Me again, needing advice

[Elizabethe]

Please bear with me only one week as a LADA. Today I met up with friends. I had my lunch at 12.30 prior to meeting. A table was booked without my knowledge at Nardines in Largs for 3pm. I had a salmon and prawn salad no carbs as couldn’t take insulin as there would not be a four hour gap. My BS have been brilliant all day. At this moment 7.4. The advice I need , I am worried that when I go to bed at 10 they may get low during the night, because I never had insulin. My nurse did say if I have a meal with no carbs I shouldn’t take any insulin. Hope this makes sense. What would more experienced people advise

thank you

Elizabeth

 

[Bruce Stephens]

I am worried that when I go to bed at 10 they may get low during the night, because I never had insulin.

What you've done sounds perfectly reasonable to me. And you say your BG look stable. So I suggest not worrying.

Why do you worry that not having taken insulin might cause you to go low during the night?

 

[Elizabethe]

i think I am worried because I am new to this and this is the first time I have skipped a doze. Also I am so controlling about managing my diabetes and when sleeping have no control. Again I think a confidence issue. Thank you
Elizabeth

 

[Bruce Stephens]

Also I am so controlling about managing my diabetes and when sleeping have no control. Again I think a confidence issue.

OK. But taking insulin is what causes BG to go lower, so skipping a dose (because it wasn't needed) isn't likely to cause you to go low.

Provided your basal (long acting) insulin dose is right, sleeping is safe enough so long as your BG is OK when you go to sleep. (Modern basal insulins are really pretty flat in profile so if you're taking the right dose you'll be close to flat while you're asleep. Then there's an annoying rise as we wake up.)

 

[Elizabethe]

Thank you Bruce.

 

[SB2015]

Well done Elizabeth, you have got your head round things already, so well done.
As your nurse said if you are not eating a meal with carbs you don need any insulin,
so you correctly skipped a dose. Without the meal insulin this is not going to make you go low overnight.

I do understand your uncertainties and wanting to control your diabetes, especially as that has now become your ‘job’. Thugs will take time to settle and it took me a long time to accept that I wasn’t going to get things perfect. At any time you can only do the best that you can. You are already doing that.

Don’t worry about asking questions. No one minds and it is always difficult at the start as you get used to all that you now have to do. It sounds like you have already got your levels within range a lot of the time.
Well done.

 

[Elizabethe]

Awww thank you