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Group 7-day waking average?

Oh dear @Michael12421. :( I used to dread my endo saying “change your basal time” - it always ended in tears and I always ended up going back to the original time. Why did you change it? I can’t remember now. Hope it settles down ASAP.

Morning all.🙂 7.1 here. I blame the wind.😉
 
Bloden said:
Why did you change it? I can’t remember now.
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because 1 person suggested that may be the issue with the constant hypo's rather than conducting a proper basal and bolus test xx
 
With the problems I have been having of late it was suggested to me by another member here. I decided to give it a go as I do listen to the advice given to me on here, well, most of it.
 
Good morning all. 5.5 this morning.

Glad you are feeling a bit better @KARNAK, and I hope you start to feel better soon @Ditto
You certainly had a yo-yo day yesterday @Michael12421. I know that people said it would take a while to do the change over of timing for your background but this must be very unsettling.

I had forgotten it was a BH weekend, but then that makes little difference for us at present.
Looking forward to another day in the attic sewing, as it is looking cold and blustery outside
 
Morning all. A very nice 5.8. Not quite so windy but still rattled the old sash windows through the night. A damp start to the day, apart from a full English very shortly, no other plans for the day. I also keep forgetting it’s a Bank Holiday weekend. No blockbuster films on the telly to even look forward to. 😉
 
Good morning everyone. After a rollercoaster fortnight very, very pleased to wake up with a 6.7 this morning. 🙂 It didn’t go above 8.8 all night 🙂
 
Morning everyone 6.1 today.
It’s bank holiday - makes no real difference !!

......but it is also 1/2 term which means 5 days of not setting and checking and marking online work or chasing children to do said work or phoning children (after lunch as they’re in bed in a morning 😉) to check they’re ok with everything they need to do or just to have a general chat.....what will I do all week?! Probably plan work for the week after to get a little bit ahead!

Have a good day.
 
@Michael12421

Sorry to hear you had a rough time yesterday. What you have to bear in mind is that you were having low readings through the night before where you were injuring yourself, so at least having a low during the day/evening, you should be a little more alert to deal with it. I am concerned that it got to 1.5 before you picked it up. I did recommend you test more frequently during this period and that is particularly important if you are doing corrections, so test every hour or two hours not just the usual before meal and bedtime readings and be very conscious of regularly assessing yourself for hypo symptoms.... think to yourself, "do I feel alright" maybe every hour rather than waiting until you notice you feel "very unwell". I also advised you to take things easy and yet you put those chandeliers back up!

With hindsight (isn't it an incredibly frustrating thing), the 12 units of NR was obviously a bit too heavy handed particularly so close to bedtime and with just a "small bowl of pasta", which can be slow to digest so the NR kicked in before the glucose from it hit your blood stream and the two digestives last night where clearly not needed but totally understandable with the bad night time hypos you were having.
It will take time to learn how your body responds to the new regime and hopefully develop confidence that perhaps the evening reading doesn't have to be as high as it used to be because that basal insulin is not going to kick in hard during the night like it was.
Hopefully things will settle down more today as your body gets used to the new regime, but do be conservative with corrections. Maybe use just half what you think you need and see how that goes.
 
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Thanks Barbara, I am testing very regularly so much so that I need to go to the pharmacy tomorrow for more strips.
I'll keep at it.
 
Actually I stll don't understand basal. I thought that it was a 'background' insulin and that it maintained existing levels without necessarily affecting the carbohydrates of food intake.
As for putting up the chandeliers my thinking was that some physical activity would help bring the high readings down.
 
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@Michael12421 I edited the above post whilst you were reading it. You might want to reread for better context. The important thing is to see what you can learn from each episode like this and adjust your response, for example, to the high readings, by being more conservative with the corrections.... ie using less and see how it goes. It may have been prudent to give yourself a small correction a few hours before dinner if your readings were already high.

Pleased to hear that you are testing more frequently.

Yes the idea of basal insulin is to keep your levels steady without taking into account any food that you eat. The problem is that unlike your previous insulin, this one does not seem to be keeping you steady and was causing you hypos in the night. That may be because your basal requirements during the night are less than during the day. With you injecting on an evening that new basal insulin joining what was already in your system may have been dropping you lower as it started to kick in and causing those hypos. Changing the time of the injection is hopefully going to mean that the new insulin filters in with the insulin already in your body to produce a slight increase in insulin activity during the day when you need more anyway.
I guess me saying that it kicks in is misleading, but all insulin has a profile of activity. It starts when you inject it and gradually builds to a steady release over 36 hours I believe with Toujeo but if it is holding you steady and then you inject some more within that 36 hour period as you need to do to keep it topped up, it seems logical to me that there will be a slight rise in activity as the two overlap and this together with a possible decreased output of glucose from your liver during the night, may well have been causing your night time hypos.
 
Michael12421 said:
Actually I stll don't understand basal. I thought that it was a 'background' insulin and that it maintained existing levels without necessarily affecting the carbohydrates of food intake.
As for putting up the chandeliers my thinking was that some physical activity would help bring the high readings down.
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The job of basal is to deal with the trickle of glucose that your liver puts out 24/7, to keep your brain and other vital organs ticking over. The problem is, that basal has been designed to trickle out the same amount of insulin slowly over the 24hours, assuming that our liver is doing the same. But many people find that their liver hasn’t read the instructions! So you get fluctuations where your liver isn’t quite trickling as much out, which seems to happen with me once my head hits the pillow. Then it gears up for the morning by giving a boost, which my basal can’t keep up with.
The most you can hope for, is finding the ‘best fit', where your basal fits in with your life and background glucose as best as it can.
,
 
Kaylz and @Bloden

The reason I suggested that Michael change the time of his basal insulin is that he has mentioned before that he usually only eats once a day in the evening so if his daytime readings are normally ok but he is often suffering night time hypos some of which are so severe that he is injuring himself, then it seemed logical to change the time he takes his basal to see if that will improve the situation, which is perhaps caused by a lower basal requirement through the night but a slightly increased basal activity due to injecting at night. I understand that ordinarily basal testing would be the thing to do, but since he normally only eats once a day I am not sure how helpful it would be. I did not discourage him from basal testing, but had suggested this change some time ago and he was reluctant to change, so I left it at that. Someone else posted recently about their husband having problems with this basal insulin also causing night time hypos but daytime were steady and I suggested this change and cross linked Michael into that post, requesting that they post results either good or bad ,as I knew Michael was reluctant to change, but it seems that he took it upon himself to give it a go as a result of the link to that post.
He lives in rural Spain and does not have access to the support of a diabetes clinic and this basal insulin Toujeo was a change which does not seem to have suited him but he has no option of returning to his old basal insulin which he was happy with (the change I believe was a logistics issue not a problem with his previous insulin), so it is a question of trying to help him find the best fit for him with the Toujeo, in less than ideal circumstances.
 
You have summed it up perfectly. I was fine with Lantus but the health authority changed it to Toujeo, without any consultation with me because of costs. Some would believe that I am intransigent, but no, I need to give careful thought to changes but do so if necessary. This is one of those times.
 
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@Michael12421 I totally understand your reluctance to change it and I didn't want to push you because only you know your full circumstances and you don't have the support systems that we have with our diabetes clinics and nurses and I am well aware that I am a relatively inexperienced person giving you advice over the internet based on what I would do in your situation, so none of it is ideal but I can't continue to read your accounts of night time hypos and nasty injuries like gashing your arms and legs and head whilst hypo and knocking 3 teeth out, without wanting to help in some way.

I really only tagged you into that other post for your information and if there was feedback on how they had got on with it, then it might be helpful to your decision making process.
I cannot guarantee that changing your injection time will work but it seems to me that it might and that you don't have a lot to lose, the way things were, other than some unstable readings for a few days and you were already dealing with unstable night time readings anyway.

Really hoping that things have settled down more by tomorrow but go steady with the Novo Rapid corrections. A few high readings won't do you any harm but those low readings can. There is no reason why corrections have to be done at mealtimes. They can be done anytime throughout the day and you don't need to eat something just because you are injecting NovoRapid ... Just don't inject some and then 2 hours later if it hasn't come down, inject some more. Give it time to work and if you don't come down into range in 4-5 hrs then give it a bit more. So if you wake up in the morning and it is 14 and you wouldn't normally have breakfast, just inject 3 units of NR and see what your reading is at lunchtime. If you are still high, say at 9 then inject another correction unit. If you are going to have some lunch, then add that unit to whatever you need to cover your lunch but if you are not going to have lunch, just give yourself 1 unit. Hopefully by the evening you will me somewhere near in range and not need any corrections.
In some respects correcting away from meal times/food is better because there is less chance of making a big mistake. Do keep a log of when you have taken a reading, what it was and how much insulin you injected (if any) so that you don't inject too frequently. Obviously this is only for the few days that you are unstable during the changeover.

I get the impression from your posts that perhaps you think you can only do corrections at meal times or you need to eat something when you inject NovoRapid, but you can inject a corrective dose at any time of day without food if your BG is high providing you take into consideration any NovoRapid that might still be in your system from a previous injection within the past 5 hours, since that it the time it lasts.

Hope that makes sense and if it doesn't then please ask and I will try to explain it better.
It is so difficult to figure out what people know and what they don't know and to assume everyone follows a "normal" routine of 3 meals a day etc or checks their BG morning noon and night even if they don't eat 3 meals a day. I currently test about 10 times a day to figure out what my levels are doing, especially if I eat something different.
 
Good evening folks a 4.0 for me this morning. Very late but the sun is shining and the tan is getting tannier.o_O Hope you are all well this evening and you have a pleasant night, Greek is on the menu tonight, efcharisto.

Take care stay safe.🙂
 
KARNAK said:
Good evening folks a 4.0 for me this morning. Very late but the sun is shining and the tan is getting tannier.o_O Hope you are all well this evening and you have a pleasant night, Greek is on the menu tonight, efcharisto.

Take care stay safe.🙂
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We’ve had Greek too. Yamas!
 
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