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daviebear
DAFNE Graduate
NHS Greater Glasgow and Clyde 19 posts |
I was under the impression that hypo would be easier to treat under the dafne regime.So I am wondering what the hell happened today.1240pm BG 2.3,2Cp's taken along with 8.5 as lunch.16 units of QA taken so as to reduce insulin dose as well.Background dose was 20 at 10am(reduced from 22 yesterday).Blood glucose refused to go up,with a total of 2 380ml bottles of Lucozde and 500ml bottle of coke and 2 packets of crisps taken between 1250 and 1640.Doses of lucozade taken every 10 to 20 mins.Now at 1700 Bg now at 4.4.Is this maybe beacause I hypo'd yesterday and used up my glucagon store.Haven't had a day like this for while,but before I had the excuse of being on massive doses of insulin.Any ideas? |
marke
Site Administrator
South East Kent PCT 681 posts |
Davie, as others have mentioned on other posts, its far easier if you put figures into the online diary and post a setion of that into the formum. Its very hard to give advice based on your free form description of CP's and insulin, especially with no context. I would say its very unlikely one hypo would cause this and given the amount of CP's you pumped into yourself it sounds like you potentailly used the wrong insulin. That could potentially cause what you describe and is one possible explination. |
daviebear
DAFNE Graduate
NHS Greater Glasgow and Clyde 19 posts |
[Shared diary only visible when logged in]
Sorry about that .Here are those results now. |
daviebear
DAFNE Graduate
NHS Greater Glasgow and Clyde 19 posts |
Forgot to mention.I definately didn't use the wrong kind of insulin,as you can hopfully see by these charts.I use 2 different pens.I remember being told years ago,that I could be releasing insulin from the lumps I have required over the years.Has anyone else heard of this?The results here as as close as i could enter on the online form,but as you can see it was a lot of CP's with no gain in Blood Glucose. |
nomis
DAFNE Graduate
The Leeds Teaching Hospitals NHS Trust 6 posts |
Very interesting results I would say the 3.1 ratio is fine to get you right for mid day it would seem then a 1.1 but it makes me think from what I have picked up recently when going on the dafen regime should you start Lantus dose from scratch with one injection per day ? |
tweety
DAFNE Graduate
NHS Greater Glasgow and Clyde 13 posts |
hi davie, what had your results been b4 you reduced your bi frm 22 to 20? if i had the results you've shared i would prob reduce the am bi again. i had a similar situation in work a few months back and had to stay for a couple of hours after work till my bg went up so i understand your frustration, but remember dont do loads of changes at once. hope this helps, good luck. |
daviebear
DAFNE Graduate
NHS Greater Glasgow and Clyde 19 posts |
Hi guys ,big thanks for the replies.I take humulin I twice daily,not lantus,as lantus didn't do anything for me nomis.I may very well have to reduce the lunch ratio,but will continue to reduce the morning BI first.tweety my BG's were 3.4 in the afternoon and 2.7 the previous afternoon when on the 22 dose of BI.So I think I will reduce that again tomorrow and see where I stand.If no change then I will redcue the ratio at lunchtime.Thanks for all the help guys.really appreciate it. |
maria51
DAFNE Graduate
Frankston Hospital (Peninsula Health), Victoria 22 posts |
When you hypoed at 16:40 on thurs, I noticed you corrected at your next meal. I'm sure Dafne recommends to avoid giving corrections at the next meal following a hypo. Then at 9pm, another correction after your 6pm QA. I was taught that QA stays in your system between 4 to 5 hours & it seems to me that your QA is overlapping and a effecting BGL, keeping them low plus the hypo before that doesn't help either. |
nomis
DAFNE Graduate
The Leeds Teaching Hospitals NHS Trust 6 posts |
Good piece of advice Maria, I suppose too much adjusting of QA and BI on a high frequency basis i.e day to day will distort figures and lead you to the unknown. |
daviebear
DAFNE Graduate
NHS Greater Glasgow and Clyde 19 posts |
I can understand that maria.But I haven't changed anything.I have remained ona 3:1 at breakfast and a 2:1 at all other times.My background also stayed the same.I should maybe not have taken the extra units though at breakfast because of the high breakfast BG and i can see that now.I was told by a nurse years and years ago that the lumps that you can get can sometimes contain insulin in with them that can then get released without warning.Has anyone else heard of this?I will just put friday down to a one off unless of course it happens again tomorrow when I'm at work,when I will really wonder what is going on.I love all the advice though as it makes me look at things from a different point of view. |