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Mary Brock - insulin corrections?

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Marybrock

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Relationship to Diabetes
Type 1
Hi there, I am a very newly diagnosed type 1 and am getting very high bs at night (18mmol) I take lantus (18u) at about 11pm. Could I take a correction dose? At night? And if so how much- I take Novarapid.
Many thanks
Mary
 
Mary - as very recently diagnosed - and not being medically qualified ourselves - we would much prefer it if you rang your team and asked them - you may not have grasped yet that when they told you 'Any problems, just ring us!' - they actually meant what they said. Nobody 'new' is even expected to know how to do it and the other thing is starting doses of insulin are only educated guesses so they are going to need changing 99 times out of 100.

You need to chat this through with your nurse to try and establish why your BG is increasing when it does - not enough Lantus or not enough Novorapid with the previous meal? Or some other reason?

However in theory - yes indeed it IS possible to take a correction but it's best not to, until we also understand about the dangers of dose-stacking and what NOT to do.

OK ?
 
Hello MaryBrock and welcome to the forum. 🙂
 
Hi Mary , welcome to the forum.
I agree with Jenny above.
Your team is there to help you, so please don’t hesitate to contact them as they really do need to know how you are getting on. It can take a while to find out the ratios (doses) of insulin that you need . Imo when they first put us on insulin it’s a best guestmate, unfortunately nothing about diabetes is set in stone.
You should find this book helpful
Type 1 Diabetes in Children Adolescents and Young People by Ragnar Hanas

Please don’t be put off by the title, it’s suitable for all age groups.
 
Yes you can take correction doses but everyone is different and it takes a lot of trial and error to find out how much works for you! And as has been said, the chances are that your basal insulin dose needs adjusting too. Please contact your medical team, they should be able to help you sort it out. In the meantime keep testing so that you can give them as much information as possible to show them what is going on.
 
Hi Mary and welcome to the forum 🙂

I agree with Jenny about contacting your dsn/team. When newly diagnosed I saw my dsn weekly, I too had high numbers and advice was to bring the numbers down gradually and safely, so please contact them.

It can take a while for it all to come together with lots of testing and basal tests.
 
Hi,
Many thanks, saw my DSN today and got some good advice. Thank you for answering

Mary

LOL Mary - they really are helpful aren't they?

Needed advice myself last week whilst in a different hosp to my diabetes clinic, after an accident. So I asked to see their DSN and she was just as helpful as my usual one despite the fact we'd never met before.

Hope you start to see the changes working soon.
 
LOL Mary - they really are helpful aren't they?

Needed advice myself last week whilst in a different hosp to my diabetes clinic, after an accident. So I asked to see their DSN and she was just as helpful as my usual one despite the fact we'd never met before.

Hope you start to see the changes working soon.
Yes, all the dealings I have had so far, very good!! Does anyone know if a continuous blood glucose monitor is available on NHS?

Thanks
 
Hi Mary, welcome.

I am pleased that you have found your DSNs so helpful. It does take time to sort out appropriate doses, and to bring your levels down.

I too would recommend the Ragnar Hanas book. It is a great book which I found much later on and spent time going "oh now I understand ...." when I finally got it.

Keep in touch and let us know how you are getting on, and just ask questions. We are here to help and there are a lot friendly supportive people on here.
 
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