- Messages
- 308
- Type of diabetes
- Type 1
- Treatment type
- Insulin
I’ve been struggling for sometime with higher than normal levels. I keep quite a strict target range of 5.3-8mmol but I’m finding I’m rarely within this boundary at the moment & I’m injecting much more basal & bolus. Looking back at my Libra data & it’s been 12 days since I’ve had 24hrs I’m happy with & 21 days since things seem to have begun to change significantly.
Background info - using a Libra 2 consistently, basal is Lantus, bolus is Novarapid, carb ratios used to be 1:5 morning, 1:7 lunch, 1:8 tea. Eating low carb (ish) frequently less than 80g with some cheat days. 11 months post diagnosis & in honeymoon period.
I usually find I need to up my basal by 2u for my period but this month when I returned to a lower dose everything went out of control so I increased it back to 24u, still not working & I wondered if the pen was off so I changed to the new prescription, no joy. So in the last week I’ve increased it by 2 every 3 days, it’s a little better but not much.
I’m seeing a rise at 3am (basal usually taken at 6.30am), then a further rise on waking/ getting out of bed which I assume is DP. So now when I’m taking my morning basal a finger prick confirms I’m 10+. So I take a correction dose of 2u:1 mmol and don’t have any carbs for breakfast. This only drops me to 7s, even after the morning walk to school.
I’m used to being in 5/6s for lunch but since I’m now in 7s it seems like even a low carb lunch 15g with bolus will go up to 9s & eventually back to 7s after another walk to school. Tea time comes & I have most of my carb intake but the 1:8 ratio isn’t working anymore & I can go back up over 10. I’ve dropped it to 1:5 and it’s still not great.
So I’m thinking maybe I’ve lost more insulin production & this is one of those unpredictable times I was warned about or Lantus has stopped working as it should. I’m not sure splitting the dose will help much but maybe worth considering.
I’m not seeing my consultant until September with a new c-peptide but will call the nurse on Tuesday. Just wondering what springs to mind as possible causes/ solutions from everyone’s experiences?
Background info - using a Libra 2 consistently, basal is Lantus, bolus is Novarapid, carb ratios used to be 1:5 morning, 1:7 lunch, 1:8 tea. Eating low carb (ish) frequently less than 80g with some cheat days. 11 months post diagnosis & in honeymoon period.
I usually find I need to up my basal by 2u for my period but this month when I returned to a lower dose everything went out of control so I increased it back to 24u, still not working & I wondered if the pen was off so I changed to the new prescription, no joy. So in the last week I’ve increased it by 2 every 3 days, it’s a little better but not much.
I’m seeing a rise at 3am (basal usually taken at 6.30am), then a further rise on waking/ getting out of bed which I assume is DP. So now when I’m taking my morning basal a finger prick confirms I’m 10+. So I take a correction dose of 2u:1 mmol and don’t have any carbs for breakfast. This only drops me to 7s, even after the morning walk to school.
I’m used to being in 5/6s for lunch but since I’m now in 7s it seems like even a low carb lunch 15g with bolus will go up to 9s & eventually back to 7s after another walk to school. Tea time comes & I have most of my carb intake but the 1:8 ratio isn’t working anymore & I can go back up over 10. I’ve dropped it to 1:5 and it’s still not great.
So I’m thinking maybe I’ve lost more insulin production & this is one of those unpredictable times I was warned about or Lantus has stopped working as it should. I’m not sure splitting the dose will help much but maybe worth considering.
I’m not seeing my consultant until September with a new c-peptide but will call the nurse on Tuesday. Just wondering what springs to mind as possible causes/ solutions from everyone’s experiences?