Hi, I'm new. OK, old.. 67! Been Type 1 about 20 years. Hate food, love coffee & cigarettes and weigh 100 lbs same as when I was 17. Blood sugar dives most nights, so I wonder if anyone with same experience has tried skipping evening insulin (7 units of Humulin M3), and just going with morning insulin (17 units), but taking morning insulin at 11am so that "afternoon snack" becomes evening meal. Going to try it tonight if I'm not too scared, because woke up really late by accident and had morning shot at 11am. Please help. Many thanks. 🙂
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Skipping evening insulin
- Thread starter Angular
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Robster65
Senior Member
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- Type 1
Hi Angular. Welcome 🙂
Have you ever thought about going on to MDI (ie. 4 injections/day) so you can have finer control over your meal adjustments?
Is there anything you do that might cause your BG to drop?
I presume you have to eat a set amount of carbs to match your humulin at each meal (like many of us used to) ?🙄
Rob
Have you ever thought about going on to MDI (ie. 4 injections/day) so you can have finer control over your meal adjustments?
Is there anything you do that might cause your BG to drop?
I presume you have to eat a set amount of carbs to match your humulin at each meal (like many of us used to) ?🙄
Rob
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Hi Angular
Dropping one of your injections might be difficult with M3. As a mixed insulin it is not really designed to last the full 24 hours, and a proportion of it (the rapid bit) is only designed to last perhaps 4 hours. Mixeds don't really leave you much room to juggle timings so as Rob suggests you might have more luck on MDI
You should talk to your DSN or clinic about your night hypos as dropping your evening insulin (so little if any active overnight) could leave you nastily high by the morning
Dropping one of your injections might be difficult with M3. As a mixed insulin it is not really designed to last the full 24 hours, and a proportion of it (the rapid bit) is only designed to last perhaps 4 hours. Mixeds don't really leave you much room to juggle timings so as Rob suggests you might have more luck on MDI
You should talk to your DSN or clinic about your night hypos as dropping your evening insulin (so little if any active overnight) could leave you nastily high by the morning
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Austin Mini
Well-Known Member
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- Type 1
High there Angular, seems to me you need to see your diabetic nurse and get onto a pen which will allow you to eat better and have much more control over your diabetes. I am surprised you arnt on a pen already though.
Hey Robster, txs for your lovely reply. So different from what I expected, namely: SEE NURSE / DOC, do not pass GO, do not collect.. 1) Yes, friends thought MDI would be cool, but when Mixtard was recently discontinued sweet regular diabetic nurse at GP practice said ask hospital, and hospital specialist nurse said I was doing well and to keep on keeping on. 2) No nothing unusual. 3) Indeed. Update: Have not taken evening insulin, ate fish pie at 7.45pm and plan not to eat any more. Probably won't die as BG been only 4.7, 4.2, 3.6 and 3.7 at fish time. Regards, Angela
Thanks everydayupsanddowns 🙂 The fast part of the mix doesn't seem to work at all with me, and the slow part seems to work overtime. Maybe I should have another go at the medical profession as you suggest. When I woke up today BG was 4.7 and I'd had toast and honey at 1am and half a Picnic bar of chocolate at 4.30am. Ah well.. will see what the morrow brings!
margie
Moderator
- Relationship to Diabetes
- Type 1
Hi Angular - MDI may be better for you as you tailor the dose to what you eat - the regimen you are on you are really trying to eat to match the insulin.
Many people on MDI find that they are more sensitive to insulin in the evening - if you haven't been taught how to reduce or increase your insulin based on your blood sugars have a word with your DSN as it sounds like a little tweaking is needed.
Can you call NHS direct and ask their advice - I have always been told not to stop taking insulin.
Many people on MDI find that they are more sensitive to insulin in the evening - if you haven't been taught how to reduce or increase your insulin based on your blood sugars have a word with your DSN as it sounds like a little tweaking is needed.
Can you call NHS direct and ask their advice - I have always been told not to stop taking insulin.
Robster65
Senior Member
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- Type 1
It does sound as though there's something fishy going on and possibly you've been misdiagnosed or have other issues that are causing your blood glucose to stay lower than expected.
The fact that they were reluctant to suggest MDI implies that they're not very proactive and maybe a different nurse/consultant would be good for a second opinion.
As everyday said, you should get the full effect from both the short and long part of the mix.
Do you rotate your injection sites regularly. Injecting in the same spot can cause erratic absorption with none followed by a huge rush and so on.
But certainly speak to someone about it because your hypos alone imply that you're taking too much at some point or not eatign enough carbs.🙂
Rob
The fact that they were reluctant to suggest MDI implies that they're not very proactive and maybe a different nurse/consultant would be good for a second opinion.
As everyday said, you should get the full effect from both the short and long part of the mix.
Do you rotate your injection sites regularly. Injecting in the same spot can cause erratic absorption with none followed by a huge rush and so on.
But certainly speak to someone about it because your hypos alone imply that you're taking too much at some point or not eatign enough carbs.🙂
Rob
Txs Margie 🙂 I was always told the same as you were, tho have reduced and reduced amounts. I didn't realise that with MDI one tailors dose to amount eaten and not the other way round. That is enormously helpful. Will bang on door of medics and try to get put onto MDI.
Txs again Rob. Will follow up as U suggest. Blood behaving, only 7.0 just now at 22.15, so already come down from the 8.4 an hour after fish. God, why do women like me go on, and on, and ... 🙂
and YES, I rotate!
trophywench
Well-Known Member
- Relationship to Diabetes
- Type 1
Duracell Bunny, Angular? (goes on and one and on LOL)
Do you know, they've invented all sorts of different things since I was diagnosed - and eating what you like when you like is just one of them. OTOH you can SKIP meals if you want to, too!
Imagine THAT - heaven forfend .....
Ask for MDI - but have a go at Levemir rather than Lantus if you can as your 'background' insulin - because it's somehow much more 'biddable' than Lantus. At least, that's what I found as an old timer so to speak. Even though in the amounts you'd need judging by the doses you've quoted, there's no way one jab of it would last 24 hours so you would probably need to split it. But by heck whats 5 jabs instead of 4? (if you eat 3 meals a day I mean, 1 or 2 basal insulin and 3 bolus jabs for meals 'as required')
It was such a PLEASURE to me to get to grips with the science of it and find AT LAST - I had (near enough LOL) full control over the old bugger. By which I mean Diabetes, not the OB I'm married to - I'll never have full control of him!
Do you know, they've invented all sorts of different things since I was diagnosed - and eating what you like when you like is just one of them. OTOH you can SKIP meals if you want to, too!
Imagine THAT - heaven forfend .....
Ask for MDI - but have a go at Levemir rather than Lantus if you can as your 'background' insulin - because it's somehow much more 'biddable' than Lantus. At least, that's what I found as an old timer so to speak. Even though in the amounts you'd need judging by the doses you've quoted, there's no way one jab of it would last 24 hours so you would probably need to split it. But by heck whats 5 jabs instead of 4? (if you eat 3 meals a day I mean, 1 or 2 basal insulin and 3 bolus jabs for meals 'as required')
It was such a PLEASURE to me to get to grips with the science of it and find AT LAST - I had (near enough LOL) full control over the old bugger. By which I mean Diabetes, not the OB I'm married to - I'll never have full control of him!
ROFL trophywench 🙂 Too tired at mo to take in all U say, but will inwardly digest tomoz. Am hoping for a nights sleep without being forced to eat throughout. No, I don't run on batteries, things would be MUCH easier if I did!
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