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Low blood sugars and mood swings
- Thread starter marina winter
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Inka
Well-Known Member
- Relationship to Diabetes
- Type 1
Do you know the times (roughly) he takes each insulin? Is he only taking the Humalog with his evening meal?
Bruce Stephens
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- Type 1
If that was before April 2022, the guideline has changed. GPs can now prescribe Libre 2, Dexcom ONE, and a couple of others which I always forget. (Others may be available via a hospital.)
Bruce Stephens
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And about 80% of all people with type 1 (in England) are currently prescribed one or other of the CGMs. (Mostly Libre 2.)If that was before April 2022, the guideline has changed. GPs can now prescribe Libre 2, Dexcom ONE, and a couple of others which I always forget. (Others may be available via a hospital.)
marina winter
Member
- Relationship to Diabetes
- Parent of person with diabetes
Could you please tell me where you found the information on the CGM’s - I’ll do some homework as we’re told but the diabetic clinic at our hospital no funding.
marina winter
Member
- Relationship to Diabetes
- Parent of person with diabetes
Thank you very much for all your advice. Really useful and I’ll get back in touch with our GP to see if they can help.
Inka
Well-Known Member
- Relationship to Diabetes
- Type 1
To be clear, the Lantus is a basal/background insulin that releases slowly over the course of the day/night, and it’s job is to keep the blood sugar steady in the absence of food.
Humalog is a fast/bolus insulin that works more quickly and lasts a shorter time, and it’s job is to deal with the carbs in meals and the subsequent blood sugar rise.
Humalog is a fast/bolus insulin that works more quickly and lasts a shorter time, and it’s job is to deal with the carbs in meals and the subsequent blood sugar rise.
Inka
Well-Known Member
- Relationship to Diabetes
- Type 1
Here’s the basal test information:
https://www.mysugr.com/en/blog/basal-rate-testing/
The basal/background insulin (Lantus in his case) is the foundation of control. If that’s not right, it can throw everything off. Getting the basal dose right is the first step (the foundation) and then he can look at his mealtime insulin (Humalog) meal by meal to see if the amount he’s taking is correct.
Can he phone his hospital team again? Mine has a voicemail and they call back.
https://www.mysugr.com/en/blog/basal-rate-testing/
The basal/background insulin (Lantus in his case) is the foundation of control. If that’s not right, it can throw everything off. Getting the basal dose right is the first step (the foundation) and then he can look at his mealtime insulin (Humalog) meal by meal to see if the amount he’s taking is correct.
Can he phone his hospital team again? Mine has a voicemail and they call back.
marina winter
Member
- Relationship to Diabetes
- Parent of person with diabetes
Now I’m worrying, he was prescribed humalog at night and lantus during the day, sounds like that’s the wrong way round. I’ll check all his hospital letters
Bruce Stephens
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- Relationship to Diabetes
- Type 1
There used to be a funding issue (and still is for some CGMs like Dexcom G6).
Shouldn't be for Libre 2, now. That's standard care, and GPs not willing to prescribe it are providing substandard care.
(For England, that is. Other countries may have their own standards.)
Bruce Stephens
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- Type 1
It's worth asking about education. Another of the NICE recommendations is that everyone should be offered education:
Bruce Stephens
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Those aren't the right guidelines if he's still a child (or a young person). Having said that, they're pretty similar:It's worth asking about education. Another of the NICE recommendations is that everyone should be offered education:
Inka
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- Relationship to Diabetes
- Type 1
marina winter
Member
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- Parent of person with diabetes
You’re right and I was wrong, just checked and humalog is his daytime injection. Thank god for that!!
rebrascora
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- Pronouns
- She/Her
Hi
Just to go right back to basics first, as this thread is a little confusing....
How old is your son?
When was he diagnosed?
Is he Type 1 or Type 2?
Does he take the Humalog before each meal or just once a day and if so which meal?
Just to go right back to basics first, as this thread is a little confusing....
How old is your son?
When was he diagnosed?
Is he Type 1 or Type 2?
Does he take the Humalog before each meal or just once a day and if so which meal?
marina winter
Member
- Relationship to Diabetes
- Parent of person with diabetes
Sorry for the delayed reply.
He’s 24 was diagnosed in November last year, he takes 10-12 of humalog before every meal
He’s 24 was diagnosed in November last year, he takes 10-12 of humalog before every meal
- Relationship to Diabetes
- Type 1
- Pronouns
- He/Him
Has he been introduced to the idea of keeping track of the carbohydrate content in his meals, and matching the carb content of his meals to the doses he is taking?
It’s a bit more of an art than actual predictable maths, but it can really help to reduce the seeming randomness of diabetes.
The nuts and bolts of carb counting
When you live with type 1 diabetes, carb counting is a great way of managing your blood sugar or glucose levels. It can give you more freedom and flexibility in what you eat when you're preparing meals at home, grabbing food on the go or eating out. Carb counting does take some time and effort...
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