B G Diary Comments please

Hi,

Just wanting some comments on my B G Diary. All comments are accepted.

In the Wed 16/01 entry @ 08:01 hychk and the Thu 17/01 entry @ 09:11 hychk have I done the entry correctly? I had 2 shortcake biscuits which were 8.4g each and no insulin.

Taking after meal levels into account do you think my meal time ratios are ok: bfast = 2:1 (2u for every 10g carbs) / lnch = 1.5:1 and dinnr = 1:1?
Also which is the best way to enter this into my diary 2:1 or 2:10?

On Fri 11/01 following a visit to my GP I increased my lantus/BI from 22u to 24u. Then as you can see on Fri 18/01 I increased it again by 2u so from 24u to 26u.

Gill

Carb counting (or trying my best to from what I learn on the forum) (as mentioned before on the forum, I can't get on a DAFNE course due to there not being one in my local area & can't travel/be away from home due to family commitments)

Taking - Humalog - before meals/eating depending on how many carbs in the food.
Lantus - before bed.

Wow, there certainly is a lot of red in that diary, isn't there. That would indicate that the basal insulin is too low, but you keep having hypos overnight, so increasing basal doesn't seem to be an option.

Do you have a diabetes educator that you can see? I would suggest having a chat to them about the possibility of taking your Lantus in the mornings instead of at night. Because Lantus doesn't always last a full 24 hours (and your BGs seem to be going pretty high before you take your next dose, switching to a mrning dose may stop the highs in the evenings and the hypos overnight.

Cheers,
Warwick.

Hi Warwick,

Thanks for your reply/comment. Everything has been taken into account.

Gill

Here are my next 2 days 19/01 & part of 20/01.

Please keep those comments coming in.

Thanks

Gill

Hi,

Couple of observations. On Wed and Thursday you tested BG very close together and ate about 3CPs this would be expected to add about 9 to your BG and this is what seemed to happen your BG went up. However the general drift up during the day may suggest insufficient back ground. The higher ratios your applying in the later readings may be compensating for this. Have a look at the online Dafne manual on background insulins. Maybe you need some professional advice on whether you can take lantus twice a day manual mentions this possibility, or even consider a different background insulin like levimir which you can take twice a day. I would also have a look at the hypo treatment in the manual as its very easy to over compensate when your low BG and then you may have to consider taking more insulin to bring BG back down.

Hi richard_g,

Thank you for your comment.

On Wed 16/01 at 07:44 then 08:01 and also Thu 17/01 at 08:51 then 09:11 the tests were close together because they were 15 minute hypo checks. I had 4 jelly babies for quick acting carbs at the earlier readings then 2 plain shortcake biscuits for slower acting carbs at the second readings.

Where can I find the Dafne manual?

Gill

Hi,

When your logged in its either under Dafne Tools menu or there's a box on right hand side of th eweb page which has a direct link to Dafne Course Handbook

Access the latest version of the DAFNE Course Handbook online, once you are verified as a DAFNE Graduate

Hi,

I'm not a DAFNE Graduate so don't have access to it

Hi I think what has been said in other comments is that you may need to split your back ground. I no they say lantus shouldn't be split but I'm on lantus and as it seems with you my readings close to my next evening injection were higher. I now split my lantus 14u in morning and 14u in the evening. I do 9 and 9 only cause I don't want to have to get up any earlier on my days off lol. You could do 13u and 13u and go from there you may find you can lower this after time cause its not running out

whiskysmum said:
Hi,
I'm not a DAFNE Graduate so don't have access to it