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Gemsa
DAFNE Graduate
Somerset NHS Foundation Trust 20 posts |
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So DAFNE rule is you don't make a correction dose the meal after a hypo even if your bloods are ridiculous. |
novorapidboi26
DAFNE Graduate
NHS Lanarkshire 1,819 posts |
You should correct that 22, its far too high.............. |
Gemsa
DAFNE Graduate
Somerset NHS Foundation Trust 20 posts |
Well I don't know whether I had a hypo or not. I certainly didn't take any CPs but I don't know what my liver kicked out! |
Garry
DAFNE Graduate
North Lincolnshire and Goole NHS Foundation Trust 328 posts |
Think it more likely that you have an infection coming on. Blood sugars are normally at least one day ahead of your cold, or whatever it is, showing obvious symptoms. |
Peter
DUAG Committee Member
University College London Hospitals (UCLH) 109 posts |
Gemsa, The idea of rebound hyperglycemia (i.e. the 22.1 in the morning being caused by an untreated hypo overnight) has been discredited recently. There is some information here (http://www.dafneonline.co.uk/forums/1/topics/963) and there was a further presentation specifically on this at this topic at the DAFNE Collaborative in June this year. I would suggest that the 22 was in reaction to the food eaten late the night before. I know for me that measuring BG at 22:37 only 20 minutes after eating (and hopefully taking the correct insulin dose) would tell me little about the BG level that I would see 2 or 3 hours later. In my case I was diagnosed 40+ years ago, and now have insulin resistance, and so it takes time for any insulin dosage to start working on food. You probably don't have the same degree of resilience, but I would still suggest that you look more at the carb. counting the night before rather than a "phantom" hypo overnight. |
DianeW
DAFNE Graduate
South West Essex PCT 115 posts |
If i knew i had had a hypo in the night and i woke up at 22, i would correct, i would not want to run that high, let alone how rotten i would feel. But it begs the question: at what level do you feel comfortable to run at if you go by DAFNE post hypo no correct rule at breakfast, also bearing in mind your BG risrs on waking anyway due to adrenaline. |