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Why such a radical change in I:C?

That's a big shift pretty hard to manage. Is it a new pen or batch of pens/insulin?
 
Hi There @ChrisM28
have you got any of the following currently happening ??

additional stress , illness ( including a cold ) , weight gain , coming to the end of honeymoon period ,
change in work patterns , change in weather temperature.

perhaps you could provide a bit more information about you.
it is quite a huge change in I:C ratio to happen overnight so to speak.
 
himtoo said:
Hi There @ChrisM28
have you got any of the following currently happening ??

additional stress , illness ( including a cold ) , weight gain , coming to the end of honeymoon period ,
change in work patterns , change in weather temperature.

perhaps you could provide a bit more information about you.
it is quite a huge change in I:C ratio to happen overnight so to speak.
Click to expand...
Feeling ok, no weight gain, honeymoon a long time ago, retired. But WEATHER! really? This started at the start of the cold spell. Could it really cause such a change?
 
my basal rates on a pump have increased approx. 5-6% since the weather changed a few weeks ago -- others have reported similar or even more dramatic change to their doses and ratios
we are all individuals and different things seem to affect our BG's differently-- best advice is to test , review , adjust as needed
speak to your DSN to double check if in doubt.
 
Mine change every clock time changeover!!

However.. have you basal tested to make sure it is the carb ratio??

Generally I find mine go hand in hand.. never a big jump like that. Plus if one was changing for me its lijely to be all of them...
 
Colder weather tends to see an increase in insulin requirements for a lot of us, and this increase is almost always with regards to basal insulin.

Personally, my I:C ratio never changes. So if you're the same as me, then you're probably currently taking more bolus insulin to compensate for a lack of basal insulin:)

Have a read through this and see how you get on:

https://mysugr.com/basal-rate-testing/
 
Basal and bolus are quite linked and unless you are absolutely clear on both then you will find one is compensating for the other. For 36 years I stuck to 1u=10g carbs, when i started on libre it was obvious that bolus was too low and it was the basal dragging BGs down by the next meal (old BG test point).
 
My insulin needs change a LOT when seasons change. When a teen at school it would take me out for weeks at a time but thankfully more balanced now.
 
Hi @ChrisM28 There could be many reasons why
ChrisM28 said:
Feeling ok, no weight gain, honeymoon a long time ago, retired. But WEATHER! really? This started at the start of the cold spell. Could it really cause such a change?
Click to expand...

Yes a change in seasons or temperature has a dramatic effect on my blood glucose levels. As long as you've checked your insulin in case it's gone off or for signs of infection and stress then this should taken into consideration.
 
My Insulin dosage changed about 3 years ago, I asked my DSN why this happened and she said things change and there was no reason as to why, I used to be 1 unit to 10 carbs at breakfast then 1 to 15 for lunch and dinner, now, the same for breakfast, lunch and dinner 1 unit to 7 carbs. Still the same weight and a long time diabetic.
 
Juicyj said:
Hi @ChrisM28 There could be many reasons why


Yes a change in seasons or temperature has a dramatic effect on my blood glucose levels. As long as you've checked your insulin in case it's gone off or for signs of infection and stress then this should taken into consideration.
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That's helpful, thank you
 
ChrisM28 said:
Did the basal testing and it seemed to be ok but thinking about checking it again, thanks.
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Not to sound picky, but was it okay or not? "Seemed to be okay" is simply not an answer that you want when it comes to basal testing.

The essential thing is that you get yourself sorted out. And as much as I appreciate that things can simply change, it's important to conclusively rule out the basic causes of irregular BG first.
 
GrantGam1337 said:
Not to sound picky, but was it okay or not? "Seemed to be okay" is simply not an answer that you want when it comes to basal testing.

The essential thing is that you get yourself sorted out. And as much as I appreciate that things can simply change, it's important to conclusively rule out the basic causes of irregular BG first.
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You're not being picky Grant, when I said seemed to be okay I meant the difference between bed BG and morning BG was 1.4 which should mean it's okay but with still having problems you have to wonder.
 
ChrisM28 said:
You're not being picky Grant, when I said seemed to be okay I meant the difference between bed BG and morning BG was 1.4 which should mean it's okay but with still having problems you have to wonder.
Click to expand...

So have you actually done a basal test? The comparison bedtime to morning only gives half the picture, especially if you are concerned with whether your I:c ratio is correct, it might be that it's compensating for too low basal during the day with more bolus a meal time.

Here's some info on how to do a basal test - https://mysugr.com/basal-rate-testing/
 
Thank you for replying, only managed the one basal so far as we've had lows during the day.
I wonder could you clarify the 24 hour rule for me? I thinks it's after a low don't correct a high for 24 hours. So next meal whatever the BG only inject for the food with no correction. Does the BG just come down on its own with no help?
 
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