Need a second opinion

Bare with me as I post as much of my recent diary as I can (been a while since I last did it)

Part 2

Apologies for taking so much space but I thought it a better way to show the diary than sharing with various people to look at.

To cut a long storyshort for various personal happenings I gave up on my diabetes from counting and recording to going days without insulin. I now realise that I need to get back on track and since 2nd January I've tried my hardest to monitor and stick to DAFNE rules. It started of not too bad, I;m especially chuffed about my readings on 11th Has anybody ever recorded a whole green day, i.e in target?

After there it went a little wonky though and the last couple of nights my nighttime seems to have risen by morning time making me think the levemir needs upped. I'm including the fact last night's 4.9 should'nt have risen to 9.6 this morning even with the 1CP. I'm not certain if I should up the Levemir tonight by 1u and keep checking the next few days, or do a couple 3 am to rule out it dipping during the night.

Also normaly a 3:1 ratio at breakfast would see me good to lunchtime but it's dipped a bit last couple of days by then so I'm thinking og going to 2.5:1 ratio. But which to do first check my basal, or drop my breakfast ratio? I know it should be one change at a time a sensible is to check the basal but someone else might have done both and have advice on it.



Thanks,


Derek

You should only change one thing at a time..................that is the most effective way to do it.....................

From the majority of your results it seems as though your 8 units of Levemir in the evening is doing its job and keeping you pretty much stable overnight...............I would confirm this by testing overnight for 3 nights consecutively, without any insulin or carbs going in 5 hours prior to the pre bed test.................

As far as your breakfast ratio of 3:1 is concerned, the results [last 3 days] would suggest that this dose is OK too due to being on target at lunchtime for the majority of the time.................the hypos are not regular enough in my opinion to warrant changing that ratio.......

However you may want to check your breakfast Levemir dose with a missed meal or carb free meal................

If you are planning to check both basal and bolus doses, the basal should always comes first, as this insulin dose is the foundation for the quicker acting insulin............

So to conclude, confirm your evening dose of 8 is holding you steady till morning, remember no carbs or QA going in 5 hours prior to pre bed test...............

Then miss some meals/have some carb free meals and test you daytime Levemir dose for 2-3 days in a row.............you may find you need more during the day and this might bring down your QA ratios............

Thanks Novarapidboi26, you should be an honorary DAFNE consultant with all the good advice you give on here

I'll check the overnight basal for a few days and adjust and continue testing if necessary. After that I'll do a couple of carb -free days to monitor the daytime basal.



Derek

No problem,

I just try to keep things simple, as it was taught to me..................sometimes its easy to get bogged down with all your readings when you sit down to look at them............

I fear I sometimes sound like a broken record regarding the BI testing I keep going on about, but peoples BI needs change quite often and when this is out, its all out.......

Your plan sounds like a good one................

Pop back in when you have you more results.....................