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JayBee DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
587 posts

Some more results.... that 1:1 lunchtime ratio has given me nothing but grief so back to 0.5:1 again. :3
Today's results are yet again another curve ball too but I might know why... :/ Shall see what it does from now on. If those reds stay consistent, I might put morning BI up by 1 (again, sigh). :/

Anyone else gonna post their diary? :3 Hope you're all doing okay!

JayBee DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
587 posts

vic, is that a copy and paste from the diary thing on this site? If so... to hopefully help, below the reply box there's two little boxes... type in the first one 020912 and then in the second one 120912 to display the results you've posted...

If not, bare with me and I'll have a look! Very Happy

Edit: What are your meal ratios again?
Edit: From what I can work out, 16BI has worked out quite well despite the hypo... considering how nice you sit during the day, I would look at the evening meal ratio perhaps... though I have noticed you mention the doggy walking so maybe wait for a couple of days.

I used to post like that to my nurse. I'm amazed she didn't complain LOL it is hard to look at but what can you do! Smile

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

When you say fiddle, does that mean your leaving less than 3 days between ratio changes and making more than one change at a time.......;)

JayBee DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
587 posts

vic,

Firstly, well done on keeping a consistent gap between meals during the day like you had mentioned before. I'm impressed! Smile That gives you ample chance to see what your QA is doing after the 2-5 hour odd working time. On that note, I have noticed that you do correct before bed while your evening meal insulin is possibly still working. Your levels can still be raised due to food during that time so correction can be risky business. However, if you're sure your QA works for 3 hours then this might be okay. My QA has been hinting at 3.5 hours lately but I'm still going to allow 4-5 hours...

If you hypo again today, if I was in your position, I'd look at the evening meal ratio next (though depending on how today goes too, I'd see that first before definitely changing it) because those hypos are happening so soon after your meal... Possibly return it to 1:1 and see how it goes.

novorapidboi26 said:
When you say fiddle, does that mean your leaving less than 3 days between ratio changes and making more than one change at a time.......;)



Razz Forgive me for I have sinned as well. I'm getting better at it though! Not waiting it out can be a right pattern muddler but it can be so hard to resist when you're hitting 20+BG! ^^;;

Sod's law; I'm 16BG this morning... I suspect something is up! Did plan to do a carb free lunch but if I'm ill or something (stress is a possibility because I should be starting something new on Monday and I was anxious about that yesterday - or there's the end of lady stuff too, gah) that could be a waste of time... :/ gah! Perhaps concentrate on night test instead?

Keep up the good work everyone! Smile We can get there! Good BGs, ho! Very Happy

JayBee DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
587 posts

Oh. Do you know at all if your BI holds you stable over night?

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

I understand that waiting around is a pain, I don't wait the 3 days usually, but I have not changed my ratios for a while, only my BI.......reduction due to extra activity.....

The waiting is worth it though......as its only until you have got the right BI and ratios.....if you don't you will always be chasing your tail.......

If you are hitting 20 plus then something is out significantly though.....but you would assume the reason for it would be obvious, like the carb count etc....

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

The BI is the foundation to your regime, more important than the QA in some respects, was that not emphasised in the DAFNE course?

If this is not right, or nearly right, then any adjustment to QA doesn't mean anything, as the BI dose may be contributing to the dodgy readings....

Are you on a single dose of Lantus?

As far as the weekend goes, you are reducing your insulin because you are less active, which is good, but it's the wrong insulin. Reducing QA applies if your going to the gym or to play football etc....moderate to intense activity over a relatively short period. BI is reduced if its minor to moderate over a day for example, like hillwalking. So I believe the BI reduction is what you need here....

If your on lantus, this will become much more difficult, a good reason to change over to Levemir in my opinion....

JayBee DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
587 posts

novorapidboi26 said:
If your on lantus, this will become much more difficult, a good reason to change over to Levemir in my opinion....



I can vouch for this. I was changed on to Levemir from Lantus after suffering from bad hypos - even after split dosing Lantus as well. Levemir, I've found, isn't as... "strong" as Lantus; as in, when I put it up by 1 unit, it's not a drastic difference but this can be a very good thing for someone like me who's sensitive to insulin.

Considering we both seem to be fairly active people vic, I think it's worth considering in my opinion as well. Smile Personally, I can't imagine going back to Lantus now; Levemir has been too helpful.

Phil Maskell DAFNE Graduate
Nottingham University Hospitals NHS Trust
194 posts

novorapidboi26 said:

As far as the weekend goes, you are reducing your insulin because you are less active, which is good, but it's the wrong insulin. Reducing QA applies if your going to the gym or to play football etc....moderate to intense activity over a relatively short period. BI is reduced if its minor to moderate over a day for example, like hillwalking. So I believe the BI reduction is what you need here....



Shouldn't you be reducing insulin if your more active and increase it if your less active, just so people don't reduce/increase wrongly Sad

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

Absolutely, well spotted.......... Embarassed