Any Advice?

Hello,

I have recently started a new job which has thrown my BG levels out a fair bit. My old job was really physical & I used to reduce my QA by a couple before each shift. This worked fine for me for a couple of years.

Now however, I still do the physical job on Tuesday and Wednesday, but Monday, Thursday & Friday's I have an office based job.

So... I recently had to reduce my BI to 18u as I had a couple of over night hypos. But I just find my BG are all over the place now & am a bit stuck!

There are lots of anomalies in there, eg last night I got a Domino's pizza, matched by QA with info from their webpage. At bed time my BG was 4.8 so I had 1.5CP snack to avoid hypo.... then this morning by BG was up at 19.

Any advice gratefully received!

Paul

A few points....

Pizzas can often have a delayed digestion due to the high fat content, this may be responsible for the initial lowish reading of 4.8 at bed, due to insulin dose working but not enough glucose in the blood stream, then later on in the small hours the rest of the pizza glucose was released.

Wine like any other alcohol will stop the livers normal secretion of glucose and therefore can drop your BG overnight, everyone is effected differently though, so some testing and recording would be good to assess the livers response on a few glasses to a bottle or more...

I would usually recommend a reduction in BI insulin from the blood results above, but its more likely you need to split that dose into an AM and PM. Levemir is best suited to this over Lantus, but it can still be done with Lantus, consult your team before making any changes you are unsure about.

I would say a split is needed so that you can deal with you overnight hypos separately from you less physical job during the day. Because you are now in a new routine, you will need to settle in to it for a week or two and allow your body to adjust, unfortunately that means keeping an eye on the BG more, looking for patterns etc....

Sorry not much specific help................get the background right, then move on......