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Looking for help

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Kaylz

Kaylz

Well-Known Member
Relationship to Diabetes
Type 1
What does it mean if I've dropped 2 hours post meal rather than spoke but return close to pre meal 4 hours later, does it mean I'm taking too much insulin I'm so confused sorry guys :( x
 
Is this happening often or just a one off.
 
Often like everyday after breakfast say Saturday 5.9 before 2 hours later hypo at 3.9, yesterday 8.5 before 2 hours later 5.4 4 hours later 7.9, today 7.4 before 2 hours later 5.3 4 hours later 7.2 its usually lower than today's example though and sorry for all the results haha x
 
It could be the insulin peaking before the carbs.
 
Can't help you with this Kaylz but hope you can resolve it x
WL
 
i have granola and yoghurt mixed with honey every morning, I usually bolus 10 mins before, it's really worrying me and I don't know what to do about it which makes me worry more :( x
 
I was just typing a post asking how long it is between when you inject and when you eat when your post came up, Kaylz! You could try bolusing immediately before eating and see whether that makes any difference, in case it is the insulin peaking before the carbs. I'd expect the honey to send you up quickly though.

It could just be that your pancreas is still producing a bit of insulin - so when you eat it thinks - ooh, glucose, better do something about it - and just produces enough to create that little dip. People do have dips when they're in the honeymoon period, and it's not that long since you were diagnosed, so your pancreas could well be producing the odd bit of insulin still.

Alternately it could be that your liver is compensating for your bgl going down by putting out a bit more glucose than you need just before you eat the next meal! If you try changing the injection time and that doesn't work, you could then try going back to normal injection time and cutting your bolus a tiny amount to see if that makes any difference, just in case it's that. Unless you are hypo-ing a lot though, I don't know whether you really need to cut the bolus, so might be worth having a word with your DSN before you do that.

I have to say I'd be delighted with your readings, despite them being a bit back-to-front in terms of when you go down and when up, so try not to worry too much!
 
I was going to suggest the same thing as TheClockworkDodo, about the honeymoon period. When were you diagnosed?
 
TheClockworkDodo said:
I was just typing a post asking how long it is between when you inject and when you eat when your post came up, Kaylz! You could try bolusing immediately before eating and see whether that makes any difference, in case it is the insulin peaking before the carbs. I'd expect the honey to send you up quickly though.

It could just be that your pancreas is still producing a bit of insulin - so when you eat it thinks - ooh, glucose, better do something about it - and just produces enough to create that little dip. People do have dips when they're in the honeymoon period, and it's not that long since you were diagnosed, so your pancreas could well be producing the odd bit of insulin still.

Alternately it could be that your liver is compensating for your bgl going down by putting out a bit more glucose than you need just before you eat the next meal! If you try changing the injection time and that doesn't work, you could then try going back to normal injection time and cutting your bolus a tiny amount to see if that makes any difference, just in case it's that. Unless you are hypo-ing a lot though, I don't know whether you really need to cut the bolus, so might be worth having a word with your DSN before you do that.

I have to say I'd be delighted with your readings, despite them being a bit back-to-front in terms of when you go down and when up, so try not to worry too much!
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I don't think there's actually too much honey in it as its just the honey flavoured skyr, thanks I will try bolusing straight before eating tomorrow morning hopefully that works x
 
It's also worth considering lowering basal dose slightly.
 
Amberzak said:
I was going to suggest the same thing as TheClockworkDodo, about the honeymoon period. When were you diagnosed?
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Just under 6 months ago x
 
Copepod said:
It's also worth considering lowering basal dose slightly.
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The DSN has never mentioned that to me, I'm only on 8 units of Tresiba and am constantly worried if I make any changes that I will end up too high x
 
Kaylz said:
The DSN has never mentioned that to me, I'm only on 8 units of Tresiba and am constantly worried if I make any changes that I will end up too high x
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Worth chatting to DSN.
 
Yeah I know but when I saw them last week they didn't seem like they wanted to see me again, if I email them they can take days to get back to you and once a few months ago I left a message for them early on a Friday morning and I'm still waiting to hear back haha x
 
I've found that sometimes emails to NHS people don't get through to them, so always worth emailing a second time if something is urgent, perhaps with an apology for hassling them in case they just haven't had time to respond!

I should change one thing at a time - try first thing for a week or so and if that doesn't work try something else, otherwise you won't know what worked.

It's usually easy to tell whether you need to lower bolus or basal - if you have a lot of hypos at the same time every day you need to lower the bolus before that; if you have random hypos at different times of day you may need to lower the basal. If you regularly wake up hypo - or if you wake up very high but aren't high at other times - you probably need to lower the basal.

I'm on 5 units of Tresiba and I've had 17 hypos over the last week, so it's possible to have fewer than 8 units without going high!
 
Well I jabbed about a minute before this morning and have gone from 5.8 to 4.8 2 hours later xx
 
That's not great, is it? - though not a big problem if you're going up again and not keeping on dropping. I'd try a few more times, but if that dip keeps happening, I really would try lowering one of your insulin doses - if it's only happening mid-morning I'd lower your morning injection, but if it's happening at different times of day as well, try lowering the basal. And then I'd email the DSN and let her know what you've done and why, to keep her in the loop.

Do you have whole unit or half unit pens? If you have whole unit pens you might want to speak to your DSN, or to someone at your surgery if they're helpful, about getting half unit pens and cartridges, so you can lower or raise doses half a unit in the future if necessary, rather than a whole unit. The Novopen Echo fits both Novorapid and Tresiba cartridges, and you can get a red one and a blue one so it's easy to tell which one is which!
 
I checked about 6 hours later and I was 4.9 will see how I am when i test in about in an hour when I'm about to have tea as missed lunch today with being at the hospital since 9am and only just getting home now, I'm on the novo echo for my novorapid as we established that a full unit correction was too much for me so my DSN sorted that out a couple of months ago for me x
 
Well before tea was 4.8 so I'm assuming that my basal seems ok? correct me if I'm totally wrong though haha x
 
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