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Yeah it is weird though as if I am a like a 9 at lunch my ratio of 1:1 is right as i am around the same at tea. My teatime ratio is at 2:1 but I am always high at bed. I am not sure if it is because I am taking a larger dose of insulin it is being less effective.
I do find it weird like you say you only need a +4 correction to lower a 15.6 blood sugar. I would expect the same but I can take a BIGGER correction and still not hypo. Having never had one I do find this weird!!!!!!!

Jul 20, 2015

David01 10 posts

Hi Caveseboy

Like other posts, I'd suggest your QA:CP ratio is wrong, and maybe if you increase the ratios that'd sort things out? The reason I say this is that it strikes me that the correction you did after your lunch BG 0f 15.6 was a really big one. If I had a BG at that level I'd only need to take a +4 correction to bring it down to around 6 - and I'm bound to be relatively less sensitive to insulin than you as I've had T1 for 34 years. If your background insulin is holding your BG at a level result over a long fasting period e;g; overnight, then I'd suggest you might not be on the right QA insulin for you. Your Diabetes Specialist Nurse could have some thoughts/advice on that one.

Hope these suggestions are helpful. Good Luck.

Jul 17, 2015

dunkers7 24 posts

So the BI is holding. Which injection sites are you using for the QA? Stomach is typically quickest.

As you were diagnosed in recent years I wonder if you could have been in the "honeymoon" period for some time. During this phase a type 1 body is actually still producing some insulin naturally, but not enough to keep blood glucose in check. Eventually, weeks, months, or even years later no insulin is produced naturally at all and you need to take more of it.

It sounds like your current QA:CP ratio is inappropriate with those kind of correction doses. I think you need to increase the QA in that ratio.

Finally I would keep an eye on your weight to make sure the QA corrections aren't causing you to gain too much. Weight gain can lead to increased insulin resistance.

Good luck.

Jul 17, 2015

JamesW 24 posts

The Lilly pen is the HumaPen Luxura HD. I would imagine the HD stands for "half dose" because there is also a HumaPen Luxura that delivers only whole units/doses.

Jul 17, 2015

Caveseboy 3 posts

Hey I did a carb free lunch and done a carb free breakfast too (not on the same day) and my levels stay within 1 m/mol so I think my background is at the right amount. I just really struggle with QA insulin.

Jul 17, 2015

Easha 1 post

Hey!

Would say to try a no carb meal for lunch and breakfast and if your blood levels are not in range its due to your background insulin and you may want to think about increasing that

best of luck

Jul 17, 2015

Stew B 125 posts

You can get them via the DAFNE website: http://www.dafne.uk.com/dafneshop-64.html . 75p each.

I've placed several orders in the past and service has been really good. You can also get the most up to date DAFNE Carb Portion book for a mere Â£1.95!

Jul 17, 2015

dunkers7 24 posts

Thanks for the replies all.

I don't have a bad word to say about the kiddie pens, they seem to last. I still have one which delivered full units which I just keep as backup, must be about 15 years old, used it frequently for a long time and it still works!

Jul 17, 2015

Stew B 125 posts

Like alturn for several years I used a "child's" pen that delivers in half-units - quite a snazzy pattern! More recently I've got a NovoPen Echo via my GP. It too delivers in half-units, but has an excellent feature which lets you check a display on the top of the pen which tells you what your last dose was and (in increments of 15 minutes) when you took it. This has been invaluable, because with a busy lifestyle I've several times found myself pen-in-hand wondering whether or not I have injected!

I would not want to go back to pens which deliver only in single-units, as others have said it's a great help when you get into more complex ratios.

Jul 17, 2015

SimonC 78 posts

Lilly do one - I use it with my Humalog - can't remember the name they give the pen, but they look like expensive fountain pens.

My ratios are 1.5 - 1 for lunch and evening, which often means I get a dose of ?.5 units, so the 1/2 unit pen is great.

Jul 17, 2015

Caveseboy 3 posts

Hi All,
First time posting on here looking for help/advice.
I have been diagnosed as Type 1 for almost 2 years now and completed DAFNE just under 6 months ago. I seem to be stuck at a level of about 10.5 to 12 for most of my readings. I may get the occasional high 16+ or manage to get Reading down to about a 9 but averaging a 12. I know the DAFNE principles and try to apply them but it seems like the bigger correction I do the less sensitive I am to Novo Rapid. For example couple of days ago I was at 12.1 breakfast and had 4CPs so took 4+2 QA and at lunch I was 9.7 seems to be correct yet yesterday I was 15.6 at lunch had 11CPs and took 11+9 QA (split 10 and 10 in 2 sites) yet only a 10.6 at tea. So the more correction I do the less sensitive I seem to be.

Also I have NEVER had a hypo either. Can sometimes get my reading do to 5 - 7 had a lowest reading of 4.8 not sure how I can make massive corrections and still not drop my levels down to the hypo area.
Cheers

Jul 17, 2015

Bigtimegrumps 1 post

Hi Dunk,
I'm also insulin sensitive and on the same ratio as you, myself and another member of the class were given half unit pens by the nurse running our course.
The pen I was given is called the NovoPen Echo, it's for quick acting insulin, I remain on a standard unit pen for my BI.
It really does make a difference, looking back through my diary I can see plenty of occasions where my CP's were 9, 5 and 3, so with a standard pen I'd have had to eat a little extra or less.
The DAFNE course is all about giving you the freedom to eat what you want and a half unit pen has definitely benefited me.
It's worth getting in contact with your diabetes team, especially if using a full unit pen is causing you to hypo.

Jul 17, 2015

alturn 78 posts

I've had 1/2 unit pens for several years - I was more sensitive to insulin then than now but still use 1/2 units for QA. BI is now much higher so don't use 1/2 increments. One of mine is a child's version (only one the nurse had) with a patterned finish, and I'm not embarrased to use it...

Jul 16, 2015

dunkers7 24 posts

Seems I got pretty insulin sensitive to bolus, I'm on a 0.5u : 1CP ratio for QA insulin right now.

After doing some basal testing to work out why a few hypos were happening, it turns out that 1u of QA for 1CP really is in fact too much for me!

I've read that half unit pens are available, anyone using them? I'd expect using a half unit pen is more cost effective for the NHS than me ending up having to eat more carbs to balance the books?

Jul 16, 2015

Sammie 2 posts

I think im going to have to dig around and make lots of calls just to get a new 1, thanks for the reply Very Happy

Jul 16, 2015

alturn 78 posts

Think I got some from meter supplier when ordering new batteries etc on-line. This was some time ago so situation may have changed and may depend on company.

Jul 15, 2015

Sammie 2 posts