Numbers,numbers

[Charl]

Type 2 on insulin
21 units tresiba on morning
Novorapid breakfast, dinner, tea
Card counting
9.2 getting out of bed
9.9 five units novorapid
Breakfast, 40g porridge, milk, small hand of blueberries
12.8
12.2
Then a drop to 5.4 would have had hypo before dinner
Any advise

 

[nonethewiser]

Started wee bit high so spike wasn't as bad as you think, way round this is to include correction dose in carb calculation & inject earlier before eating, that's what I do.

 

[rebrascora]

Looks like you went pretty high before bed, so that has obviously impacted your morning reading even though the Tresiba has brought you down a little overnight.

The drop to 5 after breakfast is a little surprising/concerning and I wonder if your own pancreas decided to kick in with some extra home produced insulin to bring you down or did you add a correction to the 5 units of NR your took for your breakfast?

 

[Charl]

Yes was high before bed...no correction dose, 5 units to cover breakfast.

 

[Inka]

Yes was high before bed...no correction dose, 5 units to cover breakfast.

Where did you inject your breakfast bolus? Sometimes certain areas seem to fast-track the insulin and it’s absorbed too quickly. Very unpleasant.

If it keeps happening, do you have a half-unit pen?

 

[Charl]

Basal in thigh, bolus in stomach, no half unit pens.

 

[Inka]

Basal in thigh, bolus in stomach, no half unit pens.

If this keeps happening, try your bolus in your thigh for breakfast. It generally leads to a less fierce drop.

You could ask for a half unit pen. They’re very helpful and allow you to adjust boluses and corrections better, especially when you’re not on massive doses of insulin.

 

[everydayupsanddowns]

Does the 5u usually work OK for the porridge @Charl ?

That sharp drop (with no correction to get you down from 9.9 to midrange might suggest your dose was a little on the high side - though rising to 12 could perhaps have been reduced by leaving a bit of a gap between dosing for breakfast, and eating the porridge?