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My D - need some help please

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
Hi Gill, you need some more data to work with! 😉. Can you think of a way to incorporate more tests into your daily routine?
 
whiskysmum said:
Evening basal time is near to 10:00pm ish then bedtime us usually 11:00pm ish or probably a bit later and by then I'm sort of like too tired. Would the evening basal time be too early to do my bedtime test?
Click to expand...

What I always did with my lantus is test before injecting it and inject it just before going to bed, that way it was all part of my bedtime ritual. It didn't seem to matter if I went to bed at different times, so might be worth trying it that way 🙂
 
Northerner said:
What I always did with my lantus is test before injecting it and inject it just before going to bed, that way it was all part of my bedtime ritual. It didn't seem to matter if I went to bed at different times, so might be worth trying it that way 🙂
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Thanks for the tip Alan seems like a good thing to do 🙂
 
Redkite said:
Hi Gill, you need some more data to work with! 😉. Can you think of a way to incorporate more tests into your daily routine?
Click to expand...


I always test before each meal but any suggestions to incorporate more tests would be appreciated please.
 
Perhaps make it a habit to do a test at the same time you brush your teeth? That way you'll get one in the morning even if you've skipped brekkie, and one at bedtime. Personally the only way I can remember to do anything these days is to be a creature of habit! :D
 
What meter do you have Gill? Do you have software on your computer for it? The software I have used will highlight the problem areas, which may be too many highs, too many hypos, which particular days you have problems on, or what times of the day need closer attention.
 
Yes I've got it but just not used it for sometime
 
Mon 07/10
2.9 - fasting - 7:41 - ate 4 jelly babies plus an extra 2 with this hypo then at 7:57 BG was 7.7
7.4 - breakfast - 10:16 - 3.5u QA 1:1
no test - lunch - no lunch
9.7 - dinner - 18:22 - 5u QA 1:1
17.5 - bedtime - 22:23
- BI -22:26 - 24u

during the evening I snacked on 1 pkt of disco crisps 17.6g carbs


Northerner said:
What I always did with my lantus is test before injecting it and inject it just before going to bed, that way it was all part of my bedtime ritual. It didn't seem to matter if I went to bed at different times, so might be worth trying it that way 🙂
Click to expand...


so this seemed to work well last night - but it was then somewhere between 11:00 & 11:30 ish when I actually went up to bed
 
That's quite a plunge in levels overnight Gill, you might have to set your alarm for some 3am tests to find out what is going on. Previous results have suggested that you need to increase your lantus, but this seems to show it needs reducing!
 
whiskysmum said:
no test - lunch - no lunch
9.7 - dinner - 18:22 - 5u QA 1:1
17.5 - bedtime - 22:23
- BI -22:26 - 24u

during the evening I snacked on 1 pkt of disco crisps 17.6g carbs
Click to expand...

That seems to suggest to me Gill that you cannot safely eat a pack of discos (almost 20g carbs and about half of your breakfast carbs) without adding an extra snack bolus.

I think that pack of crisps, combined with not correcting your 9.7 at dinner time look like they resulted in the very high reading at bedtime.

No problem with you having that evening snack... but if you have it you will need to dose for it IMO!
 
everydayupsanddowns said:
That seems to suggest to me Gill that you cannot safely eat a pack of discos (almost 20g carbs and about half of your breakfast carbs) without adding an extra snack bolus.

I think that pack of crisps, combined with not correcting your 9.7 at dinner time look like they resulted in the very high reading at bedtime.

No problem with you having that evening snack... but if you have it you will need to dose for it IMO!
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But worrying then that Gill's levels dropped nearly 14 mmol/l overnight 😱 A lower bedtime level might have made things worse. If it was me I would try an evening/overnight basal test.
 
Northerner said:
But worrying then that Gill's levels dropped nearly 14 mmol/l overnight 😱 A lower bedtime level might have made things worse. If it was me I would try an evening/overnight basal test.
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Yes, apologies... you typed your reply while I was typing mine and I'd missed a bit of the thread that included the previous nights very high results.

Absolutely no way that BG should be dropping that much overnight. It's positively terrifying!

I think some of those extra factors (like snacking without boluses) are adding complexity to the picture and maybe Lantus has been increased to try to get better pre-breakfast numbers (when actually the problem is high numbers before bed)?

Fasting tests will certainly clear the picture!
 
Tue 08/10
16.0 - fasting - 7:38
11.2 - breakfast - 11:23 - 3.5u QA + 2u corr 1:1
11.3 - lunch - 14:34 - 5u QA + 2u corr 1:1
7.5 - dinner - 19:22 - 6u QA 1:1
9.6 - bedtime - 22:27
- BI -22:30 - 24u

no snacking during the evening


Wed 09:10
9.6 - during the night - 03:43 - does this need to be spot on 03:00am?
3.9 - fasting - 8:27, also hypo - ate 4 jelly babies + 1 extra 😱
9.4 - 08:59
 
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whiskysmum said:
Wed 09:10
9.6 - during the night - 03:43 - does this need to be spot on 03:00am?
3.9 - fasting - 8:27, also hypo - ate 4 jelly babies + 1 extra 😱
9.4 - 08:59
Click to expand...

Wed 09.10 (cont)
10.4 - breakfast - 11:10 - 3u QA + 1u corr - 1:1
no test - lunch - no lunch
9.4 - dinner - 19:36 - 4u QA - 1:1, also at 20:45 had a further 3u QA for dessert
12.3 - bedtime - 22:29
- BI - 22:31 - 24u

Thu 10.10
16.9 - during night - 3:19
13.5 - fasting - 7:16
 
Much steadier Gill!

Just need to get the starting point down a bit!
 
Hi Mike,
Do you think maybe increase the lantus by 2u?
 
whiskysmum said:
Wed 09.10 (cont)
10.4 - breakfast - 11:10 - 3u QA + 1u corr - 1:1
no test - lunch - no lunch
9.4 - dinner - 19:36 - 4u QA - 1:1, also at 20:45 had a further 3u QA for dessert
12.3 - bedtime - 22:29
- BI - 22:31 - 24u

Thu 10.10
16.9 - during night - 3:19
13.5 - fasting - 7:16
Click to expand...

Well from what i can see during the day you only wobbled a few mmol/L, rising a little overall and then during the night you dropped a little.

To me that suggests that your Lantus is probably about right, as if you'd started at 5.5 you would have a pretty good set of numbers there!

Personally I would leave Lantus alone for a few days (or only increase by 1mmol/L) and see if your corrections will get you close to being 'in range'. Remember that any adjustments you make to Lantus will have an affect on your numbers pretty much over the whole 24 hours, while corrections will stop working 4-5 hours after you have injected them.
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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