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SteveRowland
DAFNE Graduate
Maidstone & Tunbridge Wells NHS Trust 10 posts |
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I am struggling with a seasonal respiratory chest infection. I've finished a course of antibiotics and am snuffling etc. Over the past week my BG is ridiculously high. I have been correcting robistly but BG keeps rising. I have increased my BI by one. No effect. I am leaving work now to test for knes.. So far all ketone tests have been negative. I'm going to increase BI by 10% and keep correcting. Any comments welcome! |
Nick_G
DAFNE Graduate
Manchester University NHS Foundation Trust (Wythenshawe) 6 posts |
Hi Steve, |
SteveRowland
DAFNE Graduate
Maidstone & Tunbridge Wells NHS Trust 10 posts |
Thanks, Nick. I may have misunderstood you but that sounds like the actions on a positive ketone test which I've not had. I'm increasing my BI by 10% and correcting as appropriate. I wonder if we mean the same thing? |
JayBee
DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust 587 posts |
Based on the results posted, I think it's a good idea to raise something because you need to get those numbers down across the day. |
SteveRowland
DAFNE Graduate
Maidstone & Tunbridge Wells NHS Trust 10 posts |
Thanks, JWo. I agree that I need to get the BG down! I should have said that I give myself 9 units of BI in addition to the 4 in the morning. I am just rubbish at recording the night BI as it is not done at a meal time. I have just increased the night dose to 10. I've had a few better readings but still have highs. Feeling a bit better so I'm optimistic. |
JayBee
DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust 587 posts |
Oh I see! Glad you're feeling a bit better. Hopefully things will start returning to how things were before illness soon. |
novorapidboi26
DAFNE Graduate
NHS Lanarkshire 1,819 posts |
Usually if I was ill, I would be using my QA to compensate for the higher readings...... |
SteveRowland
DAFNE Graduate
Maidstone & Tunbridge Wells NHS Trust 10 posts |
Thanks to everyone for their comments. I am grateful. I am really starting to despair. I have increased both my morning and evening levemir (BI). I am correcting on the basis of 1 unit QA for 2 mmols (as opposed to the 3 we were taught). I was 17.5 this morning and so corrected heavily. I gave myself 14 units for my usual 8 CP breakfast (that's an eye watering correction of 6 units). I deliberately waited before eating to get the insulin into my blood stream. Three hours after this I was 15.4. I am at my wits end. I have changed my insulin in case it has gone off. Hasn't made any difference. It feels as if I have become immune to insulin. My last HbA1c was 6.7 and I am known for my sensitivity to insulin. I usually do a lot of exercise but haven't for the past week as I feel so rough. I'm terrified of developing ketones as I fear that my sick day rules won't work. |
novorapidboi26
DAFNE Graduate
NHS Lanarkshire 1,819 posts |
Have you used the sick day rules when you have ketones? It's hard to faith in them if you haven't used them but they do work...... |
SteveRowland
DAFNE Graduate
Maidstone & Tunbridge Wells NHS Trust 10 posts |
Hi, everyone. |