Recent Posts by mum2westiesGill

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Aug 28, 2014
mum2westiesGill 502 posts

Topic: General Discussion / Pizza, chinese, indian....

Pizza, chinese, indian.... when eating any of these who splits doses & how long after starting to eat do you do the 2nd dose?

I asked who because I know we're all different.
 
Aug 26, 2014
mum2westiesGill 502 posts

Topic: General Discussion / My BGs - lots of drops here

Thanks Warwick Very Happy.

Please watch this space for more diary sharing Very Happy
 
Aug 25, 2014
mum2westiesGill 502 posts

Topic: General Discussion / My BGs - lots of drops here

The only real disadvantage to splitting is that there is an extra injection each day.
- This wouldn't really bother me because I already have x4 injections

However, if you have ever forgotten to take basal insulin before, the benefit of splitting is that your BGs shouldn't rise quite so much if that happens as there will still be some in your body from the previous injection.
- Very Happy

Splitting is reasonably easy, just drop a unit at night and add one each morning. You may find that your overall basal insulin needs will increase if your basal has been running out, so do keep an eye on that. I went from 18 units nightly, to 2 x 10 unit injections morning and night. I lost the spikes between dinner and bedtime though so I found it was worth it.
- Yes all understood Very Happy

You may want to monitor your BGs for another week or so before you decide. If you do that, try to avoid eating anything after dinner, and just take correctional doses if required before bed. If you have good BGs before bed, then schedule a 3 am test to see if they are holding, dropping or increasing.
- Maybe a good idea to monitor for another week or so. Also I'm only going to do bedtime tests at least 4/5 hours after dinnertime to give a truer reflection of bedtime tests. I sometimes eat dinner at 7:30pm - 8pm ish then bedtime test is only 2 hours after which doesn't give a true reflection of my bedtime tests does it?

I do bedtime tests at 10:30pm ish because this is when I take my BI as a way of remembering to take it.
 
Aug 25, 2014
mum2westiesGill 502 posts

Topic: General Discussion / My BGs - lots of drops here

Hi Warwick,
Thank you for your reply.

What BI and QA are you using?
BI - lantus and QA - Humalog

I don't think that splitting your BI will help your overnight differences.
Ok

You may want to split your BI though if your BGs are consistently rising between dinner and bedtime as that would be a sign that your BI is running out. There is some evidence in your diary to indicate that this may be occurring. Splitting may fix that, and if that gets fixed, then it may also lead to an improvement in overnight stability.
Ok but don't know whether to do a couple of nights basal testing first or do a split straight away. Splitting is absolutely fine with my practice nurse who looks after my diabetes.
 
Aug 24, 2014
mum2westiesGill 502 posts

Topic: General Discussion / My BGs - lots of drops here

Hi Warwick, thank you for your reply. Here is my shared DAFNE diary with the dates from 12/08 - 22/08
 
Aug 23, 2014
mum2westiesGill 502 posts

Topic: General Discussion / My BGs - lots of drops here

I take 18u of lantus & am considering doing a split which is ok with my practice nurse who looks after my diabetes. Don't know whether to do a couple of night basal checks first. Any help would be greatly appreciated.

12/08
Bedtime 15.3 > 8.3 13/08 - dropped 7mmol

13/08
Bedtime 14.8 > 7.7 14/08 - dropped 7.1 mmol

14/08
Bedtime 8.8 > 3.8 15/08 - dropped 5mmol

15/08
Bedtime 6.7 < 7.9 16/08 - rose 1.2 mmol

16/08
Bedtime
no test - 8.6 teatime > 5.0 17/08 - dropped 3.6 mmol

17/08
Bedtime 17.6 > 4.6 18/08 - dropped 13mmol

18/08
Bedtime 19.1 > 16.7 19/08 - dropped 2.4mmol

19/08
Bedtime no test - 13.7 teatime > 9.6 20/08 - dropped 4.1 mmol

20/08
Bedtime 10.0 > 5.4 21/08 - dropped 4.6 mmol

21/08
Bedtime 10.5 < 12.3 22/08 - rose 1.8mmol

22/08
Bedtime 14.8 > 10.7 23/08 - dropped 4.1mmol
 
Aug 21, 2014
mum2westiesGill 502 posts

Topic: General Discussion / My last 7 days BGs 140814 - 200814 - comments wanted please

Hi,

I'm looking for comments please on my last 7 days of BGs - 140814- 200814
 
Aug 21, 2014
mum2westiesGill 502 posts

Topic: General Discussion / Insulin Stacking

Hi,
I'm always frightened of injecting for 1 course of food then injecting a second time if I then decide to eat more.

Please can someone explain exactly what insulin stacking is?
 
Aug 13, 2014
mum2westiesGill 502 posts

Topic: General Discussion / Lantus Split & Overnight Basal Testing

Can overnight basal testing still be done if your Lantus is a split dose?
 
Aug 12, 2014
mum2westiesGill 502 posts

Topic: General Discussion / Lantus - Splitting

Oh, and when you split, what you do is drop a unit at night, and add a unit in the morning each day until you get your 50/50 split. Don't just drop half your evening basal at night and add it in the morning or you will have wicked highs. If you are on 18 units, then it will take 9 days to get to the split, and a couple of more days after than before things stabilise so don't panic too much if you find your BGs are a little out of control over that period.


So to clarify I'm on 18u at the moment then
1st night take 17u & just 1u the following morning
2nd night take 16u & 2u the following morning
3rd night take 15u & 3u the following morning
4th night 14u & 4u........
5th night 13u & 5u.......
6th night 12u & 6u......
7th night 11u & 7u........
8th night 10u & 8u.......
9th night 9u & 9u ?

Now could the same be done like this if you were going back onto a single dose?

 
Aug 10, 2014
mum2westiesGill 502 posts

Topic: General Discussion / Lantus - Splitting

I've seen a lot lately about it being the best thing people have done to split their lantus - I know we are all different. I've also read an article somewhere that lantus can be a split injection.

I'm currently taking 18u of Lantus once a day at bedtime & seriously considering doing a split.

I'm unsure whether to start with a straight 50/50 split 12 hours apart or do I take slightly more when I do the am dose with it being during the day & being more active then slightly less when I do the evening dose & being less active.

Any help would be appreciated x
 
Aug 10, 2014
mum2westiesGill 502 posts

Topic: General Discussion / My last 7 days BGs - comments wanted please

Have you thought of splitting your BI into two half doses one morning and one night? It might not be lasting 24 hours - fasting test mid-afternoon to bed would show this.

Hi Gemsa,
Thank you for taking a look at my data & for your comments.
I am serioulys thinking about splitting my BI, I'm on Lantus, but I'm unsure whether to a 50/50 split or take slighlty more am & less pm.


HI.Are you on multiple injections or insulin pump ? What insulin are you on ? Have you spoke to your diabetes team ?

Hi geordiesgirl,
I'm on multiple injections. The insulins I'm on are humalog (QA) & lantus (BI).
My diabetes care is done at my GP surgery & it's the practice nuses who takes care of my diabetes. I also go to my local diabetes drop in clinic as & when I want/need to & it's a DSN who runs that. Between the practice nurse & the DSN they always seem very happy to let me make any changes on my own then visit them if I have any problems.
I don't have a meter for blood ketones but I do have some urine ketone testing strips & the last one about a week ago was normal.
 
Aug 10, 2014
mum2westiesGill 502 posts

Topic: General Discussion / My last 7 days BGs - comments wanted please

Hello,

I'm analysing your data and here are a few questions for you....

1) What is the correction factor that you use during the day?
2) Why did you not do a correction on BED on three occasions? Probably due to risk of overnight hypo?
3) You have some massive BG drops overnight ... Sun 19.1 -> 5.0, Tue 18.0 -> 5.9, Wed 18.5 -> 8.8. When did you last do a fasting test at night to check basal level?
4) Are you certain your BI was 18u every day?

Thanks ... JontyW


Hi Jonty,
Thank you for your reply & for taking a good look at my data.

1) My correction factor is 1u for 3mmol
2) The three occasions when I may not have corrected at bedtime is I'm afraid laziness :-( ie I've done 1 injection which is BI so too lazy to start having to do another injection
3) Yes I too have been noticing the massive overnight drops. I last did overnight basal testing on 01/07 @ 5:40am BG was 4.1
6:44am BG was 3.3
6:59am BG went to 5.5 after hypo treatment
then on 03/07 @ 4:24am BG was 9.3
6:49am BG was 6.9 then on waking at 9:43am BG was 3.2?
4) Yes I am certain that my BI was 18u every day
 
Aug 9, 2014
mum2westiesGill 502 posts

Topic: General Discussion / My last 7 days BGs - comments wanted please

Hi,
I'm looking for comments please on my last 7 days of BGs - 020814 - 080814
 
Jul 5, 2014
mum2westiesGill 502 posts

Topic: General Discussion / My last 10 days Bgs

Hi,
Please can I have comments on my last 10 days BGs 250614 - 040714?

Looking at all the drops when it gets to my fasting BG I'm wondering if I may be having too much BI/lantus & whether to drop it by maybe 2u
 
Mar 25, 2014
mum2westiesGill 502 posts

Topic: General Discussion / My Recent BGs - comments wanted please

Hi,

Sorry for the late reply.

I use stomach for breakfast, lunch & dinner but always rotate under above & each side of navel also there does not appear to be any lumps
 
Mar 24, 2014
mum2westiesGill 502 posts

Topic: General Discussion / My Recent BGs - comments wanted please


Comments wanted on the above please - 17.03.2014 - 23.03.2014

Please can I have some comments on the above readings

Off to see the dietician tomorrow to make sure I am counting carbs correctly. The method I use is carbs & cals book/app & also food packaging labels
 
Mar 11, 2014
mum2westiesGill 502 posts

Topic: General Discussion / Targets - too many BGs out of target

So after having breakfast then find I'm high at lunchtime alter the breakfast ratio?
 
Mar 9, 2014
mum2westiesGill 502 posts

Topic: General Discussion / Targets - too many BGs out of target

Hi,

What can I do to get more BGs within my target ranges:
Breakfast, lunch, dinner - 4 - 7
Bedtime - 8 - 12

Was thinking of tweaking my ratios:
Current ratios for breakfast, lunch & tea - 1:1 (1u to every 10g carbs)
 
Feb 23, 2014
mum2westiesGill 502 posts

Topic: General Discussion / My Recent BGs - comments wanted please

In my comments < is for when I've rounded up & > is for when I've rounded down
 
Feb 23, 2014
mum2westiesGill 502 posts

Topic: General Discussion / My Recent BGs - comments wanted please

Comments wanted on the above please - 15.02.14 - 23.02.14

Went to my diabetic drop in clinic on Thu 06.02.12 - most targets are not in range:
4 - 7 for breakfast, lunch & teatime
8 - 12 for bedtime

also

DSN wondered if I'm counting carbs correctly

Since then I'm trying hard to get carbs counting correct & concentrating hard on rounding them up or down to the nearest 5 depending on where I am in my target range. Round down if BG is around 4 - 5 ish then up if BG is 6 - 7 ish or over.
 
Feb 14, 2014
mum2westiesGill 502 posts

Topic: General Discussion / My Recent BGs - comments wanted please

Comments wanted on the above please - 05.02.14 - 14.02.14

Went to my diabetic drop in clinic on Thu 06.02.12 - most targets are not in range:
4 - 7 for breakfast, lunch & teatime
8 - 12 for bedtime

also

DSN wondered if I'm counting carbs correctly

Since then I'm trying hard to get carbs counting correct & concentrating hard on rounding them up or down to the nearest 5 depending on where I am in my target range. Round down if BG is around 4 - 5 ish then up if BG is 6 - 7 ish or over.
 
Feb 9, 2014
mum2westiesGill 502 posts

Topic: General Discussion / CPs - Rounding Off

Hi,

Just wondering what different people do.

With a CP of for example 4.3cps would you:
- always round up to the nearest 5
or
- round up or down depending on whether you BG was at the lower end or the higher end of your target range?

 
Feb 6, 2014
mum2westiesGill 502 posts

Topic: Carbohydrate Counting / Carbs - Rounding Off

Hi,

Just a little refresher for me please

Were you taught to round off carbs to the nearest 5? How would you round off carbs for something which says on the packet 42.3g per pie?

Also if you had a meal which was:
sandwich - 36g
soup - 12g
total = 48g how would you round this off to the nearest 5?
 
Feb 4, 2014
mum2westiesGill 502 posts

Topic: General Discussion / My Recent BGs - comments wanted please

novorapidboi26 said:
hearing what you have said its hard to to see anything else lol....

At least I've tried lol!

but yeah, missed corrections...........

Re the corrections I'm doing them but just not entering them as a separate thing in my diary. My correction doses show up on my meter then what I'm entering into the diary is the final dose of QA with the correction included because I can't remember always at the time of entering results on here what they are if that makes sense.

And you should really consider a split dose of background.... Smile
What do you see to make you think about a split dose of BI? Also would you start with a 50/50 split?