Hello again
@Cosmic,
So pleased to read this latest update. I'm sure your husband will not be worse off than he was from his Hospital treatment, ALAS.
The essential thing right now, in my non-medical opinion, will be rest and decent meals. Initially I suggest you be very aware that the principle of his insulins are to allow him to get back to a fairly normal lifestyle. Do NOT follow the T2 process of reducing his meals, particularly not his carb intake, unless from "trial and learning" you find specific items which he can't tolerate. The NovoRapid is the (relatively) short acting insulin, often referred to as bolus, intended to allow your husband to eat whatever he wants and needs and move the energy providing glucose out of his blood stream and into the body's cells, muscles and organs. The Abasaglar is a background longer acting insulin, often referred to as a basal insulin, intended to deal with glucose that naturally comes from within his body and which, if not managed will steadily bring about elevated blood glucose if not treated.
The doses he has been given may well prove to be modest, I would expect small deliberately to keep him safe and away from going too low and into hypo. At this moment better to be a bit high than hypo. 4.0 mmol/L is considered the hypo threshold (actually a bit lower, but this provides a tiny safety margin) and he should from now on always have hypo treatments with him at all times. Did the Hospital explain this before discharge? If not please say and we can explain more fully. I strongly suggest set he sets his CGM alarm at 5.6 which makes is an alert rather than an alarm (and alarms are invariably too late - particularly for T3c) . With an alert at 5.6 he can eat a simple biscuit at 6 gms CHO or a cookie at c. 12 gms CHO (or any equivalent snack of choice) and intercept the fall in BG well before that fall becomes a hypo. Even a large milky coffee can be sufficient; but the fat in milk can slow down the body's response.
Your husband will start to see his body's response to foods from his CGM. I found in my early days I could almost eat to the displays on my meter - but that was unnecessarily obsessive!
I'm not at all sure why the Hospital ate telling you to see your GP on Tuesday. As a T3c your husband should be coming directly under a Hospital's Specialist Diabetes Team and with due respect to any GP neither the GP nor a Surgery Nurse is likely to have the necessary expertise in insulin taking or pancreatitis "oddities" to be the right people. When I was discharged from Hospital I had a 4 page Discharge letter that spelt out the Guidance, including insulin doses and hypo responses. But your husband will need the GP to prescribe the follow on medications of insulin, Creon and perhaps Omneprazole (for help with managing acids in his stomach). The GP's authorisation for prescribing these meds comes from the discharge letter which will have been sent electronically to the Surgery.
There is still a lot for you both to take on board. Try not to let it all panic you; there are plenty of people on this forum who have experienced this massive change and disruption and who will share their experiences with you. Good luck.
