Reducing levels

I would appreciate any comments and advice as to what i can do to reduce my levels.

Whilst doing a DAFNE course at the end of July it was suggested i split by BI (humulin i) as my levels were always high before dinner. So instead of doing one large dose before bed i am now doing half in the morning and half before bed. This doesn't seem to have changed my levels as they are still high before dinner.

Any advice/help would be very much appreciate.

thank you

Welcome to the Forum...........

Now that you have split your dose, for good reason I might add, you can now be much more flexible with your BI requirements.............

Firstly, I would say that the 50:50 split may not be what you need, as your requirements for overnight may be different to that of the day...........

So you need to test your evening dose of 16 overnight, so no food carbs after dinner is best, test before bed, dont correct even if high, then your usual test in the morning. Do this for a few days. Adjust your dose depending on whether it goes up or down overnight, or if it holds steady [within 1-2mmol] you know its right.........

Then you need to move on to testing your daytime BI, this would be best in my opinion between lunch and dinner and dinner and your evening dose, so carb free meals again, or none if you can.....

This would be my course of action as splitting your background dose is quite a big change in your regime, so going back to the start is needed to establish the right doses, and we all know that trying to work out QA doses/ratios when the BI is out is not an easy job, if possible at all.............

I hope I helped................

Welcome
Try to give your change up to 17 of BI a few days before potentially changing again. Most people seem to react slowly to Background Insulin changes.
As you have split your BI dose you may want to review time splits too. Looking at BI timings they vary between 8 and 15 or so hours. You may want to consider the impact that this has.
For me personally...I take BI with breakfast and dinner and find that it normally makes a 12:12 hours split. If I get up late one morning... I tend to find all meal times slide too and it stays at 12:12 hours. Sure when returning back to normal meal timings there is an error...but its usually small.
Stick at it. Your results are very encouraging.
Regards
Garry

Cannot say if only changing the BI is enough and you may need to change the ratio for several of the meals.
I use 1.5:1 in the morning but use 2:1 for lunch, dinner and snacks though I change the ratio depending on the food.
Snacks like Chocolate or a McDonalds lunch don't seem to need such a high ratio as they seem to burn up quickly.

If you try changing the ration only change one at a time, and consider changing the adjustment ratio as I found that 3mmol to one unit wasn't working, but only change by 0.5mmol at a time.

Bear with it and i'm sure the levels will come down.

Thank you all for your advice. Am trying the carb free meal today and will do a couple of times to see if this shows any changes.

i have since spoken to one of the people on my course who has given me some advice of what to try next.

Again thank you for your suggestions

Good luck and remember if you need any help, were all here to chip in in any way we can.........