Recent Posts by mum2westiesGill

Nov 22, 2012

mum2westiesGill 502 posts

I'm having them all over the place really ie on waking, during the day/evening & in the early hours. The worst ones have been if I've woken early or in the early hours, especially if it's had to be an assisted one with my hubby ie the whole of my body is twitching and jerking = not very pleasant at all Evil or Very Mad

!!!

What would be the first thing you'd look at doing?
I've decreased my basal/lantus first from 42u to 36u then from 36u to 32u, I only did the latter on Tuesday 20/11/2012.
Since Tuesday I've also started to bring the time of my dose earlier in the evening from11:00pm - done it by an hour each evening.

Also wondering if a bit of supper ie a sandwich might be an answer to get me right through the night.

Humalog/QA - before meals - carb counting
Lantus/BI - evening

Nov 22, 2012

mum2westiesGill 502 posts

Topic: Questions for HCPs / Hypos

Hypos

I'm currently having lots of hypos ie on waking, during the day/evening, during the night.

Things I've changed and when:
1 - BI dose decreased/Tuesday 20/11/2012 - on advice from my DSN
2. - Evening meal ratio changed from 1:10 to 1.5:10/Tuesday 20/11/2012 - ditto.

Would it be too many changes if I also started to take my Humalog right after eating a meal?
I normally take it 15 mins before to let it start working then just on the very odd occasion have taken it after.

Read this in the leaflet
"Humalog is a rapid-acting insulin. Take Humalog within fifteen minutes before eating or right after eating a meal".

Nov 20, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Lantus - changing time

novorapidboi26 said:
what time are you up at........?

making sure your not running out for waking time is important you see.........

you could maybe try taking it at 8pm with dinner

I'm normally up at about 07:30am - 08:00am ish

I could possibly take it at 8pm with dinner but I thought you had to make the time earlier by just an hour each night.

Nov 20, 2012

mum2westiesGill 502 posts

Topic: General Discussion / BG Diary entries

But if it was you how would you mark this all down in your dafne diary ie having your BI earlier then also doing a test at bedtime?

Nov 20, 2012

mum2westiesGill 502 posts

Topic: General Discussion / BG Diary entries

If your last insulin dose of the day is BI (background insulin) and you take this early evening but you don't go to bed until much later would you

- put the BI amount into your diary and the time
then
- test at your actual bedtime ie when you get into bed and mark this as BED

Thanks for any replies Smile

Nov 20, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Lantus - changing time

I normally take my lantus (BI) at 11:00pm or an hour or so either side. This is usually also my bedtime.
I take humalog (QA) at around 08:00pm ish when I have my evening meal.
I'm going to start taking my lantus earlier in the evening. Any votes on my new time please?

Nov 20, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Lantus - decreasing

novorapidboi26 said:
Lol,

I realise that must of sound wrong, but I was referring to adding on a few more units to your reduction total....

Ahh I see lol Laughing

.

Anyway It's no too late to reduce it again tonight (after already reducing last night) by another 2u so from 34u to 32u (in total from 36u to 32u). I'm also going to start taking it much earlier in the evening. I usually take it about 11:00pm or within an hour either side. Then I'm going to wait 4/5 days / 1 week to see what changes it brings.

I did actually phone my DSN & she confirmed together with me all of the above. DSN also said I could maybe even reduce it to 30u.

Nov 20, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Lantus - decreasing

novorapidboi26 said:
If you are confident enough then yeah, add on the additional units and then proceed with the 3 days testing (3 am etc...)........

Have you been ill........?

Any alcohol......?

Hi novorapidboi26
Thank you for your reply but I was asking about decreasing units.

Nov 20, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Ratios

How many units of insulin would you have on a
0.5:1 ratio

for example 5 CPs / being 52.0g of carbs?

would it be 0.5 times 5 = 2.5?

Then with a one unit pen (I don't have a half unit pen) & taking into consideration bs levels being low or high it would be rounded down to 2u or rounded up to 3.

I've never done DAFNE so am I right with my workings out please?

Nov 20, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Lantus - decreasing

I'm having hypos all over the place ie waking up to them plus having them during the day.
One week ago on Monday evening 12/11/2012 I reduced my lantus (BI) by 6u so from 42u to 36u (on a say so from my DSN). I decreased it again last night by 2u so from 36u to 34u. I can't help thinking I should've maybe reduced it by 4u. I know lantus should be left for 3 / 4 days / 1 week before making any more changes. Is it too late after just 1 night be reducing it once more then stick with this change for the next few days?

Thanks in advance for any replies Smile

Nov 18, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Ratios

How often can ratios be changed?

If I was on a 1:10 or 1.5: 10.......ratio do I have to wait for 3 or 4 days before I change it again?

Gill

Nov 17, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Injection sites

I inject QA humalog into my stomach in like a smiley face rotation then BI lantus into thighs sometimes left and sometimes right.

Nov 16, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Whiskysmum - Dafne Diary - all comments welcomed (4)

As the title says all comments are welcomed! Smile

I count carbs & take humalog before bkfast, lunch & dinner.
Bfast & lunch ratios are 1:10 Dinner ratio is 1.5:10

I'm currently having 36u lantus at bedtime.

Nov 14, 2012

mum2westiesGill 502 posts

Topic: General Discussion / How many units of insulin?

How many units of insulin would you have on
1.5:1 ratio
for 5 CPs / being 52.0g of carbs?

Am i correct in guessing it would be 7u or 8u?

My pen only allows me to dial up in 1 units not half units.

Nov 13, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Ratios / higher number of units of insulin

novorapidboi26 said:
I think there is a slight misunderstanding but remember that whiskysmum has not actually done DAFNE and so does not know the procedure when dose adjusting............you do now though.....

you have probably been seeing people refer to such ratios on diabetessupport, however these people will be on pumps most likely. There will be some who are injecting and this may work for them.........

I am sure I read somewhere that the standard/average carbs processes from 1 unit is 10 for adults and 15 for children, this may now be out of date but DAFNE is based on this.....

That's correct I've never done DAFNE Sad

. My one way of learning / teaching myself is by way of the forum. Now thanks to you lovely people on the forum I'm getting to know all about the dose adjusting - thank you Very Happy

!

Yes I've seen people refering to such ratios on diabetessupport. Another good forum.

Nov 13, 2012

mum2westiesGill 502 posts

Topic: General Discussion / How many units of insulin?

Alan Constable said:
Also: If you don't have a pen that allows you to dial up half a unit of insulin, you should round up 4.5 units to 5 units.

Yeah thanks for that!

Nov 12, 2012

mum2westiesGill 502 posts

Topic: General Discussion / How many units of insulin?

Thank you Marian!

Nov 12, 2012

mum2westiesGill 502 posts

Topic: General Discussion / How many units of insulin?

How many units of insulin would you have on
1.5:1 ratio
for 3 CPs / being 30g of carbs?

Nov 12, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Ratios / higher number of units of insulin

DianeW said:
Hi

I think you are getting confused....1 unit of insulin would never be able to cope with 8 CPs.

Whatever amount of CPs you have, you just multiply that by your ratio (i.e. 1.5 or 2 or 2.5 or 3) for example if you were on 1.5:1 and you had 8 CPs that would be 8 x 1.5 = 12 units. If you were on 2:1 with 8 CPS you would have 8 x 2 = 16 units. So it all depends on the ratio you are on.

If you're still not sure then I would strongly suggest you talk to your own diabetic team who will be able to suggest the right ratio for you based on your readings.

Thank you DianeW. Those examples you've given me are much clearer now Very Happy

x

Nov 12, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Ratios / higher number of units of insulin

DianeW said:
The answer to your question from your example woujld be 1.5:1.

1:1 is. 1 unit QA equals 1 CP *1 CP being 10g of carbs)
1.5:1 is 1.5 units QA to 1 CP (i.e. if you have 4 CPs equals 6 units QA
2:1 is 2 units QA for every 1 CP ( i.e. 4 CP equals 8 units QA)

and then the ratios increase by half at a time

Thank you.

Do you have some examples like this going up for every 8 carbs

1:8 = 1 unit of insulin for every 8 carbs

Nov 12, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Ratios / higher number of units of insulin

1:10 = 1 unit of insulin for every 10g carbs
50g carbs would be 5u

what would be the next highest ratio / number of units of insulin?

Nov 9, 2012

mum2westiesGill 502 posts

Topic: General Discussion / One unit of insulin to ten grams carbs ratio

Carolin said:
Hi Whiskysmum,
The ratio is simply the proportion of QA you need to cover each CP (10g) to keep you BG in target.
If you need to 'add on' insulin, do you mean for when your BG is high? That's what we mean by a 'correction' (thinking that 1u may reduce your high BG by 2-3mmol/l)
So to record in your diary for example for 30g (3CPs) on a 1:1 ratio, you'd put 3 (CPs), 3u QA. But any correction for high BG you'd record as a + in QA dairy row. If 2u correction, it'd be 3+2

Hi Carolin,

No it's not for a correction. It's for my teatime dose. I've been doing 1u QA of insilin for every 10g (10CPs) carbs so if I've had 40g (4CPs) carbs then I would inject 4u QA. I'm now doing (for my new dosage) 4u QA plus an extra 2u QA so 6u QA so what would a ratio of 6u be for 40g (4CPs)?

Nov 9, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Clickstar Pen - insulin delivery speed

It's re the Clickstar pen wihich is reuseable, takes 3ml cartridges.

I've seen mention that you can control the insilin delivery speed. How do you control the insulin delivery speed on this pen?

I currently use the blue Autopen 24 for Lantus 3ml cartridges.

Gill Smile

Nov 8, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Dafne Diary - looking for some comments / help (3)

So what do you think of the last 3, 4, 5 days?

Nov 8, 2012

mum2westiesGill 502 posts

Topic: General Discussion / One unit of insulin to ten grams carbs ratio

If your ratio was one unit of insulin to every ten grams of cabs (1:10) then had to add on an extra two units of insulin what insulin to carb (i:c) ratio would this be please?

Also would like to know this for marking down as a diary entry.

Thank in advance for any replies Smile

x

Nov 22, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Hypos I'm having them all over the place really ie on waking, during the day/evening & in the early hours. The worst ones have been if I've woken early or in the early hours, especially if it's had to be an assisted one with my hubby ie the whole of my body is twitching and jerking = not very pleasant at all !!! What would be the first thing you'd look at doing? I've decreased my basal/lantus first from 42u to 36u then from 36u to 32u, I only did the latter on Tuesday 20/11/2012. Since Tuesday I've also started to bring the time of my dose earlier in the evening from11:00pm - done it by an hour each evening. Also wondering if a bit of supper ie a sandwich might be an answer to get me right through the night. Humalog/QA - before meals - carb counting Lantus/BI - evening

Nov 22, 2012 mum2westiesGill 502 posts	Topic: Questions for HCPs / Hypos Hypos I'm currently having lots of hypos ie on waking, during the day/evening, during the night. Things I've changed and when: 1 - BI dose decreased/Tuesday 20/11/2012 - on advice from my DSN 2. - Evening meal ratio changed from 1:10 to 1.5:10/Tuesday 20/11/2012 - ditto. Would it be too many changes if I also started to take my Humalog right after eating a meal? I normally take it 15 mins before to let it start working then just on the very odd occasion have taken it after. Read this in the leaflet "Humalog is a rapid-acting insulin. Take Humalog within fifteen minutes before eating or right after eating a meal".

Nov 20, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Lantus - changing time novorapidboi26 said: what time are you up at........? making sure your not running out for waking time is important you see......... you could maybe try taking it at 8pm with dinner I'm normally up at about 07:30am - 08:00am ish I could possibly take it at 8pm with dinner but I thought you had to make the time earlier by just an hour each night.

Nov 20, 2012 mum2westiesGill 502 posts	Topic: General Discussion / BG Diary entries But if it was you how would you mark this all down in your dafne diary ie having your BI earlier then also doing a test at bedtime?

Nov 20, 2012 mum2westiesGill 502 posts	Topic: General Discussion / BG Diary entries If your last insulin dose of the day is BI (background insulin) and you take this early evening but you don't go to bed until much later would you - put the BI amount into your diary and the time then - test at your actual bedtime ie when you get into bed and mark this as BED Thanks for any replies

Nov 20, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Lantus - changing time I normally take my lantus (BI) at 11:00pm or an hour or so either side. This is usually also my bedtime. I take humalog (QA) at around 08:00pm ish when I have my evening meal. I'm going to start taking my lantus earlier in the evening. Any votes on my new time please?

Nov 20, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Lantus - decreasing novorapidboi26 said: Lol, I realise that must of sound wrong, but I was referring to adding on a few more units to your reduction total.... Ahh I see lol . Anyway It's no too late to reduce it again tonight (after already reducing last night) by another 2u so from 34u to 32u (in total from 36u to 32u). I'm also going to start taking it much earlier in the evening. I usually take it about 11:00pm or within an hour either side. Then I'm going to wait 4/5 days / 1 week to see what changes it brings. I did actually phone my DSN & she confirmed together with me all of the above. DSN also said I could maybe even reduce it to 30u.

Nov 20, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Lantus - decreasing novorapidboi26 said: If you are confident enough then yeah, add on the additional units and then proceed with the 3 days testing (3 am etc...)........ Have you been ill........? Any alcohol......? Hi novorapidboi26 Thank you for your reply but I was asking about decreasing units.

Nov 20, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Ratios How many units of insulin would you have on a 0.5:1 ratio for example 5 CPs / being 52.0g of carbs? would it be 0.5 times 5 = 2.5? Then with a one unit pen (I don't have a half unit pen) & taking into consideration bs levels being low or high it would be rounded down to 2u or rounded up to 3. I've never done DAFNE so am I right with my workings out please?

Nov 20, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Lantus - decreasing I'm having hypos all over the place ie waking up to them plus having them during the day. One week ago on Monday evening 12/11/2012 I reduced my lantus (BI) by 6u so from 42u to 36u (on a say so from my DSN). I decreased it again last night by 2u so from 36u to 34u. I can't help thinking I should've maybe reduced it by 4u. I know lantus should be left for 3 / 4 days / 1 week before making any more changes. Is it too late after just 1 night be reducing it once more then stick with this change for the next few days? Thanks in advance for any replies

Nov 18, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Ratios How often can ratios be changed? If I was on a 1:10 or 1.5: 10.......ratio do I have to wait for 3 or 4 days before I change it again? Gill

Nov 17, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Injection sites I inject QA humalog into my stomach in like a smiley face rotation then BI lantus into thighs sometimes left and sometimes right.

Nov 16, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Whiskysmum - Dafne Diary - all comments welcomed (4) As the title says all comments are welcomed! I count carbs & take humalog before bkfast, lunch & dinner. Bfast & lunch ratios are 1:10 Dinner ratio is 1.5:10 I'm currently having 36u lantus at bedtime.

Nov 14, 2012 mum2westiesGill 502 posts	Topic: General Discussion / How many units of insulin? How many units of insulin would you have on 1.5:1 ratio for 5 CPs / being 52.0g of carbs? Am i correct in guessing it would be 7u or 8u? My pen only allows me to dial up in 1 units not half units.

Nov 13, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Ratios / higher number of units of insulin novorapidboi26 said: I think there is a slight misunderstanding but remember that whiskysmum has not actually done DAFNE and so does not know the procedure when dose adjusting............you do now though..... you have probably been seeing people refer to such ratios on diabetessupport, however these people will be on pumps most likely. There will be some who are injecting and this may work for them......... I am sure I read somewhere that the standard/average carbs processes from 1 unit is 10 for adults and 15 for children, this may now be out of date but DAFNE is based on this..... That's correct I've never done DAFNE . My one way of learning / teaching myself is by way of the forum. Now thanks to you lovely people on the forum I'm getting to know all about the dose adjusting - thank you ! Yes I've seen people refering to such ratios on diabetessupport. Another good forum.

Nov 13, 2012 mum2westiesGill 502 posts	Topic: General Discussion / How many units of insulin? Alan Constable said: Also: If you don't have a pen that allows you to dial up half a unit of insulin, you should round up 4.5 units to 5 units. Yeah thanks for that!

Nov 12, 2012 mum2westiesGill 502 posts	Topic: General Discussion / How many units of insulin? Thank you Marian!

Nov 12, 2012 mum2westiesGill 502 posts	Topic: General Discussion / How many units of insulin? How many units of insulin would you have on 1.5:1 ratio for 3 CPs / being 30g of carbs?

Nov 12, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Ratios / higher number of units of insulin DianeW said: Hi I think you are getting confused....1 unit of insulin would never be able to cope with 8 CPs. Whatever amount of CPs you have, you just multiply that by your ratio (i.e. 1.5 or 2 or 2.5 or 3) for example if you were on 1.5:1 and you had 8 CPs that would be 8 x 1.5 = 12 units. If you were on 2:1 with 8 CPS you would have 8 x 2 = 16 units. So it all depends on the ratio you are on. If you're still not sure then I would strongly suggest you talk to your own diabetic team who will be able to suggest the right ratio for you based on your readings. Thank you DianeW. Those examples you've given me are much clearer now x

Nov 12, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Ratios / higher number of units of insulin DianeW said: The answer to your question from your example woujld be 1.5:1. 1:1 is. 1 unit QA equals 1 CP *1 CP being 10g of carbs) 1.5:1 is 1.5 units QA to 1 CP (i.e. if you have 4 CPs equals 6 units QA 2:1 is 2 units QA for every 1 CP ( i.e. 4 CP equals 8 units QA) and then the ratios increase by half at a time Thank you. Do you have some examples like this going up for every 8 carbs 1:8 = 1 unit of insulin for every 8 carbs

Nov 12, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Ratios / higher number of units of insulin 1:10 = 1 unit of insulin for every 10g carbs 50g carbs would be 5u what would be the next highest ratio / number of units of insulin?

Nov 9, 2012 mum2westiesGill 502 posts	Topic: General Discussion / One unit of insulin to ten grams carbs ratio Carolin said: Hi Whiskysmum, The ratio is simply the proportion of QA you need to cover each CP (10g) to keep you BG in target. If you need to 'add on' insulin, do you mean for when your BG is high? That's what we mean by a 'correction' (thinking that 1u may reduce your high BG by 2-3mmol/l) So to record in your diary for example for 30g (3CPs) on a 1:1 ratio, you'd put 3 (CPs), 3u QA. But any correction for high BG you'd record as a + in QA dairy row. If 2u correction, it'd be 3+2 Hi Carolin, No it's not for a correction. It's for my teatime dose. I've been doing 1u QA of insilin for every 10g (10CPs) carbs so if I've had 40g (4CPs) carbs then I would inject 4u QA. I'm now doing (for my new dosage) 4u QA plus an extra 2u QA so 6u QA so what would a ratio of 6u be for 40g (4CPs)?

Nov 9, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Clickstar Pen - insulin delivery speed It's re the Clickstar pen wihich is reuseable, takes 3ml cartridges. I've seen mention that you can control the insilin delivery speed. How do you control the insulin delivery speed on this pen? I currently use the blue Autopen 24 for Lantus 3ml cartridges. Gill

Nov 8, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Dafne Diary - looking for some comments / help (3) So what do you think of the last 3, 4, 5 days?

Nov 8, 2012 mum2westiesGill 502 posts	Topic: General Discussion / One unit of insulin to ten grams carbs ratio If your ratio was one unit of insulin to every ten grams of cabs (1:10) then had to add on an extra two units of insulin what insulin to carb (i:c) ratio would this be please? Also would like to know this for marking down as a diary entry. Thank in advance for any replies x