My HbA1c was 51 (6.8%) today, which I am pleased with but my Nurse (not a DSN) said this may be at the expense of a slightly higher level of hypos (below 4mmol 2-3 times per week). This is worrying because I had two stents in my coronary arteries last August and apparently low blood glucose (hypoglycemia) can cause irregular heart rythmns and lead to heart attacks.
At the moment I use a ratio of 2units Novorapid to 10g carb which works most of the time. Occasionally I go low about 3 hours post injection. The nurse suggested I reduce my Novorapid to 1 unit per 10g carb and see how my readings go. She said I should be adjusting my Lantus to get better readings instead of using higher bolus insulin. I thought my Lantus was OK at 26 units at bedtime as there is little change in my readings from bedtime to pre-breakfast, typically between 6 and 9 mmol pre-pbreakfast. She said adjusting my basal upwards might give me better daytime control while keeping my bolus at 1 to 10 as above.
Anybody else had similar feedback from their DSN?
At the moment I use a ratio of 2units Novorapid to 10g carb which works most of the time. Occasionally I go low about 3 hours post injection. The nurse suggested I reduce my Novorapid to 1 unit per 10g carb and see how my readings go. She said I should be adjusting my Lantus to get better readings instead of using higher bolus insulin. I thought my Lantus was OK at 26 units at bedtime as there is little change in my readings from bedtime to pre-breakfast, typically between 6 and 9 mmol pre-pbreakfast. She said adjusting my basal upwards might give me better daytime control while keeping my bolus at 1 to 10 as above.
Anybody else had similar feedback from their DSN?
