Recent Posts - DAFNE Online

Apr 10, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Lantus to Levimer

Basically Levemir is much more effective and flexible than Lantus because any changes that you make to the dose of it can be witnessed the next day, and so is ideal for folk who exercise etc as they can cut there Levemir dose and it will accommodate the extra activity.......

So for example, someone could be going out hill walking all day, they could then drop their AM BI dose to account for this so they don't go low.....on Lantus you would not see the effect from the cut in dose till days later.........

Its also good for people who like a drink..........its wise to drop your BI dose on the night of drinking and on the next day for some, like me......... Wink

Levemir is much more flexible that Lantus that way and so that's why the 'manufacturers' suggest not to split it.....

But as SimonC says, everyone needs something different when it comes to insulin and if Lantus works for you better whether its split or not you should use it.......

The DAFNE handbook version of onset, peak and duration of the insulins is quite useful also....................found HERE - [Only Graduates can view currently........ Crying or Very sad

]

Apr 10, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / My Blood Glucose Diary - all comments welcomed!

Initial thoughts now that your overnight BI is pretty much spot on, is that you seem to be going higher from when you get up until you get some food inside you.........

this might be dawn phenomenon, or your overnight BI running out........

So you may want to think about taking your BI when you get up............this could also mean that your daytime BI might run out earlier in the night, but you should cross that bridge when you come to it...

If you are experiencing the morning liver dump then your best to get food and insulin in as quick as possible.

I get up For work and have a small yogurt straight away, this was tackle the DP..............I still do it and I am on a pump, old habits die hard........

hypos in the afternoon, naturally you would assume to much insulin at lunch, or breakfast in your case........ Wink

So that's what I would think about evaluating...................unless however you suspect the BI is out...........have you done daytime test of thought recently......

Apr 10, 2013

Apollo 45 posts

Topic: Questions for HCPs / Lantus to Levimer

why on earth do they advise not splitting Lantus? Without going into all the theory, so long as your total dose isn't greater than you would have taken on a single shot the morning and evening profiles will just add together for the overlap period so I can't see any reason why it would cause a problem.

Just because the manufacturer market it as a one shot in 24 hours product it doesn't mean you can't portion it out if you want to.

what I mean by profile is they way in which the insulin works in your body, these are the profiles of Lantus & Levimer over a 24 hour period accoring to one diabeties website

The bottom of each graph is the time in hours and the height the line goes to shows you how hard the insulin is working at that time. As you can see the Lantus tends to peak after about 10-12 hours (which is why it's general recommended you split your dose into 2 shots 12 hours apart) while Lantus is a more constant effect.

Apr 10, 2013

SimonC 78 posts

Topic: Questions for HCPs / Lantus to Levimer

Again - not a HCP, but I like my Lantus, but when it wasn't lasting the 24hours it claims, I just split it, I know HCP's don't advise it, but it now works really well for me. I was on 28 units at 2100hours, then split it to 14 units at 0900 and 2100, then, due to weight loss I was giving 10 at 0900 and 2100, but found that looking at the figures my BG was dropping towards the evening, so I am now on 9 at 0900 and 10 at 2100.

Lantus can be split - and if it works for you, then you should put your foot down and insist on Lantus - don't be bullied into treatment you don't like, can't get on with - you are in charge, not the doctors.

Apr 10, 2013

Apollo 45 posts

Topic: Questions for HCPs / Lantus to Levimer

I'm also not a HCP but I switched about a year ago from Levimer to Lantus and I did find I needed less Lantus compared to Levimer so that fact you need to take more units of Levimer seems normal from my experience.

The reason I changed was that in addition to being more potent Lantus also tends to give a better 24 hour cycle. What I was finding with Levimer was that after about 20 hours it stopped working. The way to correct for that is to split the dose so you take 2 shots like you are but as Novorapidboi26 points out you need to take it the exact same time every day with as close to a 12 hour split as you can mange. I didn't like the idea of putting an extra shot in my daily routine so when they said Lantus offered a more balanced long lasting profile the switch made sense.

While they do both do the same basic task they are different substances and don't necessarily do it in the same way. One of the reasons that some people will take one over the other is that some people experience a burning sensation as they inject Lantus, I can't say I've experienced that myself but it could be that where they do work in slightly different ways that although one created no dawn phenomena for you it doesn't mean the other won't.

Out of curiosity what was your reason for switching? Granted we are all different but I've found Lantus to be a superior insulin, just a shame the company who make it can't design a quality injection system to save their lives.

Apr 10, 2013

mum2westiesGill 502 posts

Topic: General Discussion / My Blood Glucose Diary - all comments welcomed!

Help/comments needed please on the last 3 days results
Mon 08/04 - Wed 10/04(so far)

Apr 10, 2013

mum2westiesGill 502 posts

Topic: General Discussion / My Blood Glucose Diary - all comments welcomed!

Thank you Travler

Apr 10, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

7.1 - bedtime
4.9 - this morning

- 19.06pm - tea & QA
- 22.21pm - bedtime test was done
- supper was 4 butter puffs - 2 cps - 1u QA (bit of a trial as never do QA at bedtime)

Apr 10, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Lantus to Levimer

No problem.

I look forward to seeing your results....... Wink

Apr 9, 2013

GLS 12 posts

Topic: Questions for HCPs / Lantus to Levimer

Thanks for your reply novorapidboi26. I am going to try your suggestion of taking BI at 21:00. Have given it a go tonight, although I have been to a zulus class so introduced another complication tonight!!

I mentioned dawn phenomena, but maybe confused things. I meant that I hadnt seemed to get it on lantus so didn't need to think about it with levier. As you said it looks like I am ok between 3-7am :-) so that's one good thing.

Thanks for the advice
Gemma

Apr 9, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Lantus to Levimer

Hi,

I am not an HCP but would like to comment...... Smile

It would seem that some time between 22:30 and 1;00 your AM dose of 8 Levemir is running out, so you may want to consider taking your evening BI dose at about 21:00pm, which you mentioned you did do. You should try to get your BI in at the same time every night.....

Overnight it looks like you have a wee dip 2:00-3:00 but nothing significant, in fact your blood sugar is held quite steady through the night. This means that your current dose of BI overnight is correct, however the timing needs to be right because your AM dose is running out.

So I would make sure you get your PM dose in at 21:00pm, test for a few days through the night and see what happens.....hopefully you should start waking up on target.....

You mentioned the Dawn Phenomenon. Your results don't suggest your experiencing it, not at least between the usual time of 3 - 7 am.

When have you observed the Dawn Phenomenon?

Apr 9, 2013

GLS 12 posts

Topic: Questions for HCPs / Lantus to Levimer

Dear All,

I have recently changed my BI from Lantus (18 units at 19:00) to Levimer (initially as advised by consultant split at 8 units am and 10 units pm) to help with BI exercise adjustments.

Since the change I have really struggled and am getting frustrated with it. I assumed that the 18 units equivalent of my lantus would work in a fairly straightforward way - but that doesnâ€™t seem to be the case as most mornings I have woken with blood sugars of about 15. I didnâ€™t have an issue with highs when on lantus, or experience the dawn phenomenon.

I started increasing the levimer one unit at a time and pushing back the time I take it from 19:00, to 21:00 - but there was no change. I read a few other forums which noted that Lantus is more potent than Levimer and people reported needing 30% more Levimer compared to Lantus doses. Has anyone else experienced this? This reassured me as I was getting concerned over the increase in BI units.

Last nights fasting results (meal at 18:30; no further carbs or QA; injected 15 units Levimer at 23:00):

18:30 BG 5.9 (before meal)
20:30 BG 4.7
22:30 BG 4.4
01:00 BG 14.7
03:00 BG 12.5
05:00 BG 13.7
07:00 BG 13.2

Any advice much appreciated.
Gemma

Apr 9, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

6.8 - bedtime
8.9 - this morning

- 19.40 - tea & QA
- 22.51pm - bedtime test was done
- supper was sandwich 1 slice/1 treat size bsct - 2 cps - 1u QA (bit of a trial as never do QA at bedtime)

Apr 8, 2013

marke 681 posts

Topic: General Discussion / Injections

hmm maybe I should ban you for mentioning a brand Very Happy

only joking, the site is run by graduates and apart from the costs of having the site on a server which is paid for by the DAFNE Programme ( thank you !) we are totally independent and so hold no allegiance to any one or brand. So mention who you like.
As to the slow inhjection theory, I'm not sure I'm convinced by that one. However I don't think it will do any harm, I'm just not sure it provides a benefit. I just
count to ten and whip it out Wink

Apr 8, 2013

Apollo 45 posts

Topic: General Discussion / My Blood Glucose Diary - all comments welcomed!

You seem a little unsure about your background level and I'd get that right first before you start to play with mealtime ratios as background needs to be set right first so you know that's not tainting your mealtime readings. Otherwise you could be correcting for your BI with QA.

Although you are getting some highs in the morning it's important to remember that this can be caused by your body making a panicked reaction to a hypo and over compensating, I've found there are 3 ways to asses this.

1) set an alarm for the middle of the night and test yourself if the reading is low then your background is making you hypo in the night.

2) have a carb free meal. Have your breakfast, take on some carbs and the required QA Insulin, but for lunch have a dressing free leafy salad, if your say 6.5 at lunch and then hypo before dinner the only insulin in your system is your background and so it must be to high and you should immediately reduce it.

If you get to dinner and your high (so long as you haven't had any carbs or sugars since your salad) then your background insulin is low and you should increase it but by no more than 2 units for the day (so 1 unit per injection as you have two background injections a day) and then monitor the situation for 4 days before making any other changes to either your background or QA inslins. If you change 2 things at once you don't know which is doing what.

If your reading at dinner is +/- 2 of your lunch reading though then your background insulin is about right.

One important thing to note with this is if you test at lunch and your high you can't take a QA correction, if it's very high then take the correction and do this test another day, if you take QA though then there are 2 insulins in your system and so if you hypo you can't say for sure if it was the background insulin or the QA that made you hypo.

3) This is the lazy man test (not something a doc/nurse is likely to suggest) and not only really any good if your high on your background dose. When you have your evening meal give yourself an extra 4CPs that you take no QA insulin for. When you take your pre-bed reading (atleast 3 hours after the QA from your evening meal so it's pretty much worn off) you should then be quite high. If when you wake up you have dropped more than 3 units then your background is likely high and you have been hypoing in your sleep.

Apr 8, 2013

Apollo 45 posts

Topic: General Discussion / BS Corrections Levels/Numbers

The lowest level Blood Glucose (BG) level at which I'd give myself a correction is at 9 as 1insulin unit will typically bring me down 3 BG units. My general rule of thumb is 1 unit of QA insulin for every 3 BG units I am above a BG reading of 6, BUT never greater than a correction of 4 QA insulin units. However I wouldn't arbitrarily give a correction at 9 as what your planning to do while the insulin is working is an important factor.

If I'm about to have my meal and then go to the park then the slight increase in physical activity will likely make the insulin work more efficiently and take care of the high for me. If I were about to jump on the motorbike or drive the car and was checking to make sure I was legal to do so then I wouldn't take a correction as unless it was very high as I don't want to risk a hypo while on the road, however when I finish my journey I may retest and take a correction then. If however I've tested because I'm about to have dinner and then sit on the sofa and watch a film I'd give the correction.

Apr 8, 2013

Apollo 45 posts

Topic: General Discussion / Injections

When I was diagnosed I was told that once you finish administering your shot you should do a ten second count before slowly removing the needle.

While I will sometimes do this, in practice I usually wait a little less time, especially when I've taken quite a large shot anyway and draw the needle out very quickly. However sometimes as I'm pulling it out I'll draw out about half way, pause for a second and then pull it out the rest of the way.

Another thing I'll do which I've found from my DAFNE group is quite uncommon is I will take some time to actually give myself the shot. Hopefully naming brands isn't frowned upon here (if it is sorry, it's my first post) but I use a Novopen 3 for my QA insulin which if you're very gentle with you can click off 1/6th of a unit at a time although in practice 1/3rd of a unit is generally about as fine as you can get things. So when giving myself a shot I will start by trying to click off about 1/6th of a unit per second. After I've got past about 10 units I'll speed it up a little my thinking being that this will have primed the surrounding tissue making it more ready to accept the insulin. This is just the thinking of one man though however I don't often get lumps inspite of the fact that I put 75% of my shots into the belly and due to a limited level of body fat usually in quite tight grouping.

As a result in total I can sometimes have the needle under the skin for 3 or 4 mins.

Apr 8, 2013

mum2westiesGill 502 posts

Topic: General Discussion / Injections

When you're doing an injection how long or what number do you count up to to keep the needle under the skin for?

Apr 8, 2013

mum2westiesGill 502 posts

Topic: General Discussion / BS Corrections Levels/Numbers

What BS level/number would you do a correction at ie 10, 12....?

Apr 8, 2013

Vickyp 137 posts

Topic: General Discussion / My Blood Glucose Diary - all comments welcomed!

0.5 units per cp or per 10g so if cps was 2 you would take 1 unit of qa...essentially half the total number of cps and thats how much qa you take...to the nearest whole unit if you dont have half unit pen (or pump)

Apr 8, 2013

mum2westiesGill 502 posts

Topic: General Discussion / My Blood Glucose Diary - all comments welcomed!

Hi Vickyp,

Thanks! So how many units for 0.5:1 ratio please?

Apr 8, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

10.9 - bedtime
7.7 - this morning

- 19.20pm - tea & QA
- 22.48pm - bedtime was done
- supper was 2 treat size bscts - 2 cps

Apr 10, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Lantus to Levimer Basically Levemir is much more effective and flexible than Lantus because any changes that you make to the dose of it can be witnessed the next day, and so is ideal for folk who exercise etc as they can cut there Levemir dose and it will accommodate the extra activity....... So for example, someone could be going out hill walking all day, they could then drop their AM BI dose to account for this so they don't go low.....on Lantus you would not see the effect from the cut in dose till days later......... Its also good for people who like a drink..........its wise to drop your BI dose on the night of drinking and on the next day for some, like me......... Levemir is much more flexible that Lantus that way and so that's why the 'manufacturers' suggest not to split it..... But as SimonC says, everyone needs something different when it comes to insulin and if Lantus works for you better whether its split or not you should use it....... The DAFNE handbook version of onset, peak and duration of the insulins is quite useful also....................found HERE - [Only Graduates can view currently........ ]

Apr 10, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! Initial thoughts now that your overnight BI is pretty much spot on, is that you seem to be going higher from when you get up until you get some food inside you......... this might be dawn phenomenon, or your overnight BI running out........ So you may want to think about taking your BI when you get up............this could also mean that your daytime BI might run out earlier in the night, but you should cross that bridge when you come to it... If you are experiencing the morning liver dump then your best to get food and insulin in as quick as possible. I get up For work and have a small yogurt straight away, this was tackle the DP..............I still do it and I am on a pump, old habits die hard........ hypos in the afternoon, naturally you would assume to much insulin at lunch, or breakfast in your case........ So that's what I would think about evaluating...................unless however you suspect the BI is out...........have you done daytime test of thought recently......

Apr 10, 2013 Apollo 45 posts	Topic: Questions for HCPs / Lantus to Levimer why on earth do they advise not splitting Lantus? Without going into all the theory, so long as your total dose isn't greater than you would have taken on a single shot the morning and evening profiles will just add together for the overlap period so I can't see any reason why it would cause a problem. Just because the manufacturer market it as a one shot in 24 hours product it doesn't mean you can't portion it out if you want to. what I mean by profile is they way in which the insulin works in your body, these are the profiles of Lantus & Levimer over a 24 hour period accoring to one diabeties website The bottom of each graph is the time in hours and the height the line goes to shows you how hard the insulin is working at that time. As you can see the Lantus tends to peak after about 10-12 hours (which is why it's general recommended you split your dose into 2 shots 12 hours apart) while Lantus is a more constant effect.

Apr 10, 2013 SimonC 78 posts	Topic: Questions for HCPs / Lantus to Levimer Again - not a HCP, but I like my Lantus, but when it wasn't lasting the 24hours it claims, I just split it, I know HCP's don't advise it, but it now works really well for me. I was on 28 units at 2100hours, then split it to 14 units at 0900 and 2100, then, due to weight loss I was giving 10 at 0900 and 2100, but found that looking at the figures my BG was dropping towards the evening, so I am now on 9 at 0900 and 10 at 2100. Lantus can be split - and if it works for you, then you should put your foot down and insist on Lantus - don't be bullied into treatment you don't like, can't get on with - you are in charge, not the doctors.

Apr 10, 2013 Apollo 45 posts	Topic: Questions for HCPs / Lantus to Levimer I'm also not a HCP but I switched about a year ago from Levimer to Lantus and I did find I needed less Lantus compared to Levimer so that fact you need to take more units of Levimer seems normal from my experience. The reason I changed was that in addition to being more potent Lantus also tends to give a better 24 hour cycle. What I was finding with Levimer was that after about 20 hours it stopped working. The way to correct for that is to split the dose so you take 2 shots like you are but as Novorapidboi26 points out you need to take it the exact same time every day with as close to a 12 hour split as you can mange. I didn't like the idea of putting an extra shot in my daily routine so when they said Lantus offered a more balanced long lasting profile the switch made sense. While they do both do the same basic task they are different substances and don't necessarily do it in the same way. One of the reasons that some people will take one over the other is that some people experience a burning sensation as they inject Lantus, I can't say I've experienced that myself but it could be that where they do work in slightly different ways that although one created no dawn phenomena for you it doesn't mean the other won't. Out of curiosity what was your reason for switching? Granted we are all different but I've found Lantus to be a superior insulin, just a shame the company who make it can't design a quality injection system to save their lives.

Apr 10, 2013 mum2westiesGill 502 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! Help/comments needed please on the last 3 days results Mon 08/04 - Wed 10/04(so far)

Apr 10, 2013 mum2westiesGill 502 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! Thank you Travler

Apr 10, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 7.1 - bedtime 4.9 - this morning - 19.06pm - tea & QA - 22.21pm - bedtime test was done - supper was 4 butter puffs - 2 cps - 1u QA (bit of a trial as never do QA at bedtime)

Apr 10, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Lantus to Levimer No problem. I look forward to seeing your results.......

Apr 9, 2013 GLS 12 posts	Topic: Questions for HCPs / Lantus to Levimer Thanks for your reply novorapidboi26. I am going to try your suggestion of taking BI at 21:00. Have given it a go tonight, although I have been to a zulus class so introduced another complication tonight!! I mentioned dawn phenomena, but maybe confused things. I meant that I hadnt seemed to get it on lantus so didn't need to think about it with levier. As you said it looks like I am ok between 3-7am :-) so that's one good thing. Thanks for the advice Gemma

Apr 9, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Lantus to Levimer Hi, I am not an HCP but would like to comment...... It would seem that some time between 22:30 and 1;00 your AM dose of 8 Levemir is running out, so you may want to consider taking your evening BI dose at about 21:00pm, which you mentioned you did do. You should try to get your BI in at the same time every night..... Overnight it looks like you have a wee dip 2:00-3:00 but nothing significant, in fact your blood sugar is held quite steady through the night. This means that your current dose of BI overnight is correct, however the timing needs to be right because your AM dose is running out. So I would make sure you get your PM dose in at 21:00pm, test for a few days through the night and see what happens.....hopefully you should start waking up on target..... You mentioned the Dawn Phenomenon. Your results don't suggest your experiencing it, not at least between the usual time of 3 - 7 am. When have you observed the Dawn Phenomenon?

Apr 9, 2013 GLS 12 posts	Topic: Questions for HCPs / Lantus to Levimer Dear All, I have recently changed my BI from Lantus (18 units at 19:00) to Levimer (initially as advised by consultant split at 8 units am and 10 units pm) to help with BI exercise adjustments. Since the change I have really struggled and am getting frustrated with it. I assumed that the 18 units equivalent of my lantus would work in a fairly straightforward way - but that doesnâ€™t seem to be the case as most mornings I have woken with blood sugars of about 15. I didnâ€™t have an issue with highs when on lantus, or experience the dawn phenomenon. I started increasing the levimer one unit at a time and pushing back the time I take it from 19:00, to 21:00 - but there was no change. I read a few other forums which noted that Lantus is more potent than Levimer and people reported needing 30% more Levimer compared to Lantus doses. Has anyone else experienced this? This reassured me as I was getting concerned over the increase in BI units. Last nights fasting results (meal at 18:30; no further carbs or QA; injected 15 units Levimer at 23:00): 18:30 BG 5.9 (before meal) 20:30 BG 4.7 22:30 BG 4.4 01:00 BG 14.7 03:00 BG 12.5 05:00 BG 13.7 07:00 BG 13.2 Any advice much appreciated. Gemma

Apr 9, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 6.8 - bedtime 8.9 - this morning - 19.40 - tea & QA - 22.51pm - bedtime test was done - supper was sandwich 1 slice/1 treat size bsct - 2 cps - 1u QA (bit of a trial as never do QA at bedtime)

Apr 8, 2013 marke 681 posts	Topic: General Discussion / Injections hmm maybe I should ban you for mentioning a brand only joking, the site is run by graduates and apart from the costs of having the site on a server which is paid for by the DAFNE Programme ( thank you !) we are totally independent and so hold no allegiance to any one or brand. So mention who you like. As to the slow inhjection theory, I'm not sure I'm convinced by that one. However I don't think it will do any harm, I'm just not sure it provides a benefit. I just count to ten and whip it out

Apr 8, 2013 Apollo 45 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! You seem a little unsure about your background level and I'd get that right first before you start to play with mealtime ratios as background needs to be set right first so you know that's not tainting your mealtime readings. Otherwise you could be correcting for your BI with QA. Although you are getting some highs in the morning it's important to remember that this can be caused by your body making a panicked reaction to a hypo and over compensating, I've found there are 3 ways to asses this. 1) set an alarm for the middle of the night and test yourself if the reading is low then your background is making you hypo in the night. 2) have a carb free meal. Have your breakfast, take on some carbs and the required QA Insulin, but for lunch have a dressing free leafy salad, if your say 6.5 at lunch and then hypo before dinner the only insulin in your system is your background and so it must be to high and you should immediately reduce it. If you get to dinner and your high (so long as you haven't had any carbs or sugars since your salad) then your background insulin is low and you should increase it but by no more than 2 units for the day (so 1 unit per injection as you have two background injections a day) and then monitor the situation for 4 days before making any other changes to either your background or QA inslins. If you change 2 things at once you don't know which is doing what. If your reading at dinner is +/- 2 of your lunch reading though then your background insulin is about right. One important thing to note with this is if you test at lunch and your high you can't take a QA correction, if it's very high then take the correction and do this test another day, if you take QA though then there are 2 insulins in your system and so if you hypo you can't say for sure if it was the background insulin or the QA that made you hypo. 3) This is the lazy man test (not something a doc/nurse is likely to suggest) and not only really any good if your high on your background dose. When you have your evening meal give yourself an extra 4CPs that you take no QA insulin for. When you take your pre-bed reading (atleast 3 hours after the QA from your evening meal so it's pretty much worn off) you should then be quite high. If when you wake up you have dropped more than 3 units then your background is likely high and you have been hypoing in your sleep.

Apr 8, 2013 Apollo 45 posts	Topic: General Discussion / BS Corrections Levels/Numbers The lowest level Blood Glucose (BG) level at which I'd give myself a correction is at 9 as 1insulin unit will typically bring me down 3 BG units. My general rule of thumb is 1 unit of QA insulin for every 3 BG units I am above a BG reading of 6, BUT never greater than a correction of 4 QA insulin units. However I wouldn't arbitrarily give a correction at 9 as what your planning to do while the insulin is working is an important factor. If I'm about to have my meal and then go to the park then the slight increase in physical activity will likely make the insulin work more efficiently and take care of the high for me. If I were about to jump on the motorbike or drive the car and was checking to make sure I was legal to do so then I wouldn't take a correction as unless it was very high as I don't want to risk a hypo while on the road, however when I finish my journey I may retest and take a correction then. If however I've tested because I'm about to have dinner and then sit on the sofa and watch a film I'd give the correction.

Apr 8, 2013 Apollo 45 posts	Topic: General Discussion / Injections When I was diagnosed I was told that once you finish administering your shot you should do a ten second count before slowly removing the needle. While I will sometimes do this, in practice I usually wait a little less time, especially when I've taken quite a large shot anyway and draw the needle out very quickly. However sometimes as I'm pulling it out I'll draw out about half way, pause for a second and then pull it out the rest of the way. Another thing I'll do which I've found from my DAFNE group is quite uncommon is I will take some time to actually give myself the shot. Hopefully naming brands isn't frowned upon here (if it is sorry, it's my first post) but I use a Novopen 3 for my QA insulin which if you're very gentle with you can click off 1/6th of a unit at a time although in practice 1/3rd of a unit is generally about as fine as you can get things. So when giving myself a shot I will start by trying to click off about 1/6th of a unit per second. After I've got past about 10 units I'll speed it up a little my thinking being that this will have primed the surrounding tissue making it more ready to accept the insulin. This is just the thinking of one man though however I don't often get lumps inspite of the fact that I put 75% of my shots into the belly and due to a limited level of body fat usually in quite tight grouping. As a result in total I can sometimes have the needle under the skin for 3 or 4 mins.

Apr 8, 2013 mum2westiesGill 502 posts	Topic: General Discussion / Injections When you're doing an injection how long or what number do you count up to to keep the needle under the skin for?

Apr 8, 2013 mum2westiesGill 502 posts	Topic: General Discussion / BS Corrections Levels/Numbers What BS level/number would you do a correction at ie 10, 12....?

Apr 8, 2013 Vickyp 137 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! 0.5 units per cp or per 10g so if cps was 2 you would take 1 unit of qa...essentially half the total number of cps and thats how much qa you take...to the nearest whole unit if you dont have half unit pen (or pump)

Apr 8, 2013 mum2westiesGill 502 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! Hi Vickyp, Thanks! So how many units for 0.5:1 ratio please?

Apr 8, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 10.9 - bedtime 7.7 - this morning - 19.20pm - tea & QA - 22.48pm - bedtime was done - supper was 2 treat size bscts - 2 cps