A night to forget!

Oh Pneu,

Hope you are OK. I ve made some mistakes but not double dosing on a rapid thank goodness. I am carb counting and the other day did all the calcs atc and wrote everything down. Lunchtime sugar was high and just cannot remember injecting!!! Plonker

Anyway hope you got through the night OK and are able to catch up on some sleep at some poit,

Lucy xxx

Pneu said:

What a **** night..

Split my evening Insulatard earlier; I take it before dinner... tired and thought I was double waving rapid for the Indian I was about to eat?! and on my 2nd dose rather than taking 1/2 again in my sleepiness (due to lack of sleep Wednesday night!) I took the whole dose..

Blood sugars been on a nice steady 2 mmol/l / hour drop since around midnight... so nothing for it but to test hourly and dextrose.. gah I hate diabetes sometimes!

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When you overdose on Isophane/insultard the easiest solution is to top up on very slow releasing carbs. This way you match the action of the insulin Hope you are not to shattered this morning.

hi Pneu

Hope that you are all ok now after last night's ordeal.

I am of the same opinion as CarbsRok..... I've made some silly mistakes myself using biphasic (twice daily) insulin and once injected 22u twice (within 1.5hrs) of Humalog Mix 25/75 so I know how hypos can linger on and on. I was ok though and just had some glucose/lucozade and then ate a sandwich every 2hrs until my bg levels stopped falling. Insulin injected in excess is best mopped up with some glucose followed by some carb.

Hope that you will be ok once you start on a pump as overdosing with insulin is something that smart pumps will not let you do unless you decide to overide the bolus advice.

Pneu said:

so nothing for it but to test hourly and dextrose..

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Hourly testing and jelly babies surely? My tolerance for dextrose has fallen through the floor. Filthy stuff.

Sorry to hear this Pneu, but I guess it's these things that help us keep on the strait and narrow - one can't learn without making mistakes.

Are you really going onto a pump? How did you manage that? My HbA1c is not nearly as impressive as yours but my consultant says they wouldn't fund a pump for me as my scores are 'too good'

Whilst I'm firing questions at you; could you explain how you use both Novorapid and Apidra? I've just changed to Apidra but to be honest it doesn't seem to have much of a different action from Novorapid as far as I can tell.

Best

Dillinger

Pneu

You'd be surprised how much a pump will help with sensitivity to insulin issues...

Sensitivity to insulin is my main problem, with being able not only to have 0.1 as a minimum bolus, but also having the ability to deliver a dose of insulin in a very controlled way over a period of time makes things a lot easier..

I do have basal issues that compounded the insulin sensitivity..

I have quite a peak and trough to my basal wave, and background insulin can only do so much, so I had to aware where about on a wave I was, was I going up a peak or down into a trough adjusting dose accordantly.. To had to this little lot, I have Dawn Pham, so over an hour I could see my BG rocket up wards. The pump has sorted this all out for me, flattening my basal profile to a nice flat even profile..

So yes some high end daily management used to go into keeping control, for me the pump is so much easier and I've never found the work load even setting it up hard work or difficult..

Personally concerning CGM's I would say, see how you get on with the pump first...

It's something I used to consider as an option, but when had a serious look into it, I found that in truth for me, I couldn't actually justify the cost, as the main benefit for me, would be overnight basal testing, but if they ever come down enough in price then might think again about them..