STILL LOTS OF HYPOS / ALSO HIGHS TODAY

[mum2westiesGill]

So after lunch today I ate around 2 broken rich tea fingers which weren't included in my carb count - I ate them because up to now I've had a roller coaster of a day. I'm so fed up of recent hypos that I'll be looking like a jelly baby soon infact I look like one now lol and I don't think I like being in the 4s either

7:26am - 3.4 - waking - ate 3 jelly babies - also took my tresiba of 19 units which I reduced yesterday from 20 units because of all the hypos
7:46am - 3.9 - 15 minute hypo check and ate 3 more jelly babies
8:05 - 4.8 - 15 minute hypo check - didn't have follow up carbs because waiting for breakfast
9:30am - 12.4 - breakfast - 36g of carbs - 4 units humalog for food plus 3 units advised correction
10:56am - 13.3 - after breakfast not quite 2 hours but had to go to work
13:25pm - 3.1 - tested when I got home - didn't feel hypo - had 3 jelly babies
13:44pm - 5.9 - 15 minute hypo check
14:30pm - 4.4 - lunch - 69g of carbs - 6 units of humalog - almost straight after this is when I ate the rich tea fingers which I mentioned about at the start of my thread

I would be grateful for any feedback

Gill 🙂

 

[Sally71]

I’d wait and see what happens tomorrow. You’ve reduced your basal, which takes 3 days for the changes to take effect fully, so hopefully the hypos won’t last. You’ve had one day with a nasty high in the middle which could be anything (tbh I don’t think a 13 is terribly bad). Our DSN always says don’t start changing things just because you’ve had one bad day, wait until you’ve had about 3 similar and you can start to see a pattern forming.

 

[mum2westiesGill]

I’d wait and see what happens tomorrow. You’ve reduced your basal, which takes 3 days for the changes to take effect fully, so hopefully the hypos won’t last. You’ve had one day with a nasty high in the middle which could be anything (tbh I don’t think a 13 is terribly bad). Our DSN always says don’t start changing things just because you’ve had one bad day, wait until you’ve had about 3 similar and you can start to see a pattern forming.

Thanks for your reply @Sally71.
I will do that ie wait and see what happens tomorrow. For anyone who hasn't seen - I reduced my tresiba basal just yesterday morning 22/6/2021 - and like you say it takes 3 days for changes to take full effect - fingers crossed those hypos will STOP!
Thanks for saying that it's only been one day where I've had a horrible high and for saying what your DSN always says. Also for saying you don't think a 13 is terribly bad.

 

[trophywench]

Gill - 13 is a hiccup NOT even a horrible high. It didn't last very long anyway. You corrected it and it clearly reduced in under 2 hours since by 2hrs 30 mins later you were under 4.

 

[mum2westiesGill]

Gill - 13 is a hiccup NOT even a horrible high. It didn't last very long anyway. You corrected it and it clearly reduced in under 2 hours since by 2hrs 30 mins later you were under 4.

Thank you so much for your kind reply.

 

[DaveB]

Hi. You might be better off using Levemir and not Tresiba as you can split the Levemir and have better control.

 

[pm133]

Gill, is there a reason you are waiting until you are a reading of 12 before you have your breakfast?
Why are you not eating at 8am when your numbers are low?

 

[rebrascora]

I would agree with @pm133 that waiting to have breakfast looks odd and may not have been helpful.
I would also suggest that eating when your levels are above 8 is probably best avoided whenever possible as many of us become more insulin resistant when our levels are high, so the same amount of insulin can be less effective when BG levels are elevated.
If you had eaten breakfast at 8.05am when your levels were 4.8 you would not have added that correction dose and probably not have gone hypo later.

 

[mum2westiesGill]

I would agree with @pm133 that waiting to have breakfast looks odd and may not have been helpful.
I would also suggest that eating when your levels are above 8 is probably best avoided whenever possible as many of us become more insulin resistant when our levels are high, so the same amount of insulin can be less effective when BG levels are elevated.
If you had eaten breakfast at 8.05am when your levels were 4.8 you would not have added that correction dose and probably not have gone hypo later.

I only waited to have my breakfast because I was enjoying the last bit of my lie in and cup of tea before getting up.
I have never waited to eat until my levels are below a certain number - I don't have time to be waiting for numbers to drop.
Thanks for saying about not having to add the correction dose but that was yesterday and today is a new day as they say - we never stop learning with diabetes.

 

[mum2westiesGill]

Gill, is there a reason you are waiting until you are a reading of 12 before you have your breakfast?
Why are you not eating at 8am when your numbers are low?

I didn't wait on purpose - I was just enjoying my last bit of a lie in and my cup of tea before getting up. Diabetes is not getting the better of me but obviously it did because I reached number 12

 

[pm133]

I didn't wait on purpose - I was just enjoying my last bit of a lie in and my cup of tea before getting up. Diabetes is not getting the better of me but obviously it did because I reached number 12

It's not a disaster but there's definitely something a bit odd happening between 8am and 9.30am.
It might well be your jelly babies. I can't think of anything else. Maybe others will have a different view.

I think that when you recover from a hypo like that, you probably need to be getting your breakfast and bolus as soon as you recover. So for me, looking at your numbers, I'd have had breakfast/bolus at about 8am and then maybe have gone back to bed for a lie in.

 

[Thebearcametoo]

Re hypo treatment. If you’re 3.9 at your hypo check that’s close enough to 4 that you’re likely to rise and to take into account the margin of error on the meter so you probably didn’t need to so the second lot of jelly babies. That additional glucose in your system and the corrections you made later in the day are why you’re numbers were less stable than you’d like but none of them are anything really to worry about. It’s hard to draw any conclusions about your tresiba dose from your afternoon hypo as it was more likely related to your correction dose earlier. You’ll get a better idea of whether your tresiba dose is right by your first checks of the day than how many hypos you’re having through the rest of the day. Once your waking readings are fine then you can look at fine tuning the rest.