Hypos and Hypers what questions do you ask yourself?

[mum2westiesGill]

I hope people understand what I'm meaning as I'm hopless at wording things.....So as the title says if you are hypo or hyper (high bgl) what questions do you ask yourself? Eg if you're hyper (high bgl) - did I not take enough insulin earlier?..... I never seem to know what causes my hypos or hypers apart from one 15.8 hyper a couple of nights ago.

 

[Inka]

Usually it’s a ‘bad’ set for me or a miscalculation of carbs. So I ask myself different questions depending on when it is.

Poor absorption?
Forgotten injection?
Carb miscalculation?
Inactivity?
Hormones?
Illness?
Stress?

 

[Kaylz]

Eg if you're hyper (high bgl) - did I take too much insulin earlier?

That would be did I not take enough insulin earlier surely?

I don't think too much about it at the moment as too much going on in other aspects of life to get too hung up on it xx

 

[mum2westiesGill]

Usually it’s a ‘bad’ set for me or a miscalculation of carbs. So I ask myself different questions depending on when it is.

Poor absorption?
Forgotten injection?
Carb miscalculation?
Inactivity?
Hormones?
Illness?
Stress?

Thanks @Inka

 

[PattiEvans]

I usually know why! e.g this morning I ate one slice of bread which was much higher in carbs than than I would normally dream of for breakfast + I know bread spikes me terribly. So at lunchtime I was 13.4. I'd not have done it, but I was in a hurry, I didn't have any Burgen bread, I was due at the Dentist which can be a 30 minute drive in bad traffic and so needed something in my tummy. Compensated at lunch with a low carb lunch and the pump worked out the correction dose.

 

[mum2westiesGill]

That would be did I not take enough insulin earlier surely?

I don't think too much about it at the moment as too much going on in other aspects of life to get too hung up on it xx

Thanks for spotting that mistake for me @Kaylz - I'll edit it xx

 

[rebrascora]

Hypers..... Is it due to protein release?
Is my basal insulin running out or the dose not high enough. If so, can I adjust my basal to fix it or is it better to leave my basal dose as it is and just correct with QA insulin.... depends on how well my basal is holding me steady ay other times of the day.....
For instance, at the moment my daytime readings are steady or occasionally dropping slightly low but my evening levels are rising pretty high and needing corrections at bedtime which is not ideal but if I increase my morning basal, I am likely to hypo during the day, so maybe just accepting that I need to inject corrections at bedtime is the best way to deal with it until things change again..... Or.... I can try injecting my evening basal dose earlier to see if that will prevent the evening highs, which is something I am just trying tonight. I have also increased my evening dose since it is now going to be working over a much longer period.

Hypos..... Did I mistime my meal ie left it too long after injecting. I sometimes get distracted on a morning waiting for my insulin to kick in.
Is my Fiasp insulin cartridge a new one and the insulin perhaps a bit more efficient than the old one I just finished.
Was there a lot of fat or fibre in the meal that perhaps caused the insulin to hit my system before the carbs were digested.
Did I do a lot of exercise before hand and should I have reduced my bolus a bit more to take that into consideration.
Is my basal dose too high

 

[Lucyr]

I don’t ask myself anything I just correct it. It’s only if it becomes a pattern that I ask myself questions.

 

[mum2westiesGill]

I need of a bit of help please

Good morning everyone hope you're all well 🙂
6:40am 5.1 within target range so I'm happy with that - 16u of tresiba taken
23:55pm bedtime 7.1 - after arriving home from a night out at Haven Primrose Valley - while I was out I had 2 gin and tonics and shared some quavers but not sure how many I had - when I got home I had some tuna with a few cherry tomatoes - bedtime BGL was below 8mmol so I had 1 bag of mini choc chip cookies 13g of carbs but told the bolus advisor it was just 3g of carbs - I didn't need any insulin for it
View attachment 18157
22:58pm 4.7 was a test I did while I was out

9:59am is my next test and pre breakfast test after my waking test and I'm hypo 3.5 - can anyone see a reason why this hypo has happened?
No hypo feeling.

10:19am pre breakfast still hypo 3.8

 

[khskel]

Possibly the gin stopping the liver dumping glucose into your blood stream?

 

[Lucyr]

what did you do between 6:40 and 9:59am?

 

[mum2westiesGill]

what did you do between 6:40 and 9:59am?

I was having a lie in most of the time so not much