B G Diary Comments please

January 23, 2013 13:15

Garry DAFNE Graduate
North Lincolnshire and Goole NHS Foundation Trust 328 posts

Have split my Lantus for over 2 years. Personally I use near equal doses but your needs will require some time and a long term assessment.
Some people use BI doses with a small differential of 2 or 4u....depending on your insulin resistance of course.
Currently mine are split 24u breakfast and 23u dinner but that may change later this week Confused
l try to get the timings 12 hours apart as it seems the simple way to get an 'even' BI always available for your body to use. Lantus dose changes, for most of us, seem to have a long reaction time - up to 3 days to see any resultant BG change. I normally take QA and BI insulin before breakfast at 06:45 and before dinner at around 19:00.
So for me it works.
At weekends, or on holiday, when getting up later.....dinner tends to be later too.....so it still works.
Regards
Garry

February 09, 2013 16:59

mum2westiesGill 502 posts

[Shared diary only visible when logged in]

Hi,

Not posted any results since 20/01/2012 so just wanting some comments on my last 5 days B G Diary compared to between 14/01/2013 - 20/01/2013. All comments are accepted.

February 10, 2013 04:01

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

From an initial glace, your BI seems too high. To go from 18.9 on early Saturday morning to 2.6 8 hours later with no QA given and all previous QA used by your body would indicate that your BI needs to be reduced by quite a bit.

Can I ask why you aren't taking corrective QA when your test and find a high reading? With readings of 18.9, and 21.7, I'd definitely be correcting with QA but I don't see this being recorded if you did so. If you just forgot to record it, then no problem, but otherwise I'd suggest having a chat to your HCP, because the point of BI is to deal with the blood glucose released by the liver, not from the spike that comes from food, but your BI seems to be doing the role of both.

Also, two consecutive readings above 13 (like before dinner and before bed as you had on Friday) should also have ketones checked, and any reading over 17 should have the same. Are you doing this, because I don't see that being recorded either. You really want to avoid DKA, and checking for ketones when having high readings is the best way to do this.

Cheers,
Warwick.

January 23, 2013 13:15 Garry DAFNE Graduate North Lincolnshire and Goole NHS Foundation Trust 328 posts	Have split my Lantus for over 2 years. Personally I use near equal doses but your needs will require some time and a long term assessment. Some people use BI doses with a small differential of 2 or 4u....depending on your insulin resistance of course. Currently mine are split 24u breakfast and 23u dinner but that may change later this week l try to get the timings 12 hours apart as it seems the simple way to get an 'even' BI always available for your body to use. Lantus dose changes, for most of us, seem to have a long reaction time - up to 3 days to see any resultant BG change. I normally take QA and BI insulin before breakfast at 06:45 and before dinner at around 19:00. So for me it works. At weekends, or on holiday, when getting up later.....dinner tends to be later too.....so it still works. Regards Garry
February 09, 2013 16:59 mum2westiesGill 502 posts	[Shared diary only visible when logged in] Hi, Not posted any results since 20/01/2012 so just wanting some comments on my last 5 days B G Diary compared to between 14/01/2013 - 20/01/2013. All comments are accepted.
February 10, 2013 04:01 Warwick DAFNE Graduate Diabetes Australia-Vic, Melbourne, Victoria 423 posts	From an initial glace, your BI seems too high. To go from 18.9 on early Saturday morning to 2.6 8 hours later with no QA given and all previous QA used by your body would indicate that your BI needs to be reduced by quite a bit. Can I ask why you aren't taking corrective QA when your test and find a high reading? With readings of 18.9, and 21.7, I'd definitely be correcting with QA but I don't see this being recorded if you did so. If you just forgot to record it, then no problem, but otherwise I'd suggest having a chat to your HCP, because the point of BI is to deal with the blood glucose released by the liver, not from the spike that comes from food, but your BI seems to be doing the role of both. Also, two consecutive readings above 13 (like before dinner and before bed as you had on Friday) should also have ketones checked, and any reading over 17 should have the same. Are you doing this, because I don't see that being recorded either. You really want to avoid DKA, and checking for ketones when having high readings is the best way to do this. Cheers, Warwick.