Dafne Diary - looking for some comments / help (2)

Just a bit of a continuation from when i did my last topic "Dafne Diary - looking for some comments / help" with dates from 20/8 - 27/8

Considering the highs when you wake up, are you prepared to do some 3am tests to rule out night time hypos? Once that's established, we can concentrate on during the day. Will be interesting to see what it shows! Hopefully you're not hypoing during the night... ideally it should be holding you steady if it is correct dose.

Take care.

Edit: The previous thread for everyone's reference: http://www.dafneonline.co.uk/forums/1/topics/1849

It would be really good to see pre bed test getting done, makes its easier to see whats happening overnight, which is naturally the place where most DAFNE graduates look at first.......

On Friday at 11:36 you didn't correct for a 10.6...

As far as correction go, how many mmol/l does 1 unit drop you...?

It seems as though on the Monday your BG are reasonable, a tad high, but steady, this might be because you didn't correct for the highs, 9.4 and 7.7 are not that high, but there above target and that means correction is needed.

The Tuesday and Wednesday are again steady, although high, I think this might be because your corrections are not enough. For example on Tuesday at 16:11 you corrected a 14.0 with 2 units, which would mean 1 unit is dropping you by 4mmol/l give or take, that's unlikely.......same thing on Wednesday, no corrections for high levels and possibly not enough correction eg 20.1....

Another thing I spotted was on Tuesday at 19:52, dinner time I assume. You had Lasagne and garlic bread. I might be wrong but is there reference to the carbs and cals book here.....? If so, why? Is there no info on the packaging?, this would be more accurate in my opinion, but I may have misunderstood your comments. Anyway, the point is the count may be wrong, and together with a high carb/GI meal this is almost definitely responsible for your 20.1 the next morning.......

Some food for thought......

Re the bedtime testing - I usually go up to bed at 11pm ish maybe sometimes a bit later, I make sure I do the important thing ie do my lantus / BI but then I'm just so tired that I haven't been doing all the bed time testing.

Re not doing a correction for a 10.6 on the Friday this is because for corrections I'm going off what my GP wrote down for me a few months back when I went to him panicking because I was having lots of sudden very high BSs:
If B/S (pre meal) is > (greater than) 12
>12 - >15 - extra 2 units
>15 - >20 - extra 4 units
>20 - >25 - extra 6 units
>25 units + - extra 6 units but check again after 1 - 1/2 hrs
If still >20 give further 4 units
so that's why i only start doing correction doses if I'm 12 or over.

Re on Tuesday at 19:52, dinner time, I went with the info on the packaging for the Lasagne which was 31.5g per 1/4 of a pk then for the garlic bread I used the carbs and cals book where it says that 1 x garlic bread round is 10g carbs / 3 x rounds garlic bread is 30g carbs, I had 2 x of them.

I see, so your carb count for the lasagne probably wasn't far off then..........meals like these can have a delayed absorption, just like pizza, due to the high carb/high fat (cheese) content. Some people try and split there dose in order to deal with this, however I wouldn't get caught up in that just yet.....

I am no medical expert, and DAFNE isnt the be all and end all, but I would definitely say that the correction riles you have been given are not really doing the job. DAFNE teach as a rule of thumb that 1 unit drops you by 2-3mmol/l, so 2.5mmol/l, I think you should start using this rule and see the results......

the reality is that the higher you are, eg 20.2, the less effective 1 unit is, for me, if I am over 17mmol/l, then 1 unit drops me only 1mmol/l, so I would be taking 15 units on top of any carb insulin. Everyone is different, but I believe not far off my correction factors. It takes a lot of testing, recording to find out what 1 unit is actually doing to your BG at different levels of BG......

So, if you feel comfortable, then start using the 1unit/2.5mmol/l rule, if you were a graduate, you would be doing this anyway.........

whiskysmum said:
Just a bit of a continuation from when i did my last topic "Dafne Diary - looking for some comments / help" with dates from 20/8 - 27/8

LadyNovo777 said:
Why do you only test three times per day? --- no bedtime test! I test six to eight times per day (and always before driving. Am I alone in this?? I used to experience a lot of hypos during the night resulting in medical attention being required,