7-day waking average

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mum2westiesGill 502 posts

9.9 - bedtime
3.2 - this morning
Crying or Very sad

- bedtime test done approx 1/2 hr aftern having supper butter puffs 4 x with cheese on
- 3.2 (hypo) was 07.23am on waking and after going downstairs to put the kettle on etc
- 3.8 (hypo) 07.41am 15 minute check
- 11.5 at 08.33am

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

So the hypos are definitely back......

What have you done about it......?

Have you recorded pre bed results with no butterpuffs......? This will show a better picture....

mum2westiesGill 502 posts

novorapidboi26 said:
So the hypos are definitely back......

What have you done about it......?

Have you recorded pre bed results with no butterpuffs......? This will show a better picture....




- Yes the hypos are back Crying or Very sad , just on waking though not during the rest of the day Smile.

- I've not done anything yet about it but now you say really I should be maybe reducing the BI possibly by 2u.
Just seems that whenever I reduce BI BS all go up then whenever I increase BI BS all come crashing down.

- no I've not recorded pre bed results with no butterpuffs. I usually have supper then do the bedtime test when I get into bed. So maybe I should do bedtime results just before having supper.

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

Actually you should do bedtime result when there is no carbs or insulin working, only at least when your looking to paint a picture of whats happening overnight.......

Its clear you need to reduce your BI though.....so when you do reduce it, have a few days supper free/carb free to check what happens with the new reduced dose.....

Your on a single dose if BI aren't you......? Having a split dose is the only way to go....in my opinion.....flexibility is the key...

I think when your BI dose is right it is OK to test before supper, and use that as your pre bed result... Smile

Warwick DAFNE Graduate
Diabetes Australia-Vic, Melbourne, Victoria
423 posts

I agree with James. Taking a reading shortly after supper will give some wildly high results. Test beforehand and use that as your bedtime reading. It will likely show a much lower value, and explain why you hypo in the mornings so much. I'd suggest cutting out supper until you have your overnight BI dose right, and then you can add supper back in with enough QA to handle it, and have the correct dose of BI too leading to no highs before bed and no lows in the morning.

I recently switched from single dose BI to split dose and like James, that does work well for me although I can understand that it won't work for everyone. If you decide to split your dose, then talk to your HCP before doing this though as it is a bit tricky to split a dose without some wild BG results during the transition.

mum2westiesGill 502 posts

3.2 - bedtime
3.4 - this morning
Sad

- tea & QA 19.21pm
- bedtime test done 23.08pm & before having supper instead of after, also no snacks during the evening.
- 23.26pm hypo check- BS after 4 jelly babies was 5.6. Had supper, butter puffs 4.
- had 4 jelly babies with this morning's hypo then at 15 miniute check BS was 7.3

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

You seem to still be hypoing in the morning.......!!

Are you reducing your BI?

If so, by how much....?

Whats your dose currently?

mum2westiesGill 502 posts

I know Twisted Evil

Was going to ask DSN about apidra QA instead of humalog, I've heard that this is faster in, faster out so wondered if maybe that might stop some of the hypos, also may be better if I've had a later than usual evening meal.

Current dose of Lantus/BI is 28u

mum2westiesGill 502 posts

8.7 - bedtime
5.5 - this morning

- tea & QA 18.41pm
- supper was a little bit of tuna mixed with a slice of corned beef so just protein just carbs.
- bedtime test done 22.40pm & before having supper instead of after, also no snacks during the evening.
- 03.14am during night - 5.1

mum2westiesGill 502 posts

whiskysmum said:
Was going to ask DSN about apidra QA instead of humalog, I've heard that this is faster in, faster out

Current dose of Lantus/BI is 28u



Asked the DSN about apidra, she checked it out in her book and said it's the same action as humalog.