Looking for advice

[Woodywoodpecker]

Hi looking for some advice. Yesterday morning took 5.5 units novarapid at 6.30 had breakfast 25 minutes later spiked to 14 was back down within the hour, but at 10am low alarm did have a banana before that. Same happened this morning not as big a spike and down within half hour, had banana then again low alarm at 10. Was wondering as it’s three and a half hours since taking novarapid, if it’s levemir that needs reducing

 

[rebrascora]

Was the banana accounted for in the breakfast bolus or was that unbolused and eaten to prevent you going low and how long before the low alarm did you eat the banana?
Generally Libre takes a good 30-40 mins to realise that levels are not falling anymore but now rising, due to the algorithm extrapolating the current trend which was a sharp drop from 14 after breakfast and that may have caused your Libre to over exaggerate how low you dropped.
Did you eat anything after the low alarm went off and did you finger prick when it went off?
What were your levels like before lunch?
Seeing your Libre graph would be helpful, so that we can also see what your BG was doing overnight and what it was before breakfast as that can also have an impact.

 

[Woodywoodpecker]

Was the banana accounted for in the breakfast bolus or was that unbolused and eaten to prevent you going low and how long before the low alarm did you eat the banana?
Generally Libre takes a good 30-40 mins to realise that levels are not falling anymore but now rising, due to the algorithm extrapolating the current trend which was a sharp drop from 14 after breakfast and that may have caused your Libre to over exaggerate how low you dropped.
Did you eat anything after the low alarm went off and did you finger prick when it went off?
What were your levels like before lunch?
Seeing your Libre graph would be helpful, so that we can also see what your BG was doing overnight and what it was before breakfast as that can also have an impact.

Banana was to stop me going low no insulin taken for it, about an hour before. Done finger prick was 5 had plain biscuit. That was todays graph

 

[mashedupmatt]

Before I changed to Fiasp I was on Novorapid - that seemed to last around 4hrs in my system, so could still go quite low before the next meal - although your graph suggests it wasn't that low (appreciate the 5 on a finger prick doesn't show on there) - what is your low alarm set at?

 

[Woodywoodpecker]

Before I changed to Fiasp I was on Novorapid - that seemed to last around 4hrs in my system, so could still go quite low before the next meal - although your graph suggests it wasn't that low (appreciate the 5 on a finger prick doesn't show on there) - what is your low alarm set at?

Alarm set at 4.8

 

[mashedupmatt]

Alarm set at 4.8

That is a sensible level - sensors and finger pricks themselves are great pointers but for me it's the way I "Feel" as to whether or not to treat (or head off) a hypo - I'd probably have held back the banana for a bit longer to see if it levelled out but that said I am on a shorter-lasting insulin - looks like your basal is ok from the graph - classic rise around 3am (Dawn Phenomenon) before coming down steadily to just over 6 on getting up but you can do a basal test to make sure

How To Successfully Test Your Basal Rate

Are you looking for basal rate information and testing instructions? Perfect! You're in the right place!

www.mysugr.com

Unfortunately diabetes will throw up a few curveballs from time to time, and it could be a blip, and as you are relatively newly diagnosed, it could be the Honeymoon Period which is causing the problems - I would find I was going far too low at times which was my pancreas deciding to have another go every now and again, on top of the insulin I had taken which is completely unpredictable

 

[Woodywoodpecker]

That is a sensible level - sensors and finger pricks themselves are great pointers but for me it's the way I "Feel" as to whether or not to treat (or head off) a hypo - I'd probably have held back the banana for a bit longer to see if it levelled out but that said I am on a shorter-lasting insulin - looks like your basal is ok from the graph - classic rise around 3am (Dawn Phenomenon) before coming down steadily to just over 6 on getting up but you can do a basal test to make sure

How To Successfully Test Your Basal Rate

Are you looking for basal rate information and testing instructions? Perfect! You're in the right place!

www.mysugr.com

Unfortunately diabetes will throw up a few curveballs from time to time, and it could be a blip, and as you are relatively newly diagnosed, it could be the Honeymoon Period which is causing the problems - I would find I was going far too low at times which was my pancreas deciding to have another go every now and again, on top of the insulin I had taken which is completely unpredictable

Last 2 mornings have put nova up half unit, as bit higher when get up. Don’t usually go low at that time, so not sure if that’s why low alarm last 2 days. Honeymoon period not great, feel like I’m up and down all the time, can’t wait for it to end

 

[mashedupmatt]

That might be it - overcooking it early doors can make it difficult to get back on the straight and narrow - if you are waking up and are between 5 and 7 before breakfast there is no need to correct as that is considered the suggested normal (your graph would suggest this?)

 

[Woodywoodpecker]

That might be it - overcooking it early doors can make it difficult to get back on the straight and narrow - if you are waking up and are between 5 and 7 before breakfast there is no need to correct as that is considered the suggested normal (your graph would suggest this?)

Thank you will go back to 5 tomorrow, sometimes don’t feel I get anything right

 

[mashedupmatt]

Thank you will go back to 5 tomorrow, sometimes don’t feel I get anything right

You are doing great - we'll never get it right all of the time and a lot of it is trial and error but it does get easier, I promise! 🙂

 

[Woodywoodpecker]

You are doing great - we'll never get it right all of the time and a lot of it is trial and error but it does get easier, I promise! 🙂

Thank you. How long were you in the honeymoon phase, is it better to manage after it ends

 

[SB2015]

Thank you. How long were you in the honeymoon phase, is it better to manage after it ends

The honeymoon length depends on how many beta cells you still have. Personally I did find it a lot easier once it was over, since my insulin needs then became a bit more consistent. There are still anomalies but all we can do is the best that we can.

 

[Woodywoodpecker]

The honeymoon length depends on how many beta cells you still have. Personally I did find it a lot easier once it was over, since my insulin needs then became a bit more consistent. There are still anomalies but all we can do is the best that we can.

Thank you look forward to the end

 

[mashedupmatt]

Thank you. How long were you in the honeymoon phase, is it better to manage after it ends

Mine lasted about 2yrs and I've had to double my bolus ratios over the past 9 months to cope with the changes but it is a lot more consistent now as @SB2015 has said - that said it is still changing now as I now need to increase my basal slightly (something I've only realised in the last couple of weeks) - but with any changes, if you do it gradually, then you can keep it safe - wishing you all the very best with it all @Woodywoodpecker and thank you for posting as these kind of posts can really help people in the future, as we can share our experiences (which will all be different!) - reading the threads on here certainly helped me getting to grips with it all

 

[Woodywoodpecker]

Mine lasted about 2yrs and I've had to double my bolus ratios over the past 9 months to cope with the changes but it is a lot more consistent now as @SB2015 has said - that said it is still changing now as I now need to increase my basal slightly (something I've only realised in the last couple of weeks) - but with any changes, if you do it gradually, then you can keep it safe - wishing you all the very best with it all @Woodywoodpecker and thank you for posting as these kind of posts can really help people in the future, as we can share our experiences (which will all be different!) - reading the threads on here certainly helped me getting to grips with it all

Yes certainly helped me a lot, don’t feel like you are alone with it all. My husband doesn’t get it all, his dad was type 1 injected morning and night and carried sugar lumps, but he is learning along with me

 

[Woodywoodpecker]

No lows this morning, took 5 units for breakfast no big spike either. Thanks for the help