certain quantity of carbs- but 30 g seems quite low for this to happen
Also read somewhere that basal insulin requirements are affected by carb intake and hence boluses so that if you eat significantly more carbs and bolus more, then basal requirements can increase- and the converse is also true. I always assumed that if blood glucose was high after heavy carb consumption despite giving what is assumed to be a correct bolus then it was likely to be due to delayed digestion but the last point was made by a well known diabetes educator in the US who has type one himself. I think DAFNE sometimes oversimplifies things and would agree that there does seem to be some interaction between both requirements
How frustrating especially if you are hungry!
On the other hand- diet controlled or tablet controlled people don't have freedom to eat what and when they like ( although there is a plus side for them that they have far less risk of hypos etc)
What about something lower in carb to fill you up if you feel hungry before bed ( although would require some experimentation as many of us find protein causes a slow rise in levels also). I've also heard that some people's ratios change i.e. they need additional insulin over and above what the ratio would suggest, if they eat more than a certain quantity of carbs- but 30 g seems quite low for this to happen
Also read somewhere that basal insulin requirements are affected by carb intake and hence boluses so that if you eat significantly more carbs and bolus more, then basal requirements can increase- and the converse is also true. I always assumed that if blood glucose was high after heavy carb consumption despite giving what is assumed to be a correct bolus then it was likely to be due to delayed digestion but the last point was made by a well known diabetes educator in the US who has type one himself. I think DAFNE sometimes oversimplifies things and would agree that there does seem to be some interaction between both requirements
I messed up after having fairly good waking levels for a while- 13.9 this morning.
Reason- lasagne last night after a slightly high reading of 9.1 pre meal. Dropped to 6.1 90 mins after and assumed I needed some fruit as still quite a lot of insulin on board- but it was obviously the fat slowing down digestion- and I was rather lax- didn't test again before this morning
It was a pub lasagne- can't recall having this problem with homemade stuff although I would generally use full fat cheese ( but drain fat off mince)
Reason- lasagne last night after a slightly high reading of 9.1 pre meal. Dropped to 6.1 90 mins after and assumed I needed some fruit as still quite a lot of insulin on board- but it was obviously the fat slowing down digestion- and I was rather lax- didn't test again before this morning
It was a pub lasagne- can't recall having this problem with homemade stuff although I would generally use full fat cheese ( but drain fat off mince)