SA2010
DAFNE Graduate
University College London Hospitals (UCLH)
69 posts
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Hi
Just noticed that you are still having lows. I have not been online for a while. I recall saying that you had to be more aggressive in reducing your BI.
I am on split BI as well similar to you in timing. mine is 11am and 11pm. First I got the overnight level right and then started to look at the morning one. Basically I found that the BI at 11am and the QA with lunch at about 1:00pm-2:00pm start to work together and about 5-7 hours after 11am there are risks of low BGs. Despite what people say, I think lantus peaks at about 7 hours. and what that coincides with 3 hours after QA then there would be risk of low BG/Hypo if the doses are high. My 11am BI dose is now 3 units and 11pm at 6 units. I started in 2010 on about 18 units a day of BI.
Because of interaction of fresh BI coming in the morning and QA for lunch, my lunch QA:CP ratio is lowest and I see that 0.5 u/1 CP has been suggested to you.
Points to note: bedtime: you had a time when you did not do anything with BG below 6 at bedtime. I try to get mine close 8 at bedtime. Need to have half a toast probably if BG between 5 and 6 at bedtime.
As advised, do reduce your morning BI dose - wait 3 days before making another change - if you can. Lantus takes a while to settle down. I think you are on lantus.
Remember the meters are not very accurate - in fact repeating a test may give a different reading. I find different hands give different results - 1-2 mmols ! So for that reason I treat 4.0 and 3.8 and 3.5 all the same - as hypos.
Hope this is not confusing.
For driving it has to be 5.0 or above. There is some news coming about driving and BG testing rules. I passed the info to the admin team.
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