just wee Question BG

[Marier]

hi guys am i doing something wrong

lunch 1pm BG 12.1 1QA

1 slice of Burgen Bread toasted boiled egg 2 plums QA 2.5
BG 4PM 18.6

 

[everydayupsanddowns]

Slice Burgen: 12g CHO
Plum: 8g(approx?) CHO

So total: 28g CHO

Seems like you guessed at 25g and assume 1u:10g?

But

You started higher than your ideal target. A fancy 'smart' meter would have added a small amount with the aim of 'correcting' you back to mid-range. If 1:10 is right, the usual partner correction factor is 1u to drop BG by 3mmol/L (clearly, like a meal ratio, this needs to be tested!). Bearing that in mind you might have added a unit or even a little more to your meal calculation.

And all of that will only work (and your meal/correction factors can only really be tested) if your basal is set right. Have you ever tested it systematically?

 

[PattiEvans]

Unless your lunch was in the region of 10g carb I'd say you weren't injecting enough if you only did 1u quick acting. Plus, pens generally don't deliver as accurately with very small doses. The slice of Burgen and two plums come to around 30g carb if they're the same size as the two average plums I've just weighed.

If you think you've dosed accurately, then perhaps you should test your basal. Instructions here http://www.diabetes-support.org.uk/info/?page_id=120 about half way down the page. Before you can do that though you need to get that BG down. Do you know your correction factor? if not please say and someone will help you.

was typing whilst Mike posted

 

[Marier]

was on 1 to 1 ratio burgen 12g 164gms plums 14.9 = 26.9 2.5 cp maybe should of had 3QA However surely shouldnt of risen as much as that to 18.6 at 4pm not very good with changing Ratio

Yes normally do 1QA IF BG AT 11 OR 12 OR 13 again mayb it doesnt lower my BG by 3mml

deffo idea to try the Basal test not done one in a wee while will come back n let you know if that ok .

 

[Marier]

Everydayupsanddowns
How would i d0 this test ???
thanks

 

[PattiEvans]

Instructions are here about halfway down the page

 

[Marier]

thank found it after i posted thank you

 

[Marier]

going to try this nxt 3 breakfast morning s to see whats going on and see what BG are will let you know

 

[Marier]

hu guys

1.50 am BG 5.9

3.15AM BG 6.1

4.25 BG 6.7

6.30AM BG 6.7

8AM BG 9.0 HAD 1 QA CORRECTIVE

went back to bed didnt eat got up at 10.30 am BG 7.1 had 1 slice bacon ,1 tomato , muchrooms no QA
12PM BG 9.9

2PM BG 15.1 we had been invited to our friends ice-cream farm to celebrate there Birthday so had ma wee cone 2QA + 3 CORRECTIVE

See what BG is come 6pm when i have T
any thoughts

 

[everydayupsanddowns]

Looks like your liver is messing you about at around breakfast time to me (sometimes called dawn phenomenon, or perhaps in your case 'feet hit the floor'). Some people find that if they don't eat at around their normal rising time, or within a few hours of getting up, their liver releases stored glucose to 'help'. Unfortunately once it starts it can be tricky to get it to 'switch off'. This can make morning basal tests a challenge

Eating a bit more protein around breakfast time might help other tests? Or it might just indicate not enough basal from 6-8am onwards?

You'd need to check another time or two really to look for a pattern

 

[MaryPlain]

Is there a glossary somewhere? I'm struggling with some of the abbreviations. What is a QA, for example, please could someone point me to a list of these!

 

[Marier]

everydayupsanddowns

Thanks tested again at 4pm BG 16.1 so decided to try exercise bike as when was doing bike before it helpd bring down sugars so 10 min on bike brought it down to BG 11.8 but i had would be also working 6 pm T Time BG 9.9 HAD 1 CORRECTIVE
2cp for T will see what its like come 10 pm god what a mess my Diabetes is in

 

[Marier]

will do my best to check over night again tonight and mon night let you know thanks for helping

 

[PattiEvans]

Is there a glossary somewhere? I'm struggling with some of the abbreviations. What is a QA, for example, please could someone point me to a list of these!

I think Marier means Quick Acting i.e. Bolus.

Marier

Thanks tested again at 4pm BG 16.1 so decided to try exercise bike as when was doing bike before it helpd bring down sugars so 10 min on bike brought it down to BG 11.8 but i

Exercise does bring down BGs but it's not advisable for T1s to exercise over about 14mmol/l because it can raise BGs in those circumstances. Fortunately it didn't do so for you on this occasion. It looks as though you need to be a bit more aggressive with the correction doses.

Another thing you might like to take into consideration (this is personal to me but I do know others that have the same reactions), if I am not eating any carbs with a meal I have to bolus a bit for the protein I am going to eat.

 

[MaryPlain]

Thanks Patti, that makes sense. I was thinking "quality assurance" which didn't make sense at all!

I have also found that if I don't eat carbs my blood sugar rises if I don't have any insulin. How on earth do you work out your ratio for protein - I suppose it's trial and error but I'm lost trying to estimate the amount of protein grammes in things.

Funny how the protein doesn't seem to have much effect if carbs are eaten with it. I must admit I had more or less resigned myself to the idea that I would have to have carbs - mainly when eating a nice cooked breakfast - my favourite being a cheese and mushroom omelette - in order to make my blood sugar behave I'd taken to adding beans.

 

[everydayupsanddowns]

Mary - have a look in the Newbies section, there's a link on the Useful Info thread with a bunch of abbreviations 🙂

 

[PattiEvans]

Thanks Patti, that makes sense. I was thinking "quality assurance" which didn't make sense at all!

I have also found that if I don't eat carbs my blood sugar rises if I don't have any insulin. How on earth do you work out your ratio for protein - I suppose it's trial and error but I'm lost trying to estimate the amount of protein grammes in things.

Funny how the protein doesn't seem to have much effect if carbs are eaten with it. I must admit I had more or less resigned myself to the idea that I would have to have carbs - mainly when eating a nice cooked breakfast - my favourite being a cheese and mushroom omelette - in order to make my blood sugar behave I'd taken to adding beans.

This graph might give you some idea Mary. I inject about half for the grams of protein that I would for carb... but I do need fairly high ratios e.g. 1u/4g carb - God I must lose weight! That affects it mightily!

 

[Marier]

Thanks Guys maked sence exercise I now that your nor meant to do it abouve 14 proved it on sun bg high went walk made it higher so today thought id try bike as over past few months i have proven that going on bike when high asctually works for me even though you have no energy to do so. why do you feel i need to be more aggresive with Correctives i m curious am i doing it wrong 🙂
M

 

[Marier]

will test again during night to see howwee go of to bed BG 10.1 had 1 QA Nothing to eat since 6.30 pm my Dinner

 

[Phil65]

everydayupsanddowns

Thanks tested again at 4pm BG 16.1 so decided to try exercise bike as when was doing bike before it helpd bring down sugars so 10 min on bike brought it down to BG 11.8 but i had would be also working 6 pm T Time BG 9.9 HAD 1 CORRECTIVE
2cp for T will see what its like come 10 pm god what a mess my Diabetes is in

....I don't think your D is in a mess! seems you have your basals right (definitely the hardest thing to get right) .....you just need to get your insulin carb ratio right, you may find that this will vary for you depending on the time of the day (mine vary quite a bit) and also your corrections.....trial and error... try a diffetrent amount....and just keep testing!