Low BS and Chinese for supper

[mum2westiesGill]

As some of you may know I'm having lots of hypos at the moment. I'm off out tonight and will maybe have a couple of shandys plus some crisps for carbs. My DS (bless him) has only gone and ordered a chinese for supper.

If I had the chinese I would only be having half the tub of chicken fried rice. But however in my situation I don't know whether to have it or not have it. HELP 😱

 

[AJLang]

Enjoy your Chinese

 

[Northerner]

I imagine the Chinese would probably keep your levels up Gill, rather than send you hypo. I would just keep a close eye on your levels to find out how you react to it 🙂

 

[mum2westiesGill]

Enjoy your Chinese

Thank you 🙂

 

[mum2westiesGill]

I imagine the Chinese would probably keep your levels up Gill, rather than send you hypo. I would just keep a close eye on your levels to find out how you react to it 🙂

I thought that too & yes I'll keep a close eye on the bs levels.
I have actually this last couple of nights had supper which is 2 rnds of bread & a biscuit but so far no difference 😡.

 

[Northerner]

I thought that too & yes I'll keep a close eye on the bs levels.
I have actually this last couple of nights had supper which is 2 rnds of bread & a biscuit but so far no difference 😡.

Still having the hypos? Have you decreased the lantus again yet?

 

[mum2westiesGill]

Still having the hypos? Have you decreased the lantus again yet?

I'm still having the hypos. I'm continuing to decrease the lantus, taking 30u.

Here's Saturday night
- had 3/4 shandys & 2 bags of quavers
- Suppr - 1/2 tub of chicken fried rice with a splash of curry sauce (in the carbs & cals book it says 60g for 1/2 tray fried rice)

22:58 - 16.5 - check while out
00:41 Bed - 21.9 - after 1/2 tub fried rice - also forgot to do BI at 09:00pm, hope this is ok 😱 😱 also no correction done cause think it can be dangerous.
Sunday
09:00 Fasting - 7.2
10:46 Hypo - 2.7 - 5 jelly babies
11:01 Hypo check - 3.6 - 2 jelly babies
11:17 Bfast - 6.9 - 2u

 

[Northerner]

Goodness Gill, that really was a big drop overnight - and still dropping into the morning as you got up 😱 Good job you didn't correct! It sounds like your basal requirements are really coming down - seems not too long ago when you were being told to increase it! Hopefully, it won't be too long before you get the balance right between your meal ratios and basal doses and you can start to feel a bit more confident about what the days and nights will bring 🙂

 

[mum2westiesGill]

Goodness Gill, that really was a big drop overnight - and still dropping into the morning as you got up 😱 Good job you didn't correct! It sounds like your basal requirements are really coming down - seems not too long ago when you were being told to increase it! Hopefully, it won't be too long before you get the balance right between your meal ratios and basal doses and you can start to feel a bit more confident about what the days and nights will bring 🙂

So if my basal requirements came right down what happens then?
It's all very very strange ie not long ago my BS were sky high and now they're just the opposite.
Also like you say hopefully it won't be too long before I get the balance right between meal ratios and basal doses then I can be more confident about what the days and nights will bring.

 

[Northerner]

So if my basal requirements came right down what happens then?
It's all very very strange ie not long ago my BS were sky high and now they're just the opposite.
Also like you say hopefully it won't be too long before I get the balance right between meal ratios and basal doses then I can be more confident about what the days and nights will bring.

My suspicion is that before, when your levels were always high, they thought the solution was to increase your basal, whereas in fact it would have been better to change your meal ratios. Having increased your basal and then changed your meal ratios has resulted in you having maybe much better meal doses but now too much basal!

You'll get there Gill, you've learned a lot and whilst you have swung between some big extremes you are starting to reach a point where you won't be needing to make such big changes, hopefully 🙂

 

[trophywench]

What happens then? - LOL Gill - you take even less Lantus! (Look at Northie, 1 flipping unit a night.)

Think you've gotta be a bit more bold with your Lantus reduction meself. But never reduce by more than 10% of your previous dose in one go. Try 'minus 3 units' the next time you reduce?

And when you go high because you know you've eaten too many carbs for the fast-acting you took - do a correction.

Bedtime corrections with fast-acting are NOT actually a hanging offence, although it's best to get it all battened down so you don';t have to. But you do need to know what you are doing with them and not slap em in gung-ho. I know for a fact that at the moment (well it hasn't really changed for a few years at least) 1u of Novorapid brings my BG down by 3.0. Yours might bring it down by 1.0 or 6.0 - we don't know! YOU have to discover that.

And at night - well perhaps to start with I'd only take half the Novo I'd normally do for a correction in the day. And anyway, I've always tried to only correct down to 7.5 at night-time because I know me and it gives me planty of safety margin. You only learn these things by doing it.

Slowly.

 

[Northerner]

..And at night - well perhaps to start with I'd only take half the Novo I'd normally do for a correction in the day. And anyway, I've always tried to only correct down to 7.5 at night-time because I know me and it gives me planty of safety margin. You only learn these things by doing it.

Slowly.

In this case though, TW, I think the uncertainty of the drop overnight, given current experience, meant Gill was wise not to correct. I have only done a correction at bedtime twice since diagnosis, and that was when I was poorly and confident I wouldn't drop too far - I think you have to be extra-cautious correcting when you are about to sleep, probably because I live alone so I know I can't rely on anyone else.

 

[mum2westiesGill]

In this case though, TW, I think the uncertainty of the drop overnight, given current experience, meant Gill was wise not to correct. I have only done a correction at bedtime twice since diagnosis, and that was when I was poorly and confident I wouldn't drop too far - I think you have to be extra-cautious correcting when you are about to sleep, probably because I live alone so I know I can't rely on anyone else.

Also I would only ever do a correction dose with a meal dose.