Hello, just joined.

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Pieface

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Relationship to Diabetes
Type 2
I was diagnosed with type 2 around 15 years ago, I took Metformin and Gliclazide for 14 years until I had a liver transplant a year ago. I’m now on Humulin I and Novorapid but don’t seem to be getting much support then I found this site, so here I am.
Cheers
 
Welcome 🙂
I'm a diabetes noob, but you will find the help and support you need here
 
Welcome @Pieface 🙂 You’ll get lots of friendly support and advice here. Ask whatever you want - nothing is ‘silly’ or too trivial.

How’s your blood sugar on the insulins?
 
Inka said:
Welcome @Pieface 🙂 You’ll get lots of friendly support and advice here. Ask whatever you want - nothing is ‘silly’ or too trivial.

How’s your blood sugar on the insulins?
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All over the place, hypos during the day and high at night. They seem happy with my hba1c levels though.
Cheers
 
Pieface said:
All over the place, hypos during the day and high at night. They seem happy with my hba1c levels though.
Cheers
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HbA1C levels are only part of the picture. It’s no use having a good HbA1C if that good figure is because you’re having hypos and going high.

Are you taking the Humulin i twice a day? Are you carb-counting and adjusting your Novorapid according to your mealtime ratio?
 
No, I was told to take the Humulin before breakfast which is what I’ve done but just realised you can take it later or in 2 goes, which is why I joined this site, for advice, because my liver consultants and my diabetes consultant are happy as long as the HbA1C are ok. Yeah, the Novorapid dose depends on my blood sugar, I don’t actually count the carbs but I am aware what meals are likely to increase my BS.
 
That could be why you’re going high at night @Pieface The morning Humulin i is probably wearing off.

You should have been given help to calculate the carbs in your meal so that you can have the right amount of Novorapid. The Novorapid dose and the effect of it is tied to the carbs.

If it were me, I’d speak to the diabetes nurse to see if you could take the Humulin i twice daily - note that the split might not be equal. As an example, someone taking 10 units of Humulin i might need 6 units in the morning and only 4 units in the evening, or 3 and 7, etc. It’s a question of finding what doses work for you.

Once you’ve got your basal (Humulin i) dose pretty much ok, you’ll then be in a position to look at your Novorapid. It might well be that some of your daytime hypos are due to taking that one dose of Humulin i in the morning rather than spreading it over two doses.

I hope that makes sense. Do ask if it doesn’t.
 
Yes, that is along the lines I was thinking. I haven’t got a diabetic nurse, the liver team have passed me on to my GP (diabetic wise) who has referred me to my local hospital where I’m supposed to see a consultant every 6 months but only happened after my wife pestered them.
Thank you for your help.
 
Sorry you’re not getting the support you need @Pieface You could ask your GP if they have a nurse with an interest in diabetes. Many places do. If not, or if they can’t help, perhaps you could ask to be referred to the Diabetes Specialist Nurse team at the hospital. They don’t usually see Type 2s routinely but as you’ve had a liver transplant they might see you and be able to give some advice.
 
Yes, they have a nurse at the practice and I can have my annual check up with her but not anything else as they don’t want to step on the consultants toes. Ha ha.
 
Pieface said:
Yes, they have a nurse at the practice and I can have my annual check up with her but not anything else as they don’t want to step on the consultants toes. Ha ha.
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If you see a diabetes consultant that must mean you’re seen by the hospital. Ring and ask for an appointment with the DSN there.
 
Lucyr said:
Why not just do it again then if you’ve done it before?
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I’m thinking of asking the consultant to discharge me so then, hopefully, the nurse at my GP practice would see me. The 2 consultants I’ve seen disagree anyway, one wants me back on Metformin but the other one said absolutely not.
 
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