Jo Penn
DAFNE Graduate
Cambridge University Hospital NHS Foundation Trust
24 posts
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[Shared diary only visible when logged in]
Any thoughts of my readings??
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JayBee
DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
587 posts
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It is certainly very interesting that your BGs are starting to become in the good range around dinnertime...
If you were me, I would consider putting your evening BI up by at least one unit because your waking around 10-11 BG in the morning and it is fairly consistent. This may be a good starting point, though please do see what others suggest.
Are you able to have a carb free meal or possibly a carb free day? If not, another possible course of action is to not correct for any meals and see how your BI copes with just the meal insulin ratios alone... things may become a bit clearer.
Best of luck...!
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novorapidboi26
DAFNE Graduate
NHS Lanarkshire
1,819 posts
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Just a few observations for the Friday...................:
8:00am - You corrected 2, 3 units may have been better, if you remember, higher numbers mean more correction.....
12:00 - 6 unit correction is exactly what I would have done for this reading....13-17mmol/l drops me 1unit:1.5mmol/l...
17:30 - No correction, why?
21:00 - 3:1 ratio stated but QA is not 12 as it should be....
All these minor errors don't happen often but thought I would point them out as consistency I feel really does help when managing your sugars on paper....
As JWo has said, increasing your evening BI dose would definitely be my first thoughts, as your consistently rising overnight even at the reasonably high ratio for that time of day, 2.5:1.....I would probably recommend 2 units as your insulin requirements, a bit like me, are quite large.....and also 2 units for any other dose change....
Just keep going up until you wake consistently on target numbers.........!!
On the Saturday evening you had a blood sugar of 5.4, well done, was there any other factors that could of effected that result, extra activity, alcohol?
On the Sunday your on target for dinner this time, this is without any carbs at lunch, only correction, so initial thought would be your BI dose during the day is good, however, using my own correction rules, which don't apply to everyone, I would of corrected anything over 17 with 1unit drops 1mmol/l, therefore 12 units, assuming that you also have similar resistance, in fact your day time BI may be too strong, however a pattern would have to be spotted, maybe a carb free lunch for a few days....
Alot of comments there but hopefully some thought provoking ones.......good luck.........
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Robby N.
DAFNE Graduate
NHS Grampian
7 posts
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Do you take all your injections in the stomach, it is possible that your injection sites are lumpy and all your insulin is not being absorbed, might be worth getting your HCP to have a quick look at your sites.
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