Advice if possible.

Ive been diabetic over 2 years now.
Has anyone got any ideas why, unitl recently, i was on a 1:1 ratio for all meals, for this to change in a matter of months ?
First to go was breakfast - im now on a 1:3 ratio, my CPs are 10 = 30QA

Slowly but surerly came tea time - im now on a 1:2 ratio but ive got a nagging hunch that this is increasing at least to 1 : 2 1/2 ratio.

At the moment lunch is still an unsteady 1:1 ratio

With increasing awareness on my part, eating after 3oclock in the day results in a 1:2 ratio (worryingly similar to evening tea)

This is very worrying for me as i am having other difficulties with my diabeties at the moment such as morning high BG without night hypos, burning under the skin from my insulin, and a number of other physical symptoms like headaches and nausea.
With this ever-increasing rise in my need for more insulin i am starting to freak out as to what further side-effects are in store for me and if i can handle them.

Please, any opinions would be good x

Use and post your on-line diary occasionally and people will try to assist.
DAFNE teaches ratios in QA:CP or in your case mentioned a 3:1 ratio.
Don't get stressed about your ratios changing as it happens to us all at different times during the year...infection...activity levels...work stress...lot of things have a quite dramatic affect upon our resistance to insulin.
Don't worry about it.
Just keep up the discipline and things will work out for you.
We are all looking to live as normal a lifestyle as possible and yet avoid some of the long term effects that being a diabetic infers.
Follow the established rules and live life to the full
Regards
Garry

Hi Deanna,
Yeah i've noticed some changes in my ratio but only at breakfast and only at the w/end normally i'am 1:1 ratio for all meals but just recently i've had to up that to a 1:2 for breakfast but like i say only at w/ends?? it's weird...

When you say burning- do you mean while injecting or after?? i've noticed some injections sting a little more than others...

Thanks Garry, im trying to keep at it, i usually do notice differences in my BG when im sick but at the moment i (or the doctors) dont know whats causing what first, the sickness affecting my diabeties or my diabeties resulting in my sickness

Oh and while ive got you, do you have any idea why exercise wouldnt be lowering me BG significantally as it has in the past. I have noticed this over the past couple of weeks and i cant think of any reason for it.

hi dafne-dude i think your morning increasing in insulin could be like mine any many others ive heard from. Hormones on the morning that wake you up and get you started, interfere i think is the right word, with your insulin intake. not sure theres much else it could be but id still ask around if it worries you. The weekend variations could be something as simple as you sleeping in latter or your body jst knowing, dont ask me how that your not going to work that day.

The burning - the only way i can describe it to others is like, if you have ever accidently touched your hand to something burning hot like an oven. That is how it feels to me
Its not the needles but the insulin when it enters, and it sometimes doesnt even go by high doses like ive given myself too much at one time, as this can happen.
Ive tried 3 QA insulins now in less than a year with varying affects. Ive now devised as somewhat successfull method for injecting myslef. Insert needle, inject 3-4 units, hold, count to 5, and so on etc. Seems to work for the most part. x

Almost certainly sickness affecting your Diabetes.
On your exercise query:
on the opening Forum page - use the search facility to search for Exercise. Brings up about six threads to have a look at.
These have helped me better understand the sometimes puzzling effect of exercise and BGs.
Regards
Garry

Your ratios changing is normal and can happen often or not so often, that's the beauty of actually knowing your ratios and being able to change them.........

Needing more or less insulin for every 10g of carbohydrate is down to insulin resistance I suppose, and so the more active you are the more chance you will be on a 1:1 or less as your muscles are at there most sensitive.......obviously hormones and other bodily wonders can effect them too.......

If you lived your life to a strict routine I suppose your body would be used to the same food, activity levels, stress levels and so on and you could expect ratios to stay the same for the most part, but the majority of people aren't that strict.......

As far as side effects are concerned, you may find these symptoms are present because you are not getting enough insulin....

Your morning highs are likely the dawn phenomenon, which I believe everyone experiences, its just some of us cant deal with it.....like me......

Burning under the skin must be a pain, is that both types of insulin?I know Levemir is slightly acidic and can sting and give rashes....

Headaches and nausea are common symptoms to many minor conditions, but could be due to high readings......

Best to see the doc if it is worrying you.....

I would go for tryng to improve the DAwn Phenomena . Most of us are taking an extra dose of QA( witih nothing to eat)in the early hours. Times range from 3am to 7am. Thsi does cover the dawn phenomena though but of course you need totry to find what time to take your extra jag, and work out how much you need.

good luck

Oh Forgot to say that yur increase need in insulin is probably because you are past the 2 year mark now. Some beta cell production goes on for a while before all the cells are destroyed by the disease. You may just have lost more now which is what happens to us all as time goes on.
If you ahve gained weight or cut down on exercise that might also cause it.

Take care. Hope you get things sorted.

very good point about the honeymoon period, can potentially last a good few years..........

Burning under the skin must be a pain, is that both types of insulin?I know Levemir is slightly acidic and can sting and give rashes