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high sugars

B

Bikerider

Member
Messages
7
Location
shrewsbury
Type of diabetes
Type 1
Treatment type
Insulin
hi all i was diagnosed in 2007 on novorapid and levimir then levimer changed afew times to other things no on tresibla i was 16 at the time in 2007 now 26 still havent got control of it seen no end of diabetic nurses getting sick of high sugars but afraid of getting very low sugars during the night i do carb counting with freestyle libre anyone got any tips etc or is there programs where i could enter myself for new treatment tests etc if any in the uk to help control it etc if advisable
 
You're likely to get various kinds of advice here. But if you've been on insulin for 10 years, on Basal/Bolus rx, and been seeing the UK diabetes teams regularly and are still not under good control I'm not sure we're going to be able to solve it. That being said has anyone ever considered a pump in your case? It's the first thing that came to mind after reading your post. I have my own personal solution to not getting low at night (4.5 bedtime last night 3 hrs after Novorapid/dinner, 5.0 this AM) if you want to PM me. I'm not supposed to mention it here.
 
What do you mean by high sugars @Bikerider ? What is your hba1c at the moment? How how often a day are you testing and when are you seeing the high sugars?

The first step in good management in a basal bolus regime is to make sure you are on the right basal dose - https://mysugr.com/basal-rate-testing/

Then you would need to check you are using the right insulin to carb ratio at each meal - https://www.bertieonline.org.uk

Then consider the timing of your bolus - https://www.diabetesselfmanagement....blood-glucose-management/strike-the-spike-ii/
 
Have you considered a pump?
It requires more effort than injections but the benefit is that you can adjust your basal throughout the day to avoid night time hypos and maintain tighter control during the day.
The Libre is a great tool for calibrating the pump to your needs.

Each diabetes team seems to have a different approach to how they allocate pumps: they have a limited budget and, as it requires more effort than injecting, they are not suitable for every one.
But generally, when requesting one, you need to be able articulate why you need it ("I need better control" doesn't cut it) and be able to convince your team that you are able to cope with the extra effort. In my case, I had to go on a DAFNE-type course. It was worth it to get the pump.
In your case, I would have thought your fear of night time hypos and overall high BG should be a good basis for the why and your carb counting should be a good proof your can cope with the effort.

If the pump is not an option for you, is it possible to address the psychological side of your night-time hypo fear? I can totally understand the fear - night time hypos are horrible.
I think of it like being afraid to stand on the edge of a cliff. The closest to the edge you stand the more you are rewarded with a good view ... until you stand too close. The further back you are, you may feel safer but you miss out on the view. It's getting the best distance for you.
A night time hypo could be falling off the cliff but it's worth getting closer to the edge (a slightly lower BG when going to bed) for the benefit of lower BG and better view for your future health.
<too cheesey? sorry!>
 
catapillar said:
What do you mean by high sugars @Bikerider ? What is your hba1c at the moment? How how often a day are you testing and when are you seeing the high sugars?

The first step in good management in a basal bolus regime is to make sure you are on the right basal dose - https://mysugr.com/basal-rate-testing/

Then you would need to check you are using the right insulin to carb ratio at each meal - https://www.bertieonline.org.uk

Then consider the timing of your bolus - https://www.diabetesselfmanagement....blood-glucose-management/strike-the-spike-ii/
Click to expand...
over 90
 
been told i have to get my suga
helensaramay said:
Have you considered a pump?
It requires more effort than injections but the benefit is that you can adjust your basal throughout the day to avoid night time hypos and maintain tighter control during the day.
The Libre is a great tool for calibrating the pump to your needs.

Each diabetes team seems to have a different approach to how they allocate pumps: they have a limited budget and, as it requires more effort than injecting, they are not suitable for every one.
But generally, when requesting one, you need to be able articulate why you need it ("I need better control" doesn't cut it) and be able to convince your team that you are able to cope with the extra effort. In my case, I had to go on a DAFNE-type course. It was worth it to get the pump.
In your case, I would have thought your fear of night time hypos and overall high BG should be a good basis for the why and your carb counting should be a good proof your can cope with the effort.

If the pump is not an option for you, is it possible to address the psychological side of your night-time hypo fear? I can totally understand the fear - night time hypos are horrible.
I think of it like being afraid to stand on the edge of a cliff. The closest to the edge you stand the more you are rewarded with a good view ... until you stand too close. The further back you are, you may feel safer but you miss out on the view. It's getting the best distance for you.
A night time hypo could be falling off the cliff but it's worth getting closer to the edge (a slightly lower BG when going to bed) for the benefit of lower BG and better view for your future health.
<too cheesey? sorry!>
Click to expand...
been told to get sugars under control first
 
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