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Help please just took novorapid instead on tresiba

You need lots of glucose/carbs fast @sololite How many carbs would 25 units of NR cover for you? That’s how many you need. Drink Coke, eat sweet cereal, cake, juice, etc. If in any doubt, I’d get to hospital where they can put up a glucose drip. Obviously don’t drive yourself.
 
Thanks inka . I've just eaten percy pigs, muelsili and an oat bar. Bs is climbing (currently at 12). I feel fine. I called 111 and they are going to call back. My carb ratio is usually 10g to 2 units.

One question I have is. Should I take my usual basal insulin?

Thanks for helping
 
And still take your Tresiba.

You are going to neutralise your excess NR; but will need basal to keep you in a good place for the rest of the next 24 hrs. I might compromise and take a little less, perhaps 18 units out of 25 Tresiba, then normal tomorrow morning; or even 8 units now, 12 units this evening, 18 units tomorrow morning then back to 25 units on Tuesday.

PS: it's easily done; been there, etc. My red NR pen is undecorated; my blue Tresiba pen has texture from multicoloured rubber bands on the cap and the main body also with a gold star stuck on to reward myself for future better behaviour!
 
I did it with Fiasp a few years ago which is faster acting and it is certainly possible to manage it at home. The panic is probably the worst bit. I kept a list of everything I ate as I ate it and tallied it up so that I knew when I had eaten enough. Obviously you need to apply your usual breakfast time ratio to know how many carbs you are aiming for and pace yourself a bit. You have 4 hours to consume them.

You also still need to take your Tresiba.
 
I started with some fast acting carbs and then just kept an eye on my Libre and tried to keep it reasonably steady. The peak of the NR activity will be about 1.5 hours after injecting so try to match that peak with carbs.
Oh and avoid any exercise until after 5 hours as that could cause a crash.
 
sololite said:
Thanks inka . I've just eaten percy pigs, muelsili and an oat bar. Bs is climbing (currently at 12). I feel fine. I called 111 and they are going to call back. My carb ratio is usually 10g to 2 units.

One question I have is. Should I take my usual basal insulin?

Thanks for helping
Click to expand...

So a ratio of 1:5g. That’s easier to eat for than if you were very insulin sensitive, at least. Remember the NR will continue to work over a few hours so you’ll need to watch for unexpected drops.

@Proud to be erratic has answered your Tresiba question. I’ve never used that basal myself, but I’d err on the side of caution and delay and/or reduce, depending on its profile of action. You’ll probably see erratic sugars anyway over today, so I’d rather correct a high than risk a vicious low.
 
sololite said:
Thank you so much for this. I've stopped panicking. I guess I was expecting some instant drop into unconsciousness. Great tips on marking the pens too!
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Panicking is justified and, I’d go as far as to say sensible. I once had a hypo seizure due to a mix of delayed food/wrong carbs. Never underestimate insulin. It sounds like you’ve eaten well. I’d take it easy this morning, line up more food, and keep monitoring.
 
Let us know how you get on as the morning goes on, but sounds like it is all going well at the moment.
I found that the panic was very unhelpful as it made me feel sick and that hindered me from eating sweet stuff. After the event I could see that I actually had plenty of time even with Fiasp and my dose was similar to yours being 22 units and I normally only need 4-6u for breakfast. I jabbed the whole 22 units of Levemir straight after and didn't adjust it and that worked out fine for me.
I think my biggest panic was whether I would have enough carbs in the house to cover it because I follow a low carb way of eating, so tend not to have a lot of carbs in other than my hypo hero jelly babies, so there was quite some cupboard rummaging!
 
How are you doing?
 
sololite said:
Thanks inka . I've just eaten percy pigs, muelsili and an oat bar. Bs is climbing (currently at 12). I feel fine. I called 111 and they are going to call back. My carb ratio is usually 10g to 2 units.

One question I have is. Should I take my usual basal insulin?

Thanks for helping
Click to expand...
If 10g is 2u and you took 25u then you just need to eat 125g carbs, which you may have already done, and take your basal.
 
Inka said:
Large amounts of carbs like that often require a split bolus to avoid hypos so it’s something that will have to be watched.

Hope all’s ok @sololite
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That is why fast acting carbs first are quite important. It is generally larger meals with other components which need a split dose because the proteins and fats and fibre slow digestion down plus breakfast time the body is more resistant to insulin, so that also slows it down, so if you are going to make this mistake, morning is the least worrying time to do it.

I imagine the Percy Pigs probably mostly saved the day on their own!
 
Yes, breakfast is usually the ‘best’ time to do make that mistake! However, even without extra fat or protein, many people (most?) have a max carb level per meal after which they need to split their bolus. I assume it’s to do with digestion. I’ve never measured mine precisely but it’s around 90/100g as I’m quite petite. I think Scheiner says 120g.
 
I split any bolus above 4 units which is less than 100g carbs.
But that is partially to do with avoiding a large bolus with my pump and I know I am more conservative than I need to be.
 
Thank you everyone who supported me this morning. I'm back home now and BS is fine. Learnt some important lessons.

1. Put markers on the two pens to reinforce which is which.
2. Make sure you are fully awake before going through the morning ritual of meds and injections.
3. Make sure your partner has a handy crib sheet that details what to do in every eventuality.
4. My emergency Diabetes team helpline is not available at weekends.
5. DUK support forum rocks!

I did dial 111 and got a response an hour later which was of limited use and erring massively on the side of caution. (For which I don't blame them).

Regards,

Chris
 
Well done for keeping your head, and totally understandable to panic.
Glad that you are now home and have reviewed your equipment and have plans in place for future eventualities.
 
So, when you say you are home now, did you end up going to hospital and if so, what dis they do?
It is all part of the learning curve with diabetes. I am sure many of us have done it. I have actually done it twice, once on an evening when my Levemir dose is very small anyway and once like you in the morning. Both times I realised pretty well straight away. I feel that I would be much calmer if it happened again because I learned from the experience that I can manage it very competently and that was a real confidence booster. I would hope that I don't make that mistake again however. Twice is quite enough for such a silly mistake.
 
Morning Chris, @sololite, how was yesterday and are you now back to normal? I'm curious to hear what you eventually decided to do about your Tresiba - a phased response or just kept it steady throughout the last 3 days? Also I'm curious to know if your BG wobbled noticeably any differently on Monday.

Your daily Tresiba is substantially greater than mine, I only seem to need 7.5 units daily in summer. So presumably you have much more natural insulin resistance than I do. Also my NR is 1:10 for all meals, rather than your 1:5. My weight is, I think, very similar to yourself; I've been 70kg (+/- 1kg)for the last 4+ yrs. My fitness possibly quite different - in my 40s I was running cross-country competitively alongside 18-25 yr olds then job change scuppered that, but I still walk a lot and garden pretty freely. Age and balance issues are becoming noticeable recently. Fascinating how different we can each be.

Anyway, just wondering if the event has passed and gone!
 
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