Help

[grandma]

Well as you know I have been having trouble getting my BGs down but think that its better now thanks to the help you have all given me but its still the morning 1 that I carnt get right. I am testing through night and not hypoing but if I but my BI up just 1 unit then I do I had put it up from 10 to 11 but hypo through night so put it back down to 10 last night went to bed 6.0 and at 2.30 11.7 and 7.15 15.0.
When I was on 11 BI went to bed 7.9 and test at 3.30 3.8 so thats why Iput it back to 10 units
This is the only 1 I carnt seem to get right any help please just dont know what to do now. Thank you

 

[margie]

Hi Grandma - what time do you go to bed ?

Is it possible that when you went to bed on 6 and tested again at 2:30 that somewhere between bed and 2:30 you went hypo - so you were getting a rebound ? If that is the case then a small snack before bed may help prevent this.

If it really is down to the 1 unit difference in insulin then you could try a snack - or have a word with your DSN to see if there is any way you can try a different basal.

 

[bev]

Hi Grandma,
Is there a chance you could get a half unit pen. When do you have the injection.🙂Bev

 

[Adrienne]

Hi grandma

Can I suggest you try something for 3 days before stopping it. No night will be the same. When you upped it to 11 and you woke hypo, you may well have done something different during the day to have that effect on levels. The rule of thumb is tweak something and try for three days and then tweak it again. You may find that the other two days you would be ok.

Maybe you need to change the timing of the insulin, later or indeed earlier. It doesn't have to be at night time. You could take it at lunch time or afternoon or morning (the long acting insulin).

Good luck.

 

[Adrienne]

Hi Grandma,
Is there a chance you could get a half unit pen. When do you have the injection.🙂Bev

Good point but only if you have levemir. I don't think that you can get a half unit if you are on Lantus.

For Levemir you can get the junior pens and they have half units. They are no different just pretty patterned colours.

 

[Ergates]

I'm thinking like you Adrienne, there was probably something else during the day causing the hypo. Did you do any walking or other exercise, Grandma?

 

[Adrienne]

I'm thinking like you Adrienne, there was probably something else during the day causing the hypo. Did you do any walking or other exercise, Grandma?

Or any extra thinking, seriously, anything different. A school test, even a spelling test can shoot children's levels up so if perhaps you were writing lots of letters using brain power....... you just never know, anything that was remotely different than normal 🙂

 

[bev]

Good point but only if you have levemir. I don't think that you can get a half unit if you are on Lantus.

For Levemir you can get the junior pens and they have half units. They are no different just pretty patterned colours.

Hi Adrienne,
Oops - I didnt know that Lantus didnt have half unit pens, and yes you are right about giving it a few days to see if the changes are effective or not.🙂Bev

 

[Adrienne]

Hi Adrienne,
Oops - I didnt know that Lantus didnt have half unit pens, and yes you are right about giving it a few days to see if the changes are effective or not.🙂Bev

They may well have changed it Bev but I don't think so. They damned well should do if they haven't though 😛

 

[grandma]

well i was on the 11 for 9 days and then had the hypo I am on Lantus and see is trying to get me a half unit suringe I dident do anythig different except that day I had been low all day could not get it up
3.00 5.2
7.30 7.8 2.5 CP 10 qa ON A 4:1
12.00 3.1 4 CP 8QA on a 2:1
17. 00 3.2 7 CP 10QA on a 1.5:1
10.30 7.9 went to bed
B
I 11 at 18.00Had the hypo at 3.30 3.8
ok yesterday but went to bed 6.0 on the 10 BI at 18.0
Bed at 23.00
Then had the high this morning and therough night
I go back to see her on 23rd FEB
Well at least I am better through the day than I was thank

 

[Adrienne]

Hiya

If you were ok for 9 days with the higher amount and then had the hypo for one day, then unfortunately that could well be the nature of the beast that is diabetes. This is why most of us mums test our kids in the night, its just to frightening to leave them. My daughter doesn't wake when hypo.

Good luck and I hope you get this sorted. 🙂

 

[grandma]

Hi grandma

Can I suggest you try something for 3 days before stopping it. No night will be the same. When you upped it to 11 and you woke hypo, you may well have done something different during the day to have that effect on levels. The rule of thumb is tweak something and try for three days and then tweak it again. You may find that the other two days you would be ok.

Maybe you need to change the timing of the insulin, later or indeed earlier. It doesn't have to be at night time. You could take it at lunch time or afternoon or morning (the long acting insulin).

Good luck.

Have change it from 20.45 at night to 16.00 since 7th Jan she told me to try that and see how it went

 

[grandma]

Hiya

If you were ok for 9 days with the higher amount and then had the hypo for one day, then unfortunately that could well be the nature of the beast that is diabetes. This is why most of us mums test our kids in the night, its just to frightening to leave them. My daughter doesn't wake when hypo.

Good luck and I hope you get this sorted. 🙂

Thanks I have been testing evernight since SEP. when I went on the Dafne so I dont know whats going on and thats what bugs me now well thanks

 

[margie]

My Lantus pen is in 2 unit increments and it annoys me. I know there are 1 unit pens about but I have not managed to get hold of one. I can't imagine there being a half unit pen. The perceived wisdom I got about modifying Lantus was to change up and down 4 units at a time......

If that day was a one off then you probably should have left things alone. It sounds like there was something else going on with you that day if you were struggling to get things up. If I had been struggling all day like that I think I would have had a snack before bed.
Sorry not being of much help.

Could you call her before the 23rd ?

 

[grandma]

My Lantus pen is in 2 unit increments and it annoys me. I know there are 1 unit pens about but I have not managed to get hold of one. I can't imagine there being a half unit pen. The perceived wisdom I got about modifying Lantus was to change up and down 4 units at a time......

If that day was a one off then you probably should have left things alone. It sounds like there was something else going on with you that day if you were struggling to get things up. If I had been struggling all day like that I think I would have had a snack before bed.
Sorry not being of much help.

Could you call her before the 23rd ?

I did have a digestive just 1 when I WAS GOING TO BED ON THE 6.0 and I will give hes a ring tomrrow thanks

 

[grandma]

margie I use the Lantus pre filled SoloStar injections ask for them they are in the 1 units witch might be better for you.

 

[grandma]

margie I use the Lantus pre filled SoloStar injections ask for them they are in the 1 units witch might be better for you.

well I have not been to bad today BGs were only 9.8 this morning and have been in the 6.2 6.3 all day since yesterday there was only that high in the morning and the reat of the day 6.0 7.2 tested through night ant it was 6.3 so think I will stay on the 10 units.
Do you think it might be the Dawn that making me high then thank you everbody

 

[novorapidboi26]

well I have not been to bad today BGs were only 9.8 this morning and have been in the 6.2 6.3 all day since yesterday there was only that high in the morning and the reat of the day 6.0 7.2 tested through night ant it was 6.3 so think I will stay on the 10 units.
Do you think it might be the Dawn that making me high then thank you everbody

Thats great news you were steady through the night, that means the dose is right, try and get a few nights consecutively though just to confirm.......

Now you can tighten up the quick acting ratios.........

It could very well be the dawn phenomonon, which unfortunately cant be stopped, but it doesnt seem to be too severe.......

see what happens tommorow morning.........

2 nights ago I was 6.8 going to bed at 11.00pm , no carbs or quick acting..........17.2 at 6.30 am

 

[grandma]

Thats great news you were steady through the night, that means the dose is right, try and get a few nights consecutively though just to confirm.......

Now you can tighten up the quick acting ratios.........

It could very well be the dawn phenomonon, which unfortunately cant be stopped, but it doesnt seem to be too severe.......

see what happens tommorow morning.........

2 nights ago I was 6.8 going to bed at 11.00pm , no carbs or quick acting..........17.2 at 6.30 am

thanks novorapidboi I had put the poast on as I had hypo through night onSaterday at 3.30 so droped the BI from 11 to 10 had been ok for 9 days on that then the high when I had droped it morning on 10.3 then the next day 15.0 and this morning 9.8 but through nigh its ok as far as I know I have been testing evernight as 2.30 3.00 I am going to bed on 6.00 and 7.6s if its lower I have cards nut not usualy. thanks thans whats making me think is the dawn.

 

[novorapidboi26]

If you can find the energy, try an hourly test through the night, personally I cant be bothered with that, but I hace tested at 4 sometimes and my reading were normal, so it happens sometime between 4-6......

Your doing brilliantly..............🙂