type 2 advice needed

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pippa71

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Relationship to Diabetes
Type 2
I have been injecting for about 3 weeks now my levels are still messing between 5:5 and about 11 but I am suffering with occasional shakes (my levels are down from mid to late 20s) the shakes happen at any time
Has anyone got any ideas
 
Hi Pippa, what are you injecting, and when? I remember you saying that it hadn't yet been determined whether you are Type 1 or Type 2 - have they decided yet?

It sounds like things are going quite well at this early stage, going by the levels you are getting. Experience will help you to fine-tune things as ou learn more about how your body reacts to different meals and activity levels. As your levels improve it's not uncommon to get the 'shakes' - this is due to what is called 'false hypos' i.e. your blood sugars are lower than you are used to, so your brain is sending out panic signals even though your levels are not excessively low (below 4.0 is considered a 'true' hypo). Before too long, you will become accustomed to these lower levels and the shakes will only happen when your levels are lower. 🙂 Also, sometimes you can feel the symptoms of a low blood sugar if your levels are falling quickly. It is always worth testing to see how your levels are doing at these times, as you will then build up more confidence in relating your feelings to what your blood sugar is actually doing. It's not foolproof though - sometimes you can feel low when your levels are still on the high side, which probably means your feelings relate to something other than your blood sugar.
 
Type 2 and inject after meals Apidra and at bedtime lantus I find if I eat a small something sweet it helps still not sure way normal levels are yet but they have dropped loads since starting just trying to plan Xmas now not sure way to avoid but making most of my cakes biscuits ext so I know wats in them
 
Pippa71, you're right that eating something sweet (well, sugary - artifically sweetened food or drink won't affect blood glucose levels) will remove shakey feeling. To check, you should test blood glucose when you feel shakey and again, say 15 to 30 minutes after sugar. You may well find that blood glucose levels are above what you'd like. As Northerner says, other factors, such as extremes of tiredness though lack of sleep or physical exertion, and extremes of temperature or humity, high or low blood pressure and non-glucose blood chemistry situations, can make you feel shakey.

Target levels are here: http://www.diabetes.org.uk/MyLife-Y...ng-blood-glucose/Blood-glucose-target-ranges/

It's slightly unusual to take short acting insulin such as Apidra after meals - sometimes it's wise eg when there's a possibility of being interupted between injecting and completing eating, but professionals and patient information leaflets that accompany insulin usually recommend taking insulin before eating, either immediately before, or up to about 30 minutes before.
 
Definitely, infection and stress can increase blood glucose levels - see Sick Day Rules eg http://www.patient.co.uk/doctor/diabetes-and-intercurrent-illness for explanation of why and what you can do about it.

Worth asking for guidance specifically for you next time you see your diabetes support person / team. Or contact NHS Direct on 111 if urgent.
 
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