Its all gone too pot.

[bennyg70]

And I dont know why!!

Im seeing lots less lows / hypos which is nice, but loads of 11s, 12s, and a few over 15 which I hate.

My ratios seem to be all over the bloomin place and I just dont know which way to turn right now... For the moment Ive rejigged my ratios, but they seem so dramatic.

mornings gone from 12 / 1 - Now 8 / 1
Lunchs gone from 12 / 1 Now 10 to 1
And dinners gone from 15/1 Now 12 to 1

I havnt done anything with my basal as of yet I need to basal test this week as a matter of urgency. Conditions wernt right this morning for me, however another couple of u's could be on the cards.

Im just really worried I change everything, and it turns out its some lingering infection or something which I dont realise is there and then it all changes again. Ohh the joys!!

Another thing I thought it could be. The last week ive been a litle naughty as in I havnt walked the dog as much as usual. I usually would take him out 5 nights - everyngiht in the week. This week because of work and stuff ive had to leave dog walking duties to the oh and matthew.

Could this effect my metabolism, therefore overallinsulin sensitivity?

A) Could it take effect in such a short space of time?
B) Does regular exercise such as dog walking (Usually 45 mins per time) have an effect over all ie. Does the walking im doing effect my insulin sensitivity the next day at lunch?

Thanks for reading

Frustrated Benny

 

[trophywench]

Yes.

Exercise affects your BG for up to 48 hours.

My DSNs say (jokingly) diabetics should exercise every 2 days to make it easier for them (the nurses) to work out what's happening to people's BGs !

 

[bennyg70]

Experiment time then.

Ive set my Expert metre to the higher ratios ie as if Im doing no exercise.

Ive roughly worked out the % difference to get the ratios to what they have been recently (Before lack of exercise!!) so If im doing regular walking, I will hit the exercise button, and see how it works out!!

 

[Phil65]

And I dont know why!!

Im seeing lots less lows / hypos which is nice, but loads of 11s, 12s, and a few over 15 which I hate.

My ratios seem to be all over the bloomin place and I just dont know which way to turn right now... For the moment Ive rejigged my ratios, but they seem so dramatic.

mornings gone from 12 / 1 - Now 8 / 1
Lunchs gone from 12 / 1 Now 10 to 1
And dinners gone from 15/1 Now 12 to 1

I havnt done anything with my basal as of yet I need to basal test this week as a matter of urgency. Conditions wernt right this morning for me, however another couple of u's could be on the cards.

Im just really worried I change everything, and it turns out its some lingering infection or something which I dont realise is there and then it all changes again. Ohh the joys!!

Another thing I thought it could be. The last week ive been a litle naughty as in I havnt walked the dog as much as usual. I usually would take him out 5 nights - everyngiht in the week. This week because of work and stuff ive had to leave dog walking duties to the oh and matthew.

Could this effect my metabolism, therefore overallinsulin sensitivity?

A) Could it take effect in such a short space of time?
B) Does regular exercise such as dog walking (Usually 45 mins per time) have an effect over all ie. Does the walking im doing effect my insulin sensitivity the next day at lunch?

Thanks for reading

Frustrated Benny

Hope you get it back on track soon Ben and find the answers, it is so frustrating.....probably the most frustrating thing about Diabetes for me, is you think you've got your ratios and your basals spot on,all going well and then bang weird readings!

 

[everydayupsanddowns]

Synpathies Benny

But this *always* happens after a period of good BG stability for me. Life/seasons/whatever just don't stay exactly the same - and even if they did something else (like illness/stress as you suggest) would come in and play havoc with the fine balance.

I often find that ratios stay more or less constant and it seems to be basal that moves most regularly for me. In your shoes (and without the opportunity to properly basal test) I might have speculatively added 10% to my basal to see what happened for a few days before altering meal ratios, but the good thing is you have everything recorded, so as and when your basal testing/tweaking happens you can always revert to the old meal ratios if you need to.

Hope you manage to get it fixed soon. So frustrating to be taking as much care as you were when getting near perfect results, but the effort is repaid with rubbish BGs 😡 🙄

 

[bennyg70]

Hope you get it back on track soon Ben and find the answers, it is so frustrating.....probably the most frustrating thing about Diabetes for me, is you think you've got your ratios and your basals spot on,all going well and then bang weird readings!

I know - Its the thing I hate most.

I think what TW says makes a lot of sense. Since changing back to nova from apidra, I always found it odd that my ratios were lower! Ie they were all around 10 / 1 before, but now they were working at around 15 / 1. Theres a big difference within this time of buying a dog ... And I think it must be the lack of exercise recently which has sent all my current ratios out the window. Well see how the next few days go!

 

[bennyg70]

Synpathies Benny

But this *always* happens after a period of good BG stability for me. Life/seasons/whatever just don't stay exactly the same - and even if they did something else (like illness/stress as you suggest) would come in and play havoc with the fine balance.

I often find that ratios stay more or less constant and it seems to be basal that moves most regularly for me. In your shoes (and without the opportunity to properly basal test) I might have speculatively added 10% to my basal to see what happened for a few days before altering meal ratios, but the good thing is you have everything recorded, so as and when your basal testing/tweaking happens you can always revert to the old meal ratios if you need to.

Hope you manage to get it fixed soon. So frustrating to be taking as much care as you were when getting near perfect results, but the effort is repaid with rubbish BGs 😡 🙄

The next day I wake up to a decent BG im basal tsting!! Cheers Mike, are yours getting back on track now?

 

[everydayupsanddowns]

The next day I wake up to a decent BG im basal tsting!! Cheers Mike, are yours getting back on track now?

Getting there... Just had an 'outward bound' weekend with a bunch of yooung people, so routine absolutely out of the window. First one of those post-pump and my levels were considerably better than previous visits, so I guess I must be getting there, despite still feeling a bit 'all over the place'.

A much quieter week this week which should help to see how things are going. But then my birthday coming up... so that'll throw a spanner well and truly in the works!

 

[trophywench]

OH well hang it Mike, we ARE supposed to be able to lead normal lives, so just lead one occasionally I say !

 

[bennyg70]

My excuse is Im still having a xmas after party!

 

[bennyg70]

It gets bloomin worse

So, I made the decision that i would base the theory on why my bloods had gone haywire and ratios had moved their tiny little goalposts on the fact that id effectivly taken my exercise level from 6 or 7 hours walking a week, down to about 1. Therefore decreasing my metabolism, therefore my insulin sensitivity and therefore my ratios were lower. IE 8 to 1 not 12 to 1.

So I set my expert metre up to work for non exercise weeks / days. And I set the exercise option to take away an amount which would give me my normal ratio! It all seemed to fall into place and make sense! And still kind of does. For example it dawned on me that my bg readings on average are worse on a wednesday acdording to the expert than other days... Well I go to college on a tuesday ngiht and dont get to walk my furry little friend!!

So I thought, more effort required, Im gonan go out walking everynight and see what happens.. Ill go somewhere in the middle for my ratios today, then back to normal ones tommorow.. sorted.

However, I went to bed on a 8mmol/l level, knowing I still had around a unit floating around in me somewhere of fast acting, and an hours walk done earlier that i hoped would take effect.. Id had a very healthy tea too, nothing that could peak later and catch me out.

So I woke about 4.30 feeling groggy, tested and it was 15.8mmol. Its just BULLS*+T this bloomin diabetes thing isnt it!!!!

Ive got my list down to about 54 possible causes ( A slight joke but its probably not far off)

These are my favourite so far.

1) I have the hypertension clinic today, I dont feel stressed about it, but maybe i secretly am! Seems a big rise though.
2) I went hypo and had a massive rebound.. Doubt it I would usually wake.
3) Obviously the insulin sensitivity issue im having which Ive put down to exercise (for the moment) effects my basel too, and this week my basal just hasnt been enough. Seems a big difference though.
4) Lifes a bi*ch
5) Theres some flu or infection in me somewhere but I dont know where... If there is, its been going on a a little while.
6) My basal requirments have genuinely changed, however, to go to bed at 8mmol and wake at 15mmol (8 hours apart) this seems a big difference in basal requirments... Possibly not just a couple of units..!!!

Help me!!!!

 

[everydayupsanddowns]

Here are another two to add to your lengthy list...

• You weren't *actually* 15.8 at all. Did you re-check? You might only have been 12.x or whatever. Increasingly I'm retesting my Ehhhhhhh?!? results and I am quite often getting a less extreme result
• What had you eaten? Any chance it was some carbs from your eve meal just gradually chugging in?
• It was AllTheThings (effectively your no 4). It's a combination of a little bit of stress, plus a pinch of not as much activity added to a smidge of meal/basal error measured by an overenthusiastic meter. (this is my favourite option - individually they would not have caused much of a wobble, but they all joined forced to ruin your mood)

 

[bennyg70]

Here are another two to add to your lengthy list...

• You weren't *actually* 15.8 at all. Did you re-check? You might only have been 12.x or whatever. Increasingly I'm retesting my Ehhhhhhh?!? results and I am quite often getting a less extreme result
• What had you eaten? Any chance it was some carbs from your eve meal just gradually chugging in?
• It was AllTheThings (effectively your no 4). It's a combination of a little bit of stress, plus a pinch of not as much activity added to a smidge of meal/basal error measured by an overenthusiastic meter. (this is my favourite option - individually they would not have caused much of a wobble, but they all joined forced to ruin your mood)

Ive decided not to change anything - Get through today and see how it goes tonight. If I can get to bed on a decent level ill do a test at 3am and then morning and see what im doing! (With a walk at somepoint!)

 

[bennyg70]

Ive decided not to change anything - Get through today and see how it goes tonight. If I can get to bed on a decent level ill do a test at 3am and then morning and see what im doing! (With a walk at somepoint!)

I didnt re check, but judging by the correction I took, I reckon I was up there according to what my levels are now... However I know what you mean... Ive tested, thought arghhh! corrected, thought after I dont feel like that. And then re tested and come out much more normal not requiring a correction.... I liked it, I had to eat.

 

[Phil65]

...how about:

I had these problems occasionaly on MDI:

injecting into a dodgy area?
cracked leaking cartridge?
expired or dodgy insulin?
needle leaky problem?

Sucks sometimes....hope you find the cause

 

[bennyg70]

...how about:

I had these problems occasionaly on MDI:

injecting into a dodgy area?
cracked leaking cartridge?
expired or dodgy insulin?
needle leaky problem?

Sucks sometimes....hope you find the cause

A possible good call on the dodgy insulin cartridge... If the basal was off it would explain a lot and only goes back to the last week where ive been having issues, this would roughly be the life of the pen so fa.. Ill chuck it when I get back and try a new one and see how we get on. That plus exercise plus lack of stress will SURELY solve the mystery..!

 

[bennyg70]

Changed the lantus pen, Have now walked the dog for 2 nights in a row.

My adjusted insulin dose (More insulin) sent me low last night. I also held over night although there lots of ifs and buts due to a late night snack, pancakes and lost track of insulin a little. (So maybe i was just lucky!!)


Ive injected the adjusted ratio (More insulin) for breakfast and will do for lunch. I really really really hope (And this may sound stupid) That I go hypo, as this will prove the theory and Ill know whats been going on the last week.

So glucose tabs at the ready...

 

[Northerner]

Good luck Benny, hope you've found the source of the problem 🙂

 

[bennyg70]

Good luck Benny, hope you've found the source of the problem 🙂

Thanks! I hope so..!