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Type 1'stars R Us

helensaramay said:
Would you ever postpone your meal, take your correction dose and wait until your BG has come down before you eat?
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i know i dont have to but i like to stick to set meal times through the week high bgs tend to linger for about 2 hours then start coming bk down but until i had libre i wasnt aware of this but i have missed meals out at times but to be honest it didnt make that much difference :)
 
karen8967 said:
i only ever correct at meal times this is what consultant told me so if high i give extra bolus with meal depending on how high it is i may do half b4 meal and half after meal:)
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I was told the same on the DAFYDD (welsh equivalent for DAFNE :) ) but same as @Mel dCP I would spend a LOT of time high so took it on myself to correct as often as I could
 
porl69 said:
I was told the same on the DAFYDD (welsh equivalent for DAFNE :) ) but same as @Mel dCP I would spend a LOT of time high so took it on myself to correct as often as I could
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Il give it a go but wouldnt like to do loads of corrections each to their own and what works for them is great
 
helensaramay said:
I hope that arrow is levelling out at the right values now.
Your comment reminds me of something I've been meaning to ask.
I have read a few people mentioning they are waiting for their BG to come down before eating. I am too usually impatient (and hungry) to do this but wonder if my/our approach of big correction and eating is usual and/or should be avoided.
I would be interested how others react at mealtime when they realise their BG is very high (whatever that is).
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I've not done any courses but if high on a morning I add the correction dose to my bolus and sit wait it out, a luxury/necessity I get from my part time work as when employed in my trade my timekeeping was atrocious.

@porl69 Think 'Sweet cheeks window cleaners' would look good on a bill :p

@Mel dCP Are you finding Tresiba too inflexible? I keep putting off changing from Lantus as from I quite often read I think better the devil you know....
 
The Libre is the key here, as I am scanning constantly I can correct in advance of when I am planning to eat. I inject on waking to correct dawn phenomenon and as I wake early and am retired can sit and wait before eating. Usually an hour. If I don’t wait then I will be chasing high levels all day. I also take corrections up to half an hour before my main meal at 2ish, if high. That higher level has then had a time to start coming down before I take a lunch bolus and eat more food. Otherwise I will again be chasing high levels.
However I would be less inclined to stack insulin just on blood glucose readings.
 
becca59 said:
The Libre is the key here, as I am scanning constantly I can correct in advance of when I am planning to eat. I inject on waking to correct dawn phenomenon and as I wake early and am retired can sit and wait before eating. Usually an hour. If I don’t wait then I will be chasing high levels all day. I also take corrections up to half an hour before my main meal at 2ish, if high. That higher level has then had a time to start coming down before I take a lunch bolus and eat more food. Otherwise I will again be chasing high levels.
However I would be less inclined to stack insulin just on blood glucose readings.
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Do you check with fingerprick sometimes libre is higher/lower than blood readings
 
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kitedoc said:
Apologies. With the pump and settings such as insulin:carb ratio and insulin sensitivity one can enter a carb amount for a meal ( or cake) and a bolus dose is calculated. which I can either enter as is or alter if desired.
If the bsl only is entered a correction bolus is given. The calculations are not prefect but they can be adjusted for different times of the day by having different I:C and insulin sensitivity setting for day, evening night etc. Takes some of the guess work out.
As well the basal can be adjusted up or down for stress etc. Hope that clarifies things !
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No worries but interesting all the same :)
 
helensaramay said:
I hope that arrow is levelling out at the right values now.
Your comment reminds me of something I've been meaning to ask.
I have read a few people mentioning they are waiting for their BG to come down before eating. I am too usually impatient (and hungry) to do this but wonder if my/our approach of big correction and eating is usual and/or should be avoided.
I would be interested how others react at mealtime when they realise their BG is very high (whatever that is).
Click to expand...
Depends on what time of day it is, if it is first thing in the morning then I will wallop insulin in and wait, because, like this morning, it will wake me up way earlier. If it is during the day then the rise is mostly in-between meals so that's ok. However I to am impatient and if it near lunch or tea/dinner then I will eat and deal with the fall out later.
 
kev-w said:
@Mel dCP Are you finding Tresiba too inflexible? I keep putting off changing from Lantus as from I quite often read I think better the devil you know....
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I think it’s better suited to blokes, I suspect. If you adjust your Lantus to suit your activity levels each day, it might be too inflexible, I know some people like to. But it might be worth trying, the lack of night hypos is a real benefit, I think. I can (3/4 of the time, hehehe) get a flat level line overnight with it.
 
Mel dCP said:
I think it’s better suited to blokes, I suspect. If you adjust your Lantus to suit your activity levels each day, it might be too inflexible, I know some people like to. But it might be worth trying, the lack of night hypos is a real benefit, I think. I can (3/4 of the time, hehehe) get a flat level line overnight with it.
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I've been really interested to hear about your change from Lantus to Tresiba, Mel, as I'd been thinking about doing the same thing. I've been deterred by how long it takes for Tresiba adjustments to take effect, and since splitting Lantus I'm getting much flatter results through 24 hours. I don't any longer have shark weeks so that's not a consideration for me ;) but I'd be interested to know about the leg pains you had with Lantus if you'd be okay to say more?
 
hh1 said:
I've been really interested to hear about your change from Lantus to Tresiba, Mel, as I'd been thinking about doing the same thing. I've been deterred by how long it takes for Tresiba adjustments to take effect, and since splitting Lantus I'm getting much flatter results through 24 hours. I don't any longer have shark weeks so that's not a consideration for me ;) but I'd be interested to know about the leg pains you had with Lantus if you'd be okay to say more?
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Well, I’ve been having restless and painful legs for years, to the point (almost) of a fibromyalgia diagnosis. However, since changing from Lantus, that’s gone. Took a few months, but I’m reluctant to go back on it - the pain and lack of sleep made life harder than it needed to be. Was a constant ache in my leg muscles, and they just felt like lead. Hard to explain but it’s quite a commonly reported side effect, only recently looked into it as I assumed my insulins wouldn’t/couldn’t hurt me...
 
Well, just back from the annual liaison with my local endo's.

Me: can I have libre sensors on prescription?
Doc: No sorry, :stop: your blood glucose levels are too well controlled. You need an a1c above 8.5 AND hypo unawareness.
Me: But my a1c is well controlled and I seldom have hypo's largely as a result of using the Libre.:facepalm:
Doc: I understand, but I don't make the rules. Sorry (again).

Lucky that I'm paid obscenely well then ! :banghead::greedy:
 
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