Recent Posts

Hi Mark,

Others have given you some really good comments / suggestions.

The reasons for high morning BG may be:

High BG at bedtime that's not been corrected

Late meal/CPs not sufficiently covered with QA

Bedtime dose of BI not high enough

Bedtime dose of BI 'running out' and not strong enough to counteract the Dawn Phenomenon

Contrary to previous beliefs / advice, research has now proved that it is highly UNLIKELY that a high morning BG is the result of sleeping through a hypo.

Levemir is one of the better insulins for controlling morning BG as it has a fairly 'flat' action and longer duration than isophane insulins, however most people find they need relatively high doses of it and it is best to take it as near to bedtime as possible (rather than at evening meal time).

So if your bedtime BG is in target (6.5-8.0mmol/l), a good 4-5hrs after any carbs or QA, if your bedtime Levemir dose is right your BG should remain stable overnight (with an expected natural dip around 3am which shouldn't drop below 4.5mmol/l).

Hope this helps.

Good luck,

Carolin

Jul 5, 2012

krf 10 posts

Many thanks for comments. I think I will stick with local as I am sick with generals! It has put my mind as rest a bit hearing others that have had it. As the saying goes it wil. Be. "better than a jab in the eye with a pokey stick"

Jul 5, 2012

HelenP 218 posts

Topic: General Discussion / Carpal Tunnel v's Neuropathy

OK the pain got to me and I had the surgery on Tuesday. I had a BG of 10 when the surgery was about to start and I was happy that it would not go lower but anaesthetist was wary and insisted on a 4% glucose drip! When conscious ...you guessed it BG of 14.2!

Will I have the other hand done? Don't know ask me in a week or so. Helen

Jul 4, 2012

DianeW 115 posts

Hi Phil

Well it may well be but they never gave ME that option!!!! Grrrr.

So, krf, if you are really scared about it I would definitely ask.

Jul 4, 2012

Phil Maskell 194 posts

John,

Just me two pence.

If food and exercise hasn't altered and control is good (bad control = Atkins diet) and you're still loosing weight I would go to the doctors, might be nothing to do with diabetes?

Phil

Jul 4, 2012

Phil Maskell 194 posts

Hi,

I had an injection in my eye about 5 years ago for retinopathy, being a wimp I opted to be knocked out completely, is this an option?

Phil

Jul 4, 2012

Chard 2 posts

Topic: Questions for HCPs / Sugar Extract from the Liver?

I try to do a bit of exercise here and there but work stops this from happening now and again. Recently i went to a fitness class and was beasted for an hour doing sqauts, lunges and other things which i enjoyed but then the days after were very painful. My legs don't normall use those muscles. 2 days on from the exercise my legs were in pain just walking and going up and down stairs was difficult to say the least. I awoke that morning with a high BG and corrected for it. Retested at 09:43 and BG was the same 13.3 Corrected for it again and it went down but then up again to 10.3. The whole day was quite confusing.

Now it could be that i 'forgot' to take my Background insulin (Lantus) although I'm 99% sure i did so the question i have is:
If your muscles have been damaged and are reparing the fibres, does the body extract glucose from the liver to do this?

Thanks

Chard

Jul 4, 2012

Pepsi 8 posts

Are you going low in the night without knowing?

Jul 4, 2012

thebatoutofhull 60 posts

Hi, always had the same problem but reajusted the time I took my lantus. I'm just about to start on levemir. I'll let you know how it works out.

Jul 3, 2012

DianeW 115 posts

Sorry for the misunderstanding

Jul 3, 2012

John H 20 posts

I think the main thread has been misunderstood here in a big way. If we assume DAFNE stands for dose adjustment for normal eating, we use the guidelines as provided within the handbook and practices learned on the course, can we assume that the routine is followed reasonably well because I made no reference to excessive eating prior to dafne, or any insulin doses before or since.
My question is one of enquiry as to weather anybody else has noticed considerable loss of weight since doing dafne.

Jul 3, 2012

chrisinbrum 41 posts

I only find my bedtime levemir is predicable if i have absolutely no humalog or food (evening snack!) in my system. If either of those are in my system it doesn't matter how predictable the levemir is because my morning BG will often show no relationship to the bedtime level!

If I have to correct at bedtime that obviously doesn't help because of what I've said above - and over the last couple of weeks I think I've worked out that any bedtime correction needs to be a different ratio to the rest of the day. So at bed 1 unit brings my BG down by 2, during the day it's 3.

Well that worked last night anyway...

Jul 3, 2012

DianeW 115 posts

what are your readings before bed? If the long acting is working right then your reading won't really change in the morning. If you are correcting with Novorapid before bed and you are still high in the morning, that suggests your long acting is not enough. LIkewise if it is low in the morning your long acting is too much.

Jul 3, 2012

DianeW 115 posts

Hmmm I am not sure but if you're not eating any less and not exercising more.... are you taking less insulin? If you were taking more before DAFNE whih wasn't needed, it would make you put on weight, so if you are taking less, then you will lose weight?

Jul 3, 2012

DianeW 115 posts

Hi, yes I've had an injection in the eye a few years ago and believe me, the thought of it is far worse than the actual injection. I was terrified but I honestly didn't feel a thing and I don't think I really suffered much pain etc afterwards. In my case they anaesthetise the eye with drops, put something on the eye to hold it open, I was sat in a normal chair, head back and it was done. The worst bit as I said is thinking about it, all I could do was imagine the needle coming for me but it's so quick and you just have to think about something else! But as I said honestly it was painless. Good luck!

Jul 2, 2012

John H 20 posts

Hello to you all, just a question to tap in to your knowledge and experience since doing DAFNE.
Has anybody suffered from mass weight loss? My wife states that I look like a toast rack. Although I continue to eat fairly well, and use the DAFNE routine, my physical frame seems to be fading fast!
Any ideas?

Jul 2, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Motion Sickness: Hypo cause or just symptom?

I personally don't get motion sickness, at least on land anyway, so I don't really know what to think......

I suppose i would also go with it being a symptom as you can sometimes feel sick when hypo, which could contribute....

I take it you feel OK if your behind the wheel? My wife is like that, its annoying...... Wink

Jul 1, 2012

JayBee 587 posts

Topic: General Discussion / Motion Sickness: Hypo cause or just symptom?

I haven't had a repeat today of a late lunch hypo. How strange. Maybe it was a hypo caused by motion sickness? Sad

Jul 1, 2012

krf 10 posts