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Oh bother this bloomin' basal!

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runner said:
No, I usually test before, but when I get distracted and forget, I do it asap. Yes, the course sounds great. Don't think the hospital are providing one, but the community DSN mentioned something similar may take place. I found Bournemouth University's online course good, but it would be nice to meet up with others.
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I know you said you're from Norfolk, are you with the N&N? If so they do do dafne...
 
tracey w said:
just wondering why you were correcting 6.7 with 2 units as this is in range?:confused: 1 unit can bring you down by 3mmols approximtely
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I would add in a correction if I had a pre-meal of 6.7, as my 'mid-range' is 5.5 - so, I would dose for the carbs I was about to eat plus an extra bit for the 1.2 above my mid-range. Similarly, if I was below my mid-range I would dose less.
 
Northerner said:
I would add in a correction if I had a pre-meal of 6.7, as my 'mid-range' is 5.5 - so, I would dose for the carbs I was about to eat plus an extra bit for the 1.2 above my mid-range. Similarly, if I was below my mid-range I would dose less.
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Out of interest, how much would you expect one unit of insulin to drop you? The reason I ask is that I wouldn't usually correct for a reading at the high end of my target. My target is 4.5-7.5 and I find a unit of insulin usually drops me by about three points, so correcting the high end of target, say a reading of 7, would drop me too low, in this example to about 4. The only exception would be if in deciding whether to round a dose up or down, then I would base that on what end of my target I was. It sounds great that you can be so precise with corrections, I suppose it just depends on how much insulin we each need as to what our potential 'margin' for corrections is, at least in the absence of a pump I suppose!
 
aymes said:
Out of interest, how much would you expect one unit of insulin to drop you? The reason I ask is that I wouldn't usually correct for a reading at the high end of my target. My target is 4.5-7.5 and I find a unit of insulin usually drops me by about three points, so correcting the high end of target, say a reading of 7, would drop me too low, in this example to about 4. The only exception would be if in deciding whether to round a dose up or down, then I would base that on what end of my target I was. It sounds great that you can be so precise with corrections, I suppose it just depends on how much insulin we each need as to what our potential 'margin' for corrections is, at least in the absence of a pump I suppose!
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I do exactly the same aymes, if i corected a 6.7 I would definately go too low, 1 unit generally drops me by 3-4 if correcting. I never usually correct anything below 9-10, if going to bed i would not correct 9 and would find im usually in arnge in the morning.
 
aymes said:
I know you said you're from Norfolk, are you with the N&N? If so they do do dafne...
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No, with the Paget, although just with nurse at local practice at moment, although I can contact DSN at Paget if I want to. However, I guess I could ask my local DSN at surgery for referral to N&N Dafne course perhaps....
 
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1 dose usually drops my BS by 3 too, so wouldn't correct night reading of this, now I seem to have got the basal sorted, only pre-meal, to account for food.
 
aymes said:
Out of interest, how much would you expect one unit of insulin to drop you? The reason I ask is that I wouldn't usually correct for a reading at the high end of my target. My target is 4.5-7.5 and I find a unit of insulin usually drops me by about three points, so correcting the high end of target, say a reading of 7, would drop me too low, in this example to about 4. The only exception would be if in deciding whether to round a dose up or down, then I would base that on what end of my target I was. It sounds great that you can be so precise with corrections, I suppose it just depends on how much insulin we each need as to what our potential 'margin' for corrections is, at least in the absence of a pump I suppose!
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It would depend on the time of day, but 1 unit would drop me by about 2 mmol/l, so a 6.7 would drop to 4.7. My range is 4.0-7.0. I wouldn't correct at night, as I'd want to be in the upper part of my range before bed. I was 6.8 last night, and woke to 4.6 this morning. The ginger conserve I had on my toast doesn't seem to have prevented my feelings of nausea, unfortunately. I finish the clopidogrel in two weeks so I'll be able to determine whether it's the combination of that and the aspirin that's causing the problems. If it's just the aspirin, I'll try the enteric coated ones and hope that finally cracks it!
 
Do anyone think that people are more 'comfortable' sitting at certain ranges? I say this because my son definitely could *not* sit at 4.7 and feel okay. He would feel borderline hypo and need to eat. I'm sure he passes through this number all the time of course, but he can sit at about 5.5 - 7.5 and feel stable, but at 4.7 he always feels he's 'on the move'.

Perhaps it's just being so newly into all this, but we'd never aim for 4 via correction. Perhaps partly because correction doses seem to be so hit and miss with him, depending on time of day, whether with or without food, etc. The risk of going low -- a lot -- is very high for us if we aim for 4. Age related maybe?
 
Northerner said:
The ginger conserve I had on my toast doesn't seem to have prevented my feelings of nausea, unfortunately. I finish the clopidogrel in two weeks so I'll be able to determine whether it's the combination of that and the aspirin that's causing the problems. If it's just the aspirin, I'll try the enteric coated ones and hope that finally cracks it!
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May not help at all, but I used to find plain, fizzy water helped with morning sickness. Usually just drink filtered tap water, but drank loads of perrier then. Hope you feel better soon. 🙂
 
Patricia said:
Do anyone think that people are more 'comfortable' sitting at certain ranges? I say this because my son definitely could *not* sit at 4.7 and feel okay. He would feel borderline hypo and need to eat. I'm sure he passes through this number all the time of course, but he can sit at about 5.5 - 7.5 and feel stable, but at 4.7 he always feels he's 'on the move'.

Perhaps it's just being so newly into all this, but we'd never aim for 4 via correction. Perhaps partly because correction doses seem to be so hit and miss with him, depending on time of day, whether with or without food, etc. The risk of going low -- a lot -- is very high for us if we aim for 4. Age related maybe?
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Definitely, and it varies - I get hypo feelings when I drop below 5 sometimes and at other times below 4 - I think Tracey explained this earlier on or in another thread, so not sure it's age-related or just individual.
 
Patricia said:
Do anyone think that people are more 'comfortable' sitting at certain ranges? I say this because my son definitely could *not* sit at 4.7 and feel okay. He would feel borderline hypo and need to eat. I'm sure he passes through this number all the time of course, but he can sit at about 5.5 - 7.5 and feel stable, but at 4.7 he always feels he's 'on the move'.
...
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I feel perfectly fine at 4.x, in fact I'm usually OK at 3.5, but below that I generally get good warnings. The fine-tuning seems to work well for me and the effects of a little adjustment up or down seem to be pretty predictable. Sometimes I feel low and check to find that I am 4.5+ but then realise that it's because I'm hungry - I'm starting to recognise this now as being slightly different to my hypo warnings.

This is an interesting time for me as it's exactly a year since I fell ill - I remember watching the Champions League football on the telly and suddenly feeling very sick - wanted to rush to the bathroom, but had to see the outcome of the penalty shootout!😱 It all went downhill from there!
 
The distinction between hypo low and needing food low is a *great* one to try to cultivate. Think this is happening sometimes with E...
 
I think it is an individual thing, I'm usually confortable sitting around the 4 - 4.5 mark, but going back a couple of years ago I really struggled on anything below a 6. Of course my control back then wasn't as good which may explain it. I had a 2.6 last night and hadn't noticed at all so it's never an exact scence!
 
I don't feel comofrtable being below 5 and would eat something to bring myself to above 5 if I found myself there, I can't remember the last time I was below 5 though.
 
Hi Northener,

How you been getting on over the past couple of days?
Regarding levels, i agree with aymes, think it is an individual thing.
With Nathan being a teenager I like him to sit at about 6... But at the moment he swinging, and having frequent hypo's even with insulin adjustments.
Heidi
🙂
 
Well, this morning I had my highest waking reading that I can remember. It was only 7.3, but I don't ever remember having a reading over 7. A few weeks ago it was around 4.x, and more recently around 5.x. Now I'm wondering if my basal requirements are changing again, or maybe if they are spot on? Last night I was 6.9 before bed, so out of habit I had a digestive biscuit. Maybe if I hadn't I would have been lower this morning e.g. around 6. I don't think I'll change the basal yet, I'll see how things go over the next couple of days, but if the numbers stay consistently above 7 then I'll raise the lantus by a unit.
 
Having a weird couple of days. After waking to 7.3 yesterday, the day's readings were lunch 5.0, evening 3.9, bedtime 3.8. I had a snack and woke to 5.5 this morning. I went for a run this morning and was 6.4 before and 7.2 afterwards, but then I was 7.5 before lunch, 6 hours after my breakfast! I'd fully expected to be much lower, having dosed normally for breakfast and then having the run I would have expected to be around 4.5. No NR in my system at that time so it must be my basal that is now slightly too low. Sigh!:confused:
 
too low? you had two hypos...

Today i woke up to 4.8 (i was shakey) that was after a sh*t load of insulin before I went to bed. I'm fed up.
 
I think your basal is fine actually, if you raise it again those 3.9 and 3.8 readings may well be lower and proper hypos.
 
snap im totally confused how i can be 23.1 outta the blue im the opposite of all you guys arghhh!! high high high
 
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