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Loss of control

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
newbs

newbs

Well-Known Member
Relationship to Diabetes
Type 1
I seem to have total loss of control at the moment, don't know where to start to put things right. I am in touch with DSN and we have decided to reduce my basal by 2 units to try to stop the hypos/reboundiing highs. Last night I did this and my BG was 11.3 before bed, tested at 2am - 4.7, left it and this morning it was 6.8 on waking.

Yesterday afternoon my BG was 9.6 2 hours after lunch but dropped to 4.4 by 4pm meaning I would have been hypo if I didn't test then.

If I get the NR right for a good BG mid-morn/mid-afternoon I always drop before lunch/tea. I don't really want to have to resort to snacking between meals unless I really have to, not always the time (or the want to do so).

Any ideas much appreciated.
 
You need a pump Newbs! There's only so much room for manoeuvre with long-acting insulins injected once or twice a day. Whereas with a pump you can tailor your basal requirements hour by hour throughout the day and night.
 
Hi Newbs, can you do a basal test? This would find out where the problem lies,
You might find after testing that a spilt basal would be better for you (that's if not already split)
If after plenty of effort (which you do put in anyway) keep good records etc, ask for a pump if you would like one.
Hope you are soon running back to normal and feel safe and secure again.
 
I totally agree with the others.

You do need to basal test, mate. It's the only way possible to find out where you need more or less insulin.

But to start off with - bearing in mind you have too much during the early hours and not enough in the middle of the day - why not just change when you have your Lantus? - to the morning when you first get up, rather than bedtime? Then - logically - it will be running out in the early hours - instead of just ramping up?
 
Changing my Lantus to morning sounds like a good plan.

I will definitely basal test very soon, it's something I need to do.

I'm speaking to my DSN again this week, will try to bring forward my next consultant appointment (currently sometime next February/March).
 
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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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