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Nov 28, 2011
novorapidboi26 1,816 posts

Topic: Questions for HCPs / High blood readings

pancreotectomy said:
having similar problems but on Levemir not Lantus. I find my morning readings are high but normalise throughout the day even going hypo at teatime. I am on a lot smaller dosage to you & take my levemir twice a day at 8am & 8pm taking only 3 units at 8am & 4 at 8pm. My diabetes changes because my dosages were the other way round when I finished the course & my lunchtime readings were always high but normalising by teatime, now as I say my breakfast readings are high lunchtime normal & teatime somtimes hypo. I have added problem of having lost hypo awareness at present & am trying to get it back by trying to run my bg a bit higher than normal. My consultant says not to worry about things changing but to work with things day to day. This morning my reading was 11.5 had breakfast & included an adjustment dose of nova rapid of 1.5units & 12 units for food eaten (using ratio of 1.5units of insulin to 1 cp) lunchtime bg was 5.5 so need to watch this afternoon but only use ratio of 1:1 at lunch. Maybe worth mentioning this to your diabetic nurse & see if she can advise you. Confused javascript:emoticon('Confused')



Being high in the morning and then going low in the afternoon may suggest you need more BI overnight, and less BI during the day..............

one thing at a time though............ Wink
 
Nov 28, 2011
pancreotectomy 3 posts

Topic: Questions for HCPs / High blood readings

having similar problems but on Levemir not Lantus. I find my morning readings are high but normalise throughout the day even going hypo at teatime. I am on a lot smaller dosage to you & take my levemir twice a day at 8am & 8pm taking only 3 units at 8am & 4 at 8pm. My diabetes changes because my dosages were the other way round when I finished the course & my lunchtime readings were always high but normalising by teatime, now as I say my breakfast readings are high lunchtime normal & teatime somtimes hypo. I have added problem of having lost hypo awareness at present & am trying to get it back by trying to run my bg a bit higher than normal. My consultant says not to worry about things changing but to work with things day to day. This morning my reading was 11.5 had breakfast & included an adjustment dose of nova rapid of 1.5units & 12 units for food eaten (using ratio of 1.5units of insulin to 1 cp) lunchtime bg was 5.5 so need to watch this afternoon but only use ratio of 1:1 at lunch. Maybe worth mentioning this to your diabetic nurse & see if she can advise you. Confused javascript:emoticon('Confused')
 
Nov 27, 2011
Aarti 4 posts

Topic: Questions for HCPs / High blood readings

That was meant to read lantus not labrusca ... Silly iPhone Embarassed
 
Nov 27, 2011
Aarti 4 posts

Topic: Questions for HCPs / High blood readings

I was having a similar problem and ended up having very high ketones as a result, only to find out the cause was a cracked labrusca cartridge! As a precautionary I would change the cartridge if that's what you use!
 
Nov 27, 2011
ruthhutchinson 39 posts

Topic: Carbohydrate Counting / Iced coconut fingers

Mine weighed in at 76g so need to double the CPs to 4.
 
Nov 27, 2011
mum2westiesGill 502 posts

Topic: Carbohydrate Counting / Iced coconut fingers

Bakerboy said:
Hi ruth looking at my carbs and cal book it states 1 iced bun which looks like a finger is 20g carbs for 37 g weight which would be 2 units of insulin Hope this helps you Laughing



It's on page 69, bottom right hand picture Smile
 
Nov 27, 2011
novorapidboi26 1,816 posts

Topic: Carbohydrate Counting / Iced coconut fingers

I would of guessed 20g too, roughly the same as a slice of bread but not as much as a roll, and the icing probably wouldn't amount to more than the bread...........

hope you enjoyed them............
 
Nov 27, 2011
novorapidboi26 1,816 posts

Topic: General Discussion / feeling unnormal

Sounds it, you must of been in the high 30s or there abouts...........
 
Nov 27, 2011
ruthhutchinson 39 posts

Topic: Carbohydrate Counting / Iced coconut fingers

Bakerboy said:
Hi ruth looking at my carbs and cal book it states 1 iced bun which looks like a finger is 20g carbs for 37 g weight which would be 2 units of insulin Hope this helps you Laughing

Thanks.
 
Nov 27, 2011
Bakerboy 9 posts

Topic: Carbohydrate Counting / Iced coconut fingers

Hi ruth looking at my carbs and cal book it states 1 iced bun which looks like a finger is 20g carbs for 37 g weight which would be 2 units of insulin Hope this helps you Laughing
 
Nov 27, 2011
Merle 1 post

Topic: Questions for HCPs / Fitting when hypo

I have had Type 1 for 35 years. About 15 years ago I had bitten the inside of my mouth during sleep. When telling both my G.P and Diabetic Consultant this, they said it happened during a night-time hypo.
My husband insisted it was completely different symptoms I was having. On this information they eventually did a MRI scan on my brain. The result was night time epilepsy, which has bneen completely ( so far ) controlled by a daily tablet.
It has not affected driving as it is diagnosed as " night time epilepsy " Interesting, as I had not previously heard of peaople having fits when hypo.
 
Nov 26, 2011
ruthhutchinson 39 posts

Topic: Carbohydrate Counting / Iced coconut fingers

Would anyone like to hazard an educated guess at the number of CPs in one of those bread fingers with the icing and coconut on them? I've just eaten 2 and I think I might have miscalculated.
 
Nov 26, 2011
ruthhutchinson 39 posts

Topic: Questions for HCPs / High blood readings

marke said:
I would definately talk to your diabetes team before considering splitting a lantus dose. The opinion at the DAFNE Collaborative was that Lantus really was a 24 hour insulin that could not be split into 2 doses where as Levemir was not a 24 hour and could be split. This of course may not be the opinion of your specialists, like anything else it is not clear cut. But its always worth checking something like this before you do it in case there is a problem and you need support.


I was told exactly the same thing by my Nurse specialist. And after a bit of fiddling with my Lantus doses I seem to have cracked it.....for now!
 
Nov 25, 2011
marke 643 posts

Topic: Questions for HCPs / High blood readings

I would definately talk to your diabetes team before considering splitting a lantus dose. The opinion at the DAFNE Collaborative was that Lantus really was a 24 hour insulin that could not be split into 2 doses where as Levemir was not a 24 hour and could be split. This of course may not be the opinion of your specialists, like anything else it is not clear cut. But its always worth checking something like this before you do it in case there is a problem and you need support.
 
Nov 25, 2011
hollylouise 7 posts

Topic: General Discussion / feeling unnormal

yeah i did take isluin but once you have ketons in your blood and get them symptons you should get your self to hospital because as you probly know that high blood sugars like that can end up in coma or worse death i had really high ketons in my blood i was instanly put on a isulin pump and on drips i felt my self going in and out of deap sleep it was scary
 
Nov 25, 2011
mum2westiesGill 502 posts

Topic: General Discussion / Funniest/strangest/worst hypo moment....

ruthhutchinson said:
My mum was a quiet mild mannered lady but once during a bad hypo when we had to call for the GP she told him to F*** off. There was a deathly silence and then we all fell about laughing including my mum. Till the day she died she denied that it had ever happened. Go Mum Go!!!



That's good, lol Laughing
 
Nov 25, 2011
ruthhutchinson 39 posts

Topic: General Discussion / Funniest/strangest/worst hypo moment....

My mum was a quiet mild mannered lady but once during a bad hypo when we had to call for the GP she told him to F*** off. There was a deathly silence and then we all fell about laughing including my mum. Till the day she died she denied that it had ever happened. Go Mum Go!!!
 
Nov 25, 2011
novorapidboi26 1,816 posts

Topic: Questions for HCPs / High blood readings

I am no professional but will give my thoughts if you dont mind...............

As Lantus is normally only given once a day, you are restricted to one dose which may not be sufficient during some hours of the day, whilst being too much for you at other hours of the day.........

You could try and investigate the exact problem areas on your current dose by having carb free meals or even missing one if you can.........

Another option, which I would ask you speak to the team about, is to split your Lantus dose, one morning, one night..........this will give you much more flexibility with doses during the day and in the evening, REMEMBER that the effect of a change to your Lantus dose takes a few days to settle in...

The next step after that would be Levemir, a much more flexible insulin, but not everyone likes it.................

Whilst you test your background requirements you will just need to compensate with extra QA.............

Have you had any experience with Levemir or discussed splitting your BI dose?
 
Nov 25, 2011
GordonSpeirs 1 post

Topic: Questions for HCPs / High blood readings

After a spell where I increased my Lantus from 24 units (evening only) to 26 then 28 I had very irregular readings - highs and lows throughout the day. I went back to 24 units and then had a fortnight of almost perfect readings (for me anyway). However, since last Wednesday (16) I've been high or very high most mornings and at around 11 pm. Noon and 6 pm have been fine (after adjustments at breakfast). I recorded yesterday as
16.2 (8.40) 7 (1.30 pm) 8 (6 pm) 14.8 (11 pm) and got up at 3 am to get 13.6 despite having taken +6 Humalog at 11 pm. This morning it was 15.1. I've no idea what's going on but am reluctant to increase the Lantus after my earlier experience.
Any idea/suggestions
 
Nov 25, 2011
novorapidboi26 1,816 posts

Topic: General Discussion / Funniest/strangest/worst hypo moment....

whiskysmum said:

novorapidboi26 said:
So how much did you take for your salmon sandwich at 1635..................I would of expected a low before the next morning if this dose was too much though...............

Maybe your BI is too high, either that or alcohol...........!



10u for the salmon sandwich.

I'm wondering if it's the BI which i'm taking too much of, there was no alcohol consumed last night.



Assuming 2 slices of bread at roughly 20g each, that would be 4 CPs, so a ratio of 2.5:1 with no corrections, does that sound right...............
 
Nov 25, 2011
novorapidboi26 1,816 posts

Topic: General Discussion / Funniest/strangest/worst hypo moment....

You mean how do you establish if you need more or less.......................?

This is done by testing your blood with no carbs or quick acting insulin on board, so during the day, you could skip a meal [like you done already], or have a carb free meal...........you can then see by looking at your results whether your BI dose is doing its job of holding you steady [+/- 1mmol/l].......

It also depends on what insulin your on, Lantus, usually taken once a day, will have to be adjusted, then you test for a few days, as the effects take longer........

Levemir, which is normally split into twice a day, can be adjusted and the effects noticed the next day.............and you would also have 2 separate time slots to test, daytime and night time.............

So you would start with the night time, no carbs or insulin after evening meal, take your BI at normal time, test before bed, test in morning, should of been held steady if dose is right, if not, adjust your dose accordingly, say 1-2 units............

And the rest is straight forward.........
 
Nov 25, 2011
mum2westiesGill 502 posts

Topic: General Discussion / Funniest/strangest/worst hypo moment....

Re the BI adjusting, how do i do this?
 
Nov 25, 2011
mum2westiesGill 502 posts

Topic: General Discussion / Funniest/strangest/worst hypo moment....

novorapidboi26 said:
So how much did you take for your salmon sandwich at 1635..................I would of expected a low before the next morning if this dose was too much though...............

Maybe your BI is too high, either that or alcohol...........!



10u for the salmon sandwich.

I'm wondering if it's the BI which i'm taking too much of, there was no alcohol consumed last night.