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Newbie
- Thread starter Reddog
- Start date
- Status
- Relationship to Diabetes
- Type 1
- Pronouns
- He/Him
- Relationship to Diabetes
- Type 1
- Pronouns
- He/Him
I wasn’t familiar with Admelog, which seems to be a biosimilar Lispro (Humalog).
Have you had much help with carb counting, and adjusting your doses to match the carb content of your meals? It’s not a perfect science, but getting doses right (and also importantly - dose timings), can really help reduce glucose variation around meals.
It seems that education/training for T2s started on insulin can be a bit variable though, and some are simply given fixed doses, without much support for how to get insulin and menu to work together.
Have you had much help with carb counting, and adjusting your doses to match the carb content of your meals? It’s not a perfect science, but getting doses right (and also importantly - dose timings), can really help reduce glucose variation around meals.
It seems that education/training for T2s started on insulin can be a bit variable though, and some are simply given fixed doses, without much support for how to get insulin and menu to work together.
rebrascora
Well-Known Member
- Relationship to Diabetes
- Type 1
- Pronouns
- She/Her
Hi and welcome from me too.
Sorry to hear you are struggling to manage your Blood Glucose. It can be tricky getting the right balance of insulin and as Mike says, sadly many Type 2 diabetics don't get the educational support which is offered to Type 1s, which is wrong. Good to hear you have Freestyle Libre and I hope that is helping you and you are getting it on prescription?
Are you aware of the limitations of Libre. Things like, if you lie on it in your sleep it will cause what we refer to as a compression low and this may activate the low alarm when you may not actually be low. It is therefore always important to double check any very high or low readings with a finger prick before you take action.... unless you feel obviously hypo. There is a comprehensive list of the limitations of Libre and other CGM in the link below. It is very easy to get into a rollercoaster situation if you react to a false low, so always best to double check with a finger prick if in doubt.
https://forum.diabetes.org.uk/boards/threads/cgm-limitations-and-precautions.108188/
Generally the first thing to do when levels are not behaving themselves is to check that your Toujeo (basal insulin) is holding your levels steady in the absence of food and meal time insulin (admelog in your case). Your Toujeo is like a house foundation, you want it to be keeping your levels nice and stable otherwise everything will become wonkier and more unstable the higher you go. You do this by splitting the day into 3 parts and one day you skip breakfast (and your sdmelog insulin) and see what your levels do during the morning but have lunch and evening meal, then the next day or the day after, you have breakfast, but skip lunch and then have your evening meal and then on another day you have breakfast and lunch but skip your evening meal. On each occasion when you skip a meal you are looking to see if your levels rise, fall or stay roughly the same. If they all rise then you likely need your Toujeo increased and if your Libre graph shows they all slope downwards then you may be having too much Toujeo and it needs reducing. Once you get it adjusted so that it keeps you more or less level, then you give it a few days to stabilize before you start looking at your meal time insulin. I am not going to go through that now because it will likely be too much information at one time.
If you have any questions or don't understand anything, please ask.
Sorry to hear you are struggling to manage your Blood Glucose. It can be tricky getting the right balance of insulin and as Mike says, sadly many Type 2 diabetics don't get the educational support which is offered to Type 1s, which is wrong. Good to hear you have Freestyle Libre and I hope that is helping you and you are getting it on prescription?
Are you aware of the limitations of Libre. Things like, if you lie on it in your sleep it will cause what we refer to as a compression low and this may activate the low alarm when you may not actually be low. It is therefore always important to double check any very high or low readings with a finger prick before you take action.... unless you feel obviously hypo. There is a comprehensive list of the limitations of Libre and other CGM in the link below. It is very easy to get into a rollercoaster situation if you react to a false low, so always best to double check with a finger prick if in doubt.
https://forum.diabetes.org.uk/boards/threads/cgm-limitations-and-precautions.108188/
Generally the first thing to do when levels are not behaving themselves is to check that your Toujeo (basal insulin) is holding your levels steady in the absence of food and meal time insulin (admelog in your case). Your Toujeo is like a house foundation, you want it to be keeping your levels nice and stable otherwise everything will become wonkier and more unstable the higher you go. You do this by splitting the day into 3 parts and one day you skip breakfast (and your sdmelog insulin) and see what your levels do during the morning but have lunch and evening meal, then the next day or the day after, you have breakfast, but skip lunch and then have your evening meal and then on another day you have breakfast and lunch but skip your evening meal. On each occasion when you skip a meal you are looking to see if your levels rise, fall or stay roughly the same. If they all rise then you likely need your Toujeo increased and if your Libre graph shows they all slope downwards then you may be having too much Toujeo and it needs reducing. Once you get it adjusted so that it keeps you more or less level, then you give it a few days to stabilize before you start looking at your meal time insulin. I am not going to go through that now because it will likely be too much information at one time.
If you have any questions or don't understand anything, please ask.
Leadinglights
Well-Known Member
- Relationship to Diabetes
- Type 2
If you are still struggling, the advise you are getting from your surgery may not be the best. A health visitor may not have the depth of knowledge for dealing with insulin issues as generally GP are mainly dealing with people with Type 2 on oral medication.
- Status