new graduate today - DAFNE Online

February 08, 2012 20:04

Billie DAFNE Graduate
South West Essex PCT 5 posts

Many thanks Garry Laughing
I did read what you said about depending on insulins you can work out the rate of BG reduction? I,m not great with numbers so would I check BG more often after eating? Question
I'm on levemir 12am -13pm QA
Humalog QA

February 08, 2012 21:36

samshine DAFNE Graduate
Befordshire Hospitals NHS Foundation Trust 3 posts

Garry said:
Welcome
Take your time.
Don't be hard on yourself.
We all peak out after meals. Try to focus on the result before the next meal - not on the results in between as they will almost always be above range...If they are not you might have a hypo before your next meal.
As you mentioned this is the time to be disciplined, take a long term view of things and only change one thing at a time to ensure you fully understand the effect of any change made.
Depending upon the insulin types that you use, you will find that the rate of Blood Glucose reduction per hour....if you want to think of it like that...varies with time of day, last BG, work load, stress and many more things besides
Introduce too many variables....into the the complex machine that is us....and you will find it difficult to understand what is going on.
Regards
Garry

Hi to all,
I have been testing before meals makeing sure i have left the 4-5 hours after my last injection but my dinner time bg has gone mad my bg at lunch was 9.3 then at dinner 5 hous later it was 17.6??? The last 3 days my bg has gradually got high before dinner, but ive had 2 hypos 2 hours after dinner and last night it was 14.7 before bed.

im picking up the accu chek expert blood machine tomorrow from the hosp so hope this will help but am going to speak to my diabetes nurse as im feeling a bit lost at the mo.
I rechecked my breakfast today as wasnt 100% sure id counted it right in my dafne book it says milk 200ml = 1, then in the carb and cals book which the hosp gave me, it says 160ml of milk is7. With my breakfast ive had 160ml and counted it as 1, is this right?

Samantha Confused

February 09, 2012 08:51

novorapidboi26 DAFNE Graduate
NHS Lanarkshire 1,819 posts

I never count cereal milk with precision, but with any average sized bowl of cereal I would also take 1 unit for the milk that goes in..............

For full fat milk its 1 unit for half a pint, 284 ml............

As long as there is a pattern of at least 2 days of highs before dinner, assuming your carb count is right, normal absorption of insulin etc, then your lunch ratio may need increasing...... Wink

February 09, 2012 12:28

Garry DAFNE Graduate
North Lincolnshire and Goole NHS Foundation Trust 328 posts

Can I suggest that you get your diabetes nurse to look at your injection sites and offer advice on suitable rotation of their use. This may be responsible for some of your adverse results.
Regards
Garry

February 08, 2012 20:04 Billie DAFNE Graduate South West Essex PCT 5 posts	Many thanks Garry I did read what you said about depending on insulins you can work out the rate of BG reduction? I,m not great with numbers so would I check BG more often after eating? I'm on levemir 12am -13pm QA Humalog QA
February 08, 2012 21:36 samshine DAFNE Graduate Befordshire Hospitals NHS Foundation Trust 3 posts	Garry said: Welcome Take your time. Don't be hard on yourself. We all peak out after meals. Try to focus on the result before the next meal - not on the results in between as they will almost always be above range...If they are not you might have a hypo before your next meal. As you mentioned this is the time to be disciplined, take a long term view of things and only change one thing at a time to ensure you fully understand the effect of any change made. Depending upon the insulin types that you use, you will find that the rate of Blood Glucose reduction per hour....if you want to think of it like that...varies with time of day, last BG, work load, stress and many more things besides Introduce too many variables....into the the complex machine that is us....and you will find it difficult to understand what is going on. Regards Garry Hi to all, I have been testing before meals makeing sure i have left the 4-5 hours after my last injection but my dinner time bg has gone mad my bg at lunch was 9.3 then at dinner 5 hous later it was 17.6??? The last 3 days my bg has gradually got high before dinner, but ive had 2 hypos 2 hours after dinner and last night it was 14.7 before bed. im picking up the accu chek expert blood machine tomorrow from the hosp so hope this will help but am going to speak to my diabetes nurse as im feeling a bit lost at the mo. I rechecked my breakfast today as wasnt 100% sure id counted it right in my dafne book it says milk 200ml = 1, then in the carb and cals book which the hosp gave me, it says 160ml of milk is7. With my breakfast ive had 160ml and counted it as 1, is this right? Samantha
February 09, 2012 08:51 novorapidboi26 DAFNE Graduate NHS Lanarkshire 1,819 posts	I never count cereal milk with precision, but with any average sized bowl of cereal I would also take 1 unit for the milk that goes in.............. For full fat milk its 1 unit for half a pint, 284 ml............ As long as there is a pattern of at least 2 days of highs before dinner, assuming your carb count is right, normal absorption of insulin etc, then your lunch ratio may need increasing......
February 09, 2012 12:28 Garry DAFNE Graduate North Lincolnshire and Goole NHS Foundation Trust 328 posts	Can I suggest that you get your diabetes nurse to look at your injection sites and offer advice on suitable rotation of their use. This may be responsible for some of your adverse results. Regards Garry