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advice needed please

teddybear74

Well-Known Member
Messages
265
Type of diabetes
Type 1
Treatment type
Insulin
i have just tested my bloods and astonished i am 20.3 this morning i have no idea why im thirsty tired and no energy this is the highest i have been over the past few weeks which have been up to 17 never this high.

For breakfast i had a coffee with a few sweeteners and some muesli which is what i have had before but have very little issue with that last night i had moussaka without potatoes had aubergines mince tinned toms onion parsley quark fromage frais mustard and egg. dont think there is much in that to send them off im not ill and taking meds as normal.

what am i doing wrong i forgot to test first thing but over the past few days i have been down as low as 4.9
 
Your diet sounds quite good. Can you let us know your BMI etc. If you are slim then it's always a possibility you are Late onset T1 (LADA) and not T2. Ask for the two tests if you have lost weight recently without trying. Do keep checking your BS and if it stays in the 20s call 111 or go to A&E if feeling unwell. Drink plenty of water.
 
Swinging from the 20s to the 4s is going to make you feel rubbish.
Keep an eye on those high figures, don't be afraid to contact your local surgery or consider a trip to A&E if they persist.

One word jumps out to me reading the above, muesli.
I'd check the carbs on the packet if I were you, especially if it's a low fat option.
 
my bmi is 27.7 11st4lb my hba1c in january was 117

what 2 tests are those
 
Hi teddybear,

My first step would be to check the carbs in the muesli, and to weigh out my normal portion size.
The carbs are given per 100 g, so it is fairly easy to calc the carbs in that portion.
then add in the carbs for the milk (if you used milk) or yog, or whatever.

I know that the 'recommended portion size' is usually so small it wouldn't keep a mouse alive, which means that people don't realise that their portions are bigger, and may be unwittingly give bigger portions than expected.

Do you regularly test your blood glucose in the mornings? Your fasting blood glucose? And then again before you eat breakfast.
It is a very useful comparison to know what your levels are when you wake up, then how much they change between wake up and immediately before breakfast, and then how much they change at 2 hours after your breakfast.

You may discover that your rise in bg is dawn phenonenon, or 'foot on floor' syndrome, or food related - which may well help you to make changes to compensate.

Whatever your bg tests and investigations, I recommend that you contact your doc.
Readings of the high teens and 20s are too high for you to be running at regularly, and will in time, increase your risk of diabetic complications. Your doc or nurse should be willing to work with you in making diet and lifestyle and medication changes to bring your readings down. Once that happens, you should feel much better, and the constant weeing should cease.

Please let us know how you get on?
 
19/2 11.30am -15.7
15.56am -13.8
20/2 12.52am - 10.8 17 units of Insuman and 4 units of Novo rapid
4.23am - 7.9
7.39am- 4.8
16.30pm - 17.2
20.30pm - 15.9
21/2 8.00am - 8.7
11.15am - 12.8
15.30pm - 14.6
22/2 12.55am - 11.3
5.00am - 12.7
12.00pm - 13.1
17.00pm - 15.2
20.30pm - 15.6
23/2 7.00am - 9.1
1.00am - 10.3
17.30am - 12.4
24/2 1.00am - 12.0
5.00am - 12.6
11.00am - 3.9
12.00am - 12.5
 
14.0 4.51am 18/2
12.7 0.47am 18/2
9.6 11.37am 17/2
13.8 4.50am 17/2
10.7 0.47am 17/2
14.5 17.12pm 16/2
14.2 7.47am 16/2
22.7 4.43am 15/2
12.5 0.45am 15/2
12.3 4.41am 13/2
14.1 0.45am 13/2
9.9 12.27pm 12/2 felt rubbish due to covid injection
8.0 7.14am 12/2 felt rubbish due to covid injection
11.2 4.33am 12/2 felt rubbish due to covid injection
13.6 2.41am 12/2 felt rubbish due to covid injection
11.8 1.47am 12/2 felt rubbish due to covid injection
11.6 0.45am 12/2 felt rubbish due to covid injection
12.3 17.53pm 11/2 Astra Zeneca injection
 
the past couple of weeks i haven't been below 17 apart from friday night around 9.30pm where i hit 4.9 then when i got up for work at 12.45am i was 5.2 now im back in the high double figures again
 
Thank you! Those figures are very helpful.

You are clearly on a fixed insulin regime, which means that if you vary the amount of carb in your meals, you may end up either high, or low as a result.

My suggestion would be that you contact your doc or nurse, or clinic, as soon as possible to discuss carb counting and dose adjustment. This would give you much more freedom in what you eat, and you would learn how to give yourself additional doses of fast acting insulin when/if your blood glucose goes high.

In addition, you have just had the covid vaccine. Many people here on the forum have been posting to say that the jab has increased their blood glucose significantly, while their body adjusts and deals with the vaccine.
So you may well find that the high numbers you are currently experiencing will go back to normal in a few days.
I suggest you have a read through the forum for the covid vaccine threads, and read what other people are experiencing.

Hope that helps.
 


thanks for all the replies

i had the covid vaccine 12/2 so over a month ago and i should of said im waiting to go on the daphne course whenever that will be i have more blood tests due end of the month where i have asked for the cpeptide to be done again as i had one done in 2019 which was 497after being admitted to hospital with high blood sugars which where due to steroids
 
teddybear74 said:
my bmi is 27.7 11st4lb my hba1c in january was 117

what 2 tests are those
Click to expand...
The two tests are GAD for antibodies and C-Peptide to check your own insulin production. When I replied previously I hadn't spotted that you were on insulin so that changes my advice. Your insulin regime is strange as it's neither twice-a-day mixed or 5 times a day Basal/Bolus? I suggest you need to discuss it with your DN/GP. On 2x daily mixed insulin you would adjust to maintain the best average BS. With Basal/Bolus you would first balance the Basal and then adjust the Bolus as @Brunneria says to suit the carbs in the following meal using carb-counting. It does sound like you are having too many carbs which would encourage weight gain
 


im on 17 units of insuman and 4 units of novo rapid i have emailed my drs surgery again to see if i should be counting carbs etc and there is anything else i should be doing as i am shattered all the time. i put it down to my work schedule im up at 12.45 am for work and finish at 7am im an online grocery shopper so will see what if anything they come back with

i have also last month received a letter for the diabectic prevention programme with ww no idea why as been diabetic
 
just checked sugars again and im 10.1 just cooking dinner so will see what i am after that before i go to bed at 7.15

nothing from drs not even a phone call or email
 
teddybear74 said:
just checked sugars again and im 10.1 just cooking dinner so will see what i am after that before i go to bed at 7.15

nothing from drs not even a phone call or email
Click to expand...

Hi Teddy, phone them again and tell them you're worried about ketones as you are hitting the high teens and 20s regularly and feeling unwell (all true), that should get them moving. x
 
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