Recent Posts - DAFNE Online

Mar 22, 2013

JayBee 587 posts

Topic: General Discussion / Dog trained to detect change in blood sugar

Says a lot about the parents if they need a dog to tell when their kid is hypo rather than just looking for signals and doing blood test to remove doubt.

Mar 22, 2013

DianeW 115 posts

Topic: General Discussion / Dog trained to detect change in blood sugar

Did anyone see this on BBC breakfast this morning? The dog is a family pet trained to detect signs in a young girl who looked about 6 or 7. No doubt a great development and help. Could you get over reliant on the dog though and conversely as a parent would you feel totally happy ? i think as long as the child is properly taught itself what it all means.

Mar 22, 2013

JayBee 587 posts

Topic: General Discussion / Dawn Phenomenon

The overnight patterns alone do suggest that I do get a peak depending on when I took it. I'm still a 5'5" 10 st person with enough insulin sensitivity that 1QA drops me by 6BG so I'd imagine being effected by the peaks quite a bit.

Or in other words, it is all still bloody hard to work out. Razz

Made some great progress recently with counting bit differently after reading that book we're talking about more recently on my thread. So much still to learn on top of DAFNE...

I'm glad you don't suffer the peaks btw. That must be helpful.

Mar 22, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Dawn Phenomenon

I have seen this graph on the diabetes support forum, however it overwhelmed me and I never really took it in.........

Would the jist of it be that the more units you take the more sever the spike and the longer it will last?

If it is I would agree there will be spikes, but even when I was on MDI and 70 units of Levemir and being 18stone I didn't observe any spikes from the BG results and the graph would have me on the 1.5units/kg.....

So you, if I remember would be right at the front......

P.S. Love the drawing.......
Have your BG results shown similar BI behavior to that of the graph.....?

Mar 22, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

7.9 - bedtime
7.3 - this morning

- 19.02pm - tea & QA - beforte tea @18.44pm was hypo 3.6 treated with jelly babies 4, didn't feel hypo
- 22.44pm - bedtime test was done
- supper was butter puffs 3 with cheese

Mar 22, 2013

JayBee 587 posts

Topic: General Discussion / Dawn Phenomenon

http://dafneonline.co.uk/forums/4/topics/2026?page=4

Remembered wrong... It was page 4. XD What cha think?

Edit: quote! (Won't cut it down because phone gets confused when I ask it to delete text)

JWo said:
Yes, it would be nice but it wouldn't surprise me if they're either covering their backs or it doesn't matter that much where it is injected.

The fact they say about "it will vary according to dose, blood flow, temp and level of physical activity" suggests to me that where I inject it does not matter exactly but it is wise to keep those factors in mind. They also have a disclaimer on the same page which in turn makes me skeptical of what they say.

The fact that on the Levemir information site http://www.levemir.com/levemir/usinglevemir.aspx states "LevemirÂ® insulin therapy can be injected in the thigh, abdomen, or upper arm." -- use of CAN instead of SHOULD -- encourages the idea that they are additional options to the common idea of using the thighs/buttocks for slow steady release.

I dedicate the use of my buttocks for my BI. I try to swap butt cheek for each injection as well as vary the exact site on the buttock. I know I put "other" for my morning dose, but that's because I usually inject my QA in my leg as well as injecting my BI into my buttocks.

I am not willing to start injecting my stomach or upper arm with my BI. This is mainly because:

For my stomach, I have at least first signs of the common problem, lipohypertrophy. I have had this checked and confirmed, though that several years ago. The lumps - though barely noticeable in appearance and feel - are in the middle area of the area starting from the sides of my belly button to my sides. Since being told this, I have been trying to avoid using that area too much and being even more select about where I inject in my stomach. If I am at work, I tend to inject in my stomach while I'm at the table/desk to save myself time at a limited lunch break but any other time, I try to do my thigh(s) instead.

For my upper arms, I was advised on the DAFNE course, and possibly before that, that it was not a good idea to inject in your upper arms. I do tend to find that when I inject a dose larger than say, 3 units, then I get a nice lump on my arm. I am usually very fussy about my arms because of this, and if it is true that it can cause a peak insulin reaction, I tend to try and only use my arms for corrections, if I use those sites at all.

I currently mainly use my thighs for meals or if I'm not happy to use the other sites - so if I was to change my BI site, it would be my thighs. They are problem free from what I can tell but in the past I did use to inject on top of the thigh pre-DAFNE, rather than the side like I do now so this may be the reason why.

Since we're posting links to things, Ruuk (my partner username on here) came across this Levemir information, sent it to me by email and this was his thoughts on it applicable to me - it may be of interest to you too:

Ruuk said:
http://www.diabetesdaily.com/wiki/Levemir_Speed_Versus_Dose

I think your morning is about 0.15 un/kg and your evening 0.26 un/kg.

Diabetes Daily: Levemir Speed Versus Dose Article said:
Levemir Speed Versus Dose

Levimir had a speed of action that depends on dose size much more so than older insulin varieties. Novo Nordisk technical papers were used to extract data points and then a 3d curve fitting program was used to generate the surface graph. You can use this information to decide if Levimir is suited to a purpose and to see how to optimize dose timing for that purpose.

Depending on dose size and BG behavior patterns of the person, it can be a basal control and it can be a dawn effect control.

Sod's law, I do not have the diary entries from the date this was emailed to me (25/11/2011) on here. *goes looking for paper diary* I have found it... I will attach this day's entries to this post. I did two carb free meals!

I am not sure if his opinion will be different based on the dose differences.

Edit: For a laugh at my crude drawing - this is also how I used to see my Levemir working times sometime after seeing that Levemir chart - dated 22/01/2012 - haha (BI inject times are 7am/7pm) - I forget what the blue notes to the side are:

Mar 22, 2013

JayBee 587 posts

Topic: General Discussion / Dawn Phenomenon

Levemir for BI, yup. Currently 16 morning, 11 evening. 7am then 8pm.

Shall I post some diary entries too?

Edit: On my personal help thread I reference a Levemir peak working times graph. Thread is "Need help please", should be somewhere between page 8 and page 11 if I remember right (will look now to confirm).

Mar 22, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Dawn Phenomenon

So does your BI dose not hold you steady then?

My understanding is that it should hold you steady....[between 1-2mmol/l], playing about with the timing just changes the duration of the dose.

Your are on an analogue BI aren't you?

Mar 22, 2013

JayBee 587 posts

Topic: General Discussion / Dawn Phenomenon

11BI for my evening dose stops 3am hypos.

If I took my evening BI at 10pm, I would be high before bed (11-12BG) but great in the morning.

If I took my evening BI at 8pm, I would go to bed on a good level but wake up high (11-13BG).

Saying all that, since my period started calming down with the hormones, my levels went all green so I'm not planning to test this split idea yet, however I'm now wondering if I get DP on a temporary basics while my hormones are wacky at period time. Will see how it goes next period.

Edit - stupid phone won't let me edit the word "basics" to basis. T_T

Mar 22, 2013

Aphriel 3 posts

Topic: Questions for HCPs / Help! Pregnant and type one

Thank you all so much for your replies. It has all come as a bit of a shock so hearing from other diabetics is really reassuring.

Thanks JWo for reminding me about the DAFNE book. I will have to dig it out from storage and have a look to see what it says about pregnancy. I know on the course we didn't cover pregnancy at all because most of the people attending were men and the rest of us didn't think it was applicable....

Novorapidboi26 - unfortunately I haven't got a consultant led diabetic team despite doing the course. I just fell back under the control of the local GP surgery who, although very good, just don't seem to have the expertise I need at this time! I am hoping a referral will come through quickly and I can get into the system as soon as possible. For once in my life I actually want to be seen by every diabetic specialist I can Smile

RachelM1 - it's so interesting to hear of your experience especially with the insulin pump. I am presuming you can only go on that before you get pregnant and not after the event? It seems that my insulin requirements are going up through the roof which is why I think I will have to revisit my ratios, especially my morning one, and also my backgound nighttime injection. It is making me slightly stressed that I don't have tighter blood sugar control at this crucial stage! I have read all of the horror stories about diabetics with bad blood sugar control Sad

They don't paint a nice picture!

Thanks again all Smile

I really appreciate it.

Mar 22, 2013

RachelM1 1 post

Topic: Questions for HCPs / Help! Pregnant and type one

Congratulations on your pregnancy. I am type 1 and my little boy is now 2 years old. I am on an insulin pump which I went onto before I was pregnant. My control pre pregnancy wasn't brilliant but I had worked on bringing my HBA1C down to an acceptable range. I found early on in my pregnancy my insulin requirements went up but towards the end and afterwards it went down to being 0.5 per 1CP. All I can say is that you need to monitor it very closely & do lots of checking of your background insulin and CP:QA ratio. Have you contacted your diabetic team and advised them that you are pregnant? I was seen in the antenatal clinic about every 4-6 weeks, and had my hba1c checked before each visit.

My little boy was born 8 weeks premature (nothing to do with my diabetes) but because my control wasn't as good as it should have been, he weighed 6lb13oz at 8 weeks early, so being in control of your sugars is very important.

Hope that helps and good luck with your pregnancy Smile

Mar 21, 2013

Alan 49 284 posts

Topic: General Discussion / New Blood Test Device

You might need a letter from your doctor for the airport security checks!

Mar 21, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Help! Pregnant and type one

Have you not got a consultant led diabetic team, seeing as you have attended a DAFNE course......?

Hopefully when you get in contact with the proper clinic you can be referred to a specialized pregnancy/diabetic team......

Control needs to be much tighter when pregnant unfortunately..... Crying or Very sad

Mar 21, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Pump Accessories Questionaire

1. Do you use any pump accessories to wear your pump?

Yes

2. If yes, which accessories do you use?

Belt Clip

3. Where did you buy the accessory from?

Came with the pump

4. Would you use a phone sock to cover your pump?

If it was at risk of getting damaged from the surrounding, yes

5. Do you think there is a good range of accessories to choose from?

Yes

6. Are the accessories easily sourced/found?

Yes

7. What type of patterns would appeal to you? Plain/Stand out?

Both plain and stand out, moods can change throughout life

8. Any recommendations on what you find comfortable to wear?

Belt clip has been my only accessory so far and it suits me fine

Mar 21, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Dawn Phenomenon

I havent tried it personally, I only experimented with the timing of the dose, so basically taking the PM dose as late as possible........obviously compensating for extinguishing AM BI after dinner.....

Its definitely worth a go............

I wouldn't of expected a double peak though......

What kind of peaks do you experience on your BI?

Mar 21, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / New Blood Test Device

The thing I seen recently, sorry no links, was the non invasive blood testing....

It fires light through your finger and measures the blood sugar that way.....I believe that it is this technology that the meters use anyway its just that getting it to penetrate your finger and read the sugar only in the blood takes a little more [a lot more.... Very Happy

] refinement.....

Mar 21, 2013

Garry 328 posts

Topic: General Discussion / New Blood Test Device

Sounds brilliant. Let's hope it doesn't take years to come to the market.
Would be of particular help for people lacking hypo awareness/symptoms and as JWo said will quickly be adapted by pump manufacturers as the means to close the control loop for pump use.
Regards Garry

Mar 21, 2013

JayBee 587 posts

Topic: Questions for HCPs / Help! Pregnant and type one

First question is do you still have your DAFNE guidebook.

If not, use the link at the bottom of the page here to contact this site to try and get access to the online guidebook or if you can still contact your course's centre, ask them for their code and input it through the user section here. There is a section on Pregnancy.

Can't help much more beyond that. I've never been pregnant before. Sorry.
Best wishes!

Mar 21, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

9.1 - bedtime
6.8 - this morning

- 19.40pm - tea & QA - beforte tea @19.19pm was hypo 2.9 treated with jelly babies 5
- 22.47pm - bedtime test was done
- supper was sandwich 2 slices

Mar 21, 2013

Aphriel 3 posts

Topic: Questions for HCPs / Help! Pregnant and type one

Hi All.
I am a type one diabetic on Humalog and Levemir (7 units in the morning and 12 units before bed). I have recently found out that I am pregnant (about 7 weeks) and this is my first child. Up until now I have had my highs and lows but I have generally been quite well controlled following my attendance at a Dafne course about 3 years ago (hbA1c around 7.4%).

Since being pregnant my blood sugars have gone haywire especially during the night and in the morning. For example, last night I woke to test at 4am and was 11.2 so had 2.5 units to correct. I woke at 8am and was 14.1!!! Normally 1 unit would bring me down 3 units during the night.

Does anyone have any experience or advice of:
- ratio changes for meals and corrections during pregnancy?
- having to massively increase background or splitting the background into one dose before bed and one during the night?

I have been to see my GP and asked to be referred to the diabetic team at my local hospital but really need some advice as quick as possible.

Help Smile

Mar 22, 2013 JayBee 587 posts	Topic: General Discussion / Dog trained to detect change in blood sugar Says a lot about the parents if they need a dog to tell when their kid is hypo rather than just looking for signals and doing blood test to remove doubt.

Mar 22, 2013 DianeW 115 posts	Topic: General Discussion / Dog trained to detect change in blood sugar Did anyone see this on BBC breakfast this morning? The dog is a family pet trained to detect signs in a young girl who looked about 6 or 7. No doubt a great development and help. Could you get over reliant on the dog though and conversely as a parent would you feel totally happy ? i think as long as the child is properly taught itself what it all means.

Mar 22, 2013 JayBee 587 posts	Topic: General Discussion / Dawn Phenomenon The overnight patterns alone do suggest that I do get a peak depending on when I took it. I'm still a 5'5" 10 st person with enough insulin sensitivity that 1QA drops me by 6BG so I'd imagine being effected by the peaks quite a bit. Or in other words, it is all still bloody hard to work out. Made some great progress recently with counting bit differently after reading that book we're talking about more recently on my thread. So much still to learn on top of DAFNE... I'm glad you don't suffer the peaks btw. That must be helpful.

Mar 22, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Dawn Phenomenon I have seen this graph on the diabetes support forum, however it overwhelmed me and I never really took it in......... Would the jist of it be that the more units you take the more sever the spike and the longer it will last? If it is I would agree there will be spikes, but even when I was on MDI and 70 units of Levemir and being 18stone I didn't observe any spikes from the BG results and the graph would have me on the 1.5units/kg..... So you, if I remember would be right at the front...... P.S. Love the drawing....... Have your BG results shown similar BI behavior to that of the graph.....?

Mar 22, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 7.9 - bedtime 7.3 - this morning - 19.02pm - tea & QA - beforte tea @18.44pm was hypo 3.6 treated with jelly babies 4, didn't feel hypo - 22.44pm - bedtime test was done - supper was butter puffs 3 with cheese

Mar 22, 2013 JayBee 587 posts	Topic: General Discussion / Dawn Phenomenon http://dafneonline.co.uk/forums/4/topics/2026?page=4 Remembered wrong... It was page 4. XD What cha think? Edit: quote! (Won't cut it down because phone gets confused when I ask it to delete text) JWo said: Yes, it would be nice but it wouldn't surprise me if they're either covering their backs or it doesn't matter that much where it is injected. The fact they say about "it will vary according to dose, blood flow, temp and level of physical activity" suggests to me that where I inject it does not matter exactly but it is wise to keep those factors in mind. They also have a disclaimer on the same page which in turn makes me skeptical of what they say. The fact that on the Levemir information site http://www.levemir.com/levemir/usinglevemir.aspx states "LevemirÂ® insulin therapy can be injected in the thigh, abdomen, or upper arm." -- use of CAN instead of SHOULD -- encourages the idea that they are additional options to the common idea of using the thighs/buttocks for slow steady release. I dedicate the use of my buttocks for my BI. I try to swap butt cheek for each injection as well as vary the exact site on the buttock. I know I put "other" for my morning dose, but that's because I usually inject my QA in my leg as well as injecting my BI into my buttocks. I am not willing to start injecting my stomach or upper arm with my BI. This is mainly because: For my stomach, I have at least first signs of the common problem, lipohypertrophy. I have had this checked and confirmed, though that several years ago. The lumps - though barely noticeable in appearance and feel - are in the middle area of the area starting from the sides of my belly button to my sides. Since being told this, I have been trying to avoid using that area too much and being even more select about where I inject in my stomach. If I am at work, I tend to inject in my stomach while I'm at the table/desk to save myself time at a limited lunch break but any other time, I try to do my thigh(s) instead. For my upper arms, I was advised on the DAFNE course, and possibly before that, that it was not a good idea to inject in your upper arms. I do tend to find that when I inject a dose larger than say, 3 units, then I get a nice lump on my arm. I am usually very fussy about my arms because of this, and if it is true that it can cause a peak insulin reaction, I tend to try and only use my arms for corrections, if I use those sites at all. I currently mainly use my thighs for meals or if I'm not happy to use the other sites - so if I was to change my BI site, it would be my thighs. They are problem free from what I can tell but in the past I did use to inject on top of the thigh pre-DAFNE, rather than the side like I do now so this may be the reason why. Since we're posting links to things, Ruuk (my partner username on here) came across this Levemir information, sent it to me by email and this was his thoughts on it applicable to me - it may be of interest to you too: Ruuk said: http://www.diabetesdaily.com/wiki/Levemir_Speed_Versus_Dose I think your morning is about 0.15 un/kg and your evening 0.26 un/kg. Diabetes Daily: Levemir Speed Versus Dose Article said: Levemir Speed Versus Dose Levimir had a speed of action that depends on dose size much more so than older insulin varieties. Novo Nordisk technical papers were used to extract data points and then a 3d curve fitting program was used to generate the surface graph. You can use this information to decide if Levimir is suited to a purpose and to see how to optimize dose timing for that purpose. Depending on dose size and BG behavior patterns of the person, it can be a basal control and it can be a dawn effect control. Sod's law, I do not have the diary entries from the date this was emailed to me (25/11/2011) on here. goes looking for paper diary I have found it... I will attach this day's entries to this post. I did two carb free meals! I am not sure if his opinion will be different based on the dose differences. Edit: For a laugh at my crude drawing - this is also how I used to see my Levemir working times sometime after seeing that Levemir chart - dated 22/01/2012 - haha (BI inject times are 7am/7pm) - I forget what the blue notes to the side are:

Mar 22, 2013 JayBee 587 posts	Topic: General Discussion / Dawn Phenomenon Levemir for BI, yup. Currently 16 morning, 11 evening. 7am then 8pm. Shall I post some diary entries too? Edit: On my personal help thread I reference a Levemir peak working times graph. Thread is "Need help please", should be somewhere between page 8 and page 11 if I remember right (will look now to confirm).

Mar 22, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Dawn Phenomenon So does your BI dose not hold you steady then? My understanding is that it should hold you steady....[between 1-2mmol/l], playing about with the timing just changes the duration of the dose. Your are on an analogue BI aren't you?

Mar 22, 2013 JayBee 587 posts	Topic: General Discussion / Dawn Phenomenon 11BI for my evening dose stops 3am hypos. If I took my evening BI at 10pm, I would be high before bed (11-12BG) but great in the morning. If I took my evening BI at 8pm, I would go to bed on a good level but wake up high (11-13BG). Saying all that, since my period started calming down with the hormones, my levels went all green so I'm not planning to test this split idea yet, however I'm now wondering if I get DP on a temporary basics while my hormones are wacky at period time. Will see how it goes next period. Edit - stupid phone won't let me edit the word "basics" to basis. T_T

Mar 22, 2013 Aphriel 3 posts	Topic: Questions for HCPs / Help! Pregnant and type one Thank you all so much for your replies. It has all come as a bit of a shock so hearing from other diabetics is really reassuring. Thanks JWo for reminding me about the DAFNE book. I will have to dig it out from storage and have a look to see what it says about pregnancy. I know on the course we didn't cover pregnancy at all because most of the people attending were men and the rest of us didn't think it was applicable.... Novorapidboi26 - unfortunately I haven't got a consultant led diabetic team despite doing the course. I just fell back under the control of the local GP surgery who, although very good, just don't seem to have the expertise I need at this time! I am hoping a referral will come through quickly and I can get into the system as soon as possible. For once in my life I actually want to be seen by every diabetic specialist I can RachelM1 - it's so interesting to hear of your experience especially with the insulin pump. I am presuming you can only go on that before you get pregnant and not after the event? It seems that my insulin requirements are going up through the roof which is why I think I will have to revisit my ratios, especially my morning one, and also my backgound nighttime injection. It is making me slightly stressed that I don't have tighter blood sugar control at this crucial stage! I have read all of the horror stories about diabetics with bad blood sugar control They don't paint a nice picture! Thanks again all I really appreciate it.

Mar 22, 2013 RachelM1 1 post	Topic: Questions for HCPs / Help! Pregnant and type one Congratulations on your pregnancy. I am type 1 and my little boy is now 2 years old. I am on an insulin pump which I went onto before I was pregnant. My control pre pregnancy wasn't brilliant but I had worked on bringing my HBA1C down to an acceptable range. I found early on in my pregnancy my insulin requirements went up but towards the end and afterwards it went down to being 0.5 per 1CP. All I can say is that you need to monitor it very closely & do lots of checking of your background insulin and CP:QA ratio. Have you contacted your diabetic team and advised them that you are pregnant? I was seen in the antenatal clinic about every 4-6 weeks, and had my hba1c checked before each visit. My little boy was born 8 weeks premature (nothing to do with my diabetes) but because my control wasn't as good as it should have been, he weighed 6lb13oz at 8 weeks early, so being in control of your sugars is very important. Hope that helps and good luck with your pregnancy

Mar 21, 2013 Alan 49 284 posts	Topic: General Discussion / New Blood Test Device You might need a letter from your doctor for the airport security checks!

Mar 21, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Help! Pregnant and type one Have you not got a consultant led diabetic team, seeing as you have attended a DAFNE course......? Hopefully when you get in contact with the proper clinic you can be referred to a specialized pregnancy/diabetic team...... Control needs to be much tighter when pregnant unfortunately.....

Mar 21, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Pump Accessories Questionaire 1. Do you use any pump accessories to wear your pump? Yes 2. If yes, which accessories do you use? Belt Clip 3. Where did you buy the accessory from? Came with the pump 4. Would you use a phone sock to cover your pump? If it was at risk of getting damaged from the surrounding, yes 5. Do you think there is a good range of accessories to choose from? Yes 6. Are the accessories easily sourced/found? Yes 7. What type of patterns would appeal to you? Plain/Stand out? Both plain and stand out, moods can change throughout life 8. Any recommendations on what you find comfortable to wear? Belt clip has been my only accessory so far and it suits me fine

Mar 21, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Dawn Phenomenon I havent tried it personally, I only experimented with the timing of the dose, so basically taking the PM dose as late as possible........obviously compensating for extinguishing AM BI after dinner..... Its definitely worth a go............ I wouldn't of expected a double peak though...... What kind of peaks do you experience on your BI?

Mar 21, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / New Blood Test Device The thing I seen recently, sorry no links, was the non invasive blood testing.... It fires light through your finger and measures the blood sugar that way.....I believe that it is this technology that the meters use anyway its just that getting it to penetrate your finger and read the sugar only in the blood takes a little more [a lot more.... ] refinement.....

Mar 21, 2013 Garry 328 posts	Topic: General Discussion / New Blood Test Device Sounds brilliant. Let's hope it doesn't take years to come to the market. Would be of particular help for people lacking hypo awareness/symptoms and as JWo said will quickly be adapted by pump manufacturers as the means to close the control loop for pump use. Regards Garry

Mar 21, 2013 JayBee 587 posts	Topic: Questions for HCPs / Help! Pregnant and type one First question is do you still have your DAFNE guidebook. If not, use the link at the bottom of the page here to contact this site to try and get access to the online guidebook or if you can still contact your course's centre, ask them for their code and input it through the user section here. There is a section on Pregnancy. Can't help much more beyond that. I've never been pregnant before. Sorry. Best wishes!

Mar 21, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 9.1 - bedtime 6.8 - this morning - 19.40pm - tea & QA - beforte tea @19.19pm was hypo 2.9 treated with jelly babies 5 - 22.47pm - bedtime test was done - supper was sandwich 2 slices

Mar 21, 2013 Aphriel 3 posts	Topic: Questions for HCPs / Help! Pregnant and type one Hi All. I am a type one diabetic on Humalog and Levemir (7 units in the morning and 12 units before bed). I have recently found out that I am pregnant (about 7 weeks) and this is my first child. Up until now I have had my highs and lows but I have generally been quite well controlled following my attendance at a Dafne course about 3 years ago (hbA1c around 7.4%). Since being pregnant my blood sugars have gone haywire especially during the night and in the morning. For example, last night I woke to test at 4am and was 11.2 so had 2.5 units to correct. I woke at 8am and was 14.1!!! Normally 1 unit would bring me down 3 units during the night. Does anyone have any experience or advice of: - ratio changes for meals and corrections during pregnancy? - having to massively increase background or splitting the background into one dose before bed and one during the night? I have been to see my GP and asked to be referred to the diabetic team at my local hospital but really need some advice as quick as possible. Help