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Basal Insulin Help Plz!

novorapidboi26 said:
What was the supper I mean....;)
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Oh haha. Barbecued burger with a green salad. My ratio at suppertime seems to be between 1:10 and 1:12, but seems more like 1:4 to 1:5 during the day. Is it normal to have such vastly different ratios at different times?
 
evej said:
Oh haha. Barbecued burger with a green salad. My ratio at suppertime seems to be between 1:10 and 1:12, but seems more like 1:4 to 1:5 during the day. Is it normal to have such vastly different ratios at different times?
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I would say yes.......

You would expect to need more insulin upon waking due to increased insulin resistance....

When I was injecting I was on 3units for every 10 grams [1:3.3] and 2 units for every 10 grams [1:5] the rest of the day....

Now pumping I have five different ratio ranging from 1:7.5 to 1:15
 
novorapidboi26 said:
I would say yes.......

You would expect to need more insulin upon waking due to increased insulin resistance....

When I was injecting I was on 3units for every 10 grams [1:3.3] and 2 units for every 10 grams [1:5] the rest of the day....

Now pumping I have five different ratio ranging from 1:7.5 to 1:15
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Ok. So far on target to test lunch fasting. Will let you know how it goes!
 
NoKindOfSusie said:
I tried splitting lantus, because it was making me feel terrible. It didn't seem to make any difference at all to the actual numbers (but it did help the feeling terrible a bit.)

My numbers go crazy around the time I wake up no matter what I do, whether I eat breakfast, whether I don't, whether I take insulin, whether I don't. I've sort of given up. It is what it is.
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Although I’m type 2 I go to bed at a bs of 5 or 6 and wake up this morning at 14.3! It’s driving me crazy. Doesn’t matter what I do either.
 
NoKindOfSusie said:
I tried splitting lantus, because it was making me feel terrible. It didn't seem to make any difference at all to the actual numbers (but it did help the feeling terrible a bit.)

My numbers go crazy around the time I wake up no matter what I do, whether I eat breakfast, whether I don't, whether I take insulin, whether I don't. I've sort of given up. It is what it is.
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I'm not sure how I missed your response Susie. Sorry to hear splitting lantus didn't make any difference to your numbers. Mine go crazy around the time I wake up as well. Splitting does seem to be making a difference for me. I hope you find something that works for you.
 
Ann1982 said:
Although I’m type 2 I go to bed at a bs of 5 or 6 and wake up this morning at 14.3! It’s driving me crazy. Doesn’t matter what I do either.
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Ann, I can certainly sympathize. That's exactly what was happening to me. Mine would be fine all night, then start rising around 5:30 or 6 and it didn't seem as if there was anything I could do either. However, splitting my Lantus and testing for basal has certainly helped. I do need to take a bit of Humalog in the morning though. Still definitely a work in progress over here!
 
I never managed to beat the dawn phenomenon, hence the pump....

I think a sustained low carb diet would help towards tackling it... especially for those diabetics not being treated with insulin...
 
novorapidboi26 said:
I never managed to beat the dawn phenomenon, hence the pump....

I think a sustained low carb diet would help towards tackling it... especially for those diabetics not being treated with insulin...
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I'm not sure having low carb diet would make any difference, beyond removing
novorapidboi26 said:
I never managed to beat the dawn phenomenon, hence the pump....

I think a sustained low carb diet would help towards tackling it... especially for those diabetics not being treated with insulin...
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But if it's caused by adrenaline on waking a low carb diet won't stop that. It might reduce some of the other variables in the equation. but I think minimisation is the best strategy, rather than hoping to end it. It's sort of part of being alive!
 
Alison54321 said:
I'm not sure having low carb diet would make any difference, beyond removing


But if it's caused by adrenaline on waking a low carb diet won't stop that. It might reduce some of the other variables in the equation. but I think minimisation is the best strategy, rather than hoping to end it. It's sort of part of being alive!
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The thinking behind low carb is that the body won't have access to quickly absorbed carbs and subsequent glucose and so the liver can't set it aside in its stores.

And yeah...I am not saying it can be eliminated, it will always happen as a result of the fast but the effects we see can be tamed for sure....
 
novorapidboi26 said:
The thinking behind low carb is that the body won't have access to quickly absorbed carbs and subsequent glucose and so the liver can't set it aside in its stores.

And yeah...I am not saying it can be eliminated, it will always happen as a result of the fast but the effects we see can be tamed for sure....
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Might not the liver ignore this attempt to control it, and decide it will get it's glycogen from amino acids?

I plan to eat 130g a day, though a small hypo often ups that total a bit, and I find that works well for me. I can understand the need for very low carb for someone with type 2 diabetes, who's been eating far too many carbs, but I don't really like the ketosis idea. I create my own quirky diets, rather than follow other people's.
 
Alison54321 said:
Might not the liver ignore this attempt to control it, and decide it will get it's glycogen from amino acids?

I plan to eat 130g a day, though a small hypo often ups that total a bit, and I find that works well for me. I can understand the need for very low carb for someone with type 2 diabetes, who's been eating far too many carbs, but I don't really like the ketosis idea. I create my own quirky diets, rather than follow other people's.
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I am certainly not flying the flag for low carb or lower carb...just saying that reducing them can help with DP, especially if you don't have insulin to help you out..
 
novorapidboi26 said:
I am certainly not flying the flag for low carb or lower carb...just saying that reducing them can help with DP, especially if you don't have insulin to help you out..
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I agree with you on that. But I have found Freestyle Libre has been really useful for this. I can see where I'm making mistakes more easily, like did I take enough insulin to cover my evening meal? which will always make it worse, or what's going on with the basal?

This morning I just had to correct by one unit, because it was just starting to hit 8 mmol/L, when it had been happy around 7 for ages. I can do that with Freestyle Libre, so that makes a massive difference.

Hopefully, at some point, everyone will have access to that sort of blood glucose monitoring.
 
Alison54321 said:
I agree with you on that. But I have found Freestyle Libre has been really useful for this. I can see where I'm making mistakes more easily, like did I take enough insulin to cover my evening meal? which will always make it worse, or what's going on with the basal?

This morning I just had to correct by one unit, because it was just starting to hit 8 mmol/L, when it had been happy around 7 for ages. I can do that with Freestyle Libre, so that makes a massive difference.

Hopefully, at some point, everyone will have access to that sort of blood glucose monitoring.
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Agreed....its a helpful bit of kit...

It's still worth learning the basic I believe as you can achieve the same good results with just a tad more forwsrd thinking....

It's only going to get easier though with all the development going on..

So good news all round...
 
Been following your low carb diet discussion novorapid and Alison. I've seen proponents of it all over the net and other forums. In my opinion (not that I know much of anything at this point lol), is "everything in moderation". Reducing carbs is a good idea. But reducing them too low... I can't say I agree that's the way to go.
 
First round of daytime testing.

7:45: Last bolus 2u Humalog
11:45: 12.9 @ Libra trending across. 11.8 @ blood
12:45: 11.8 Libre trending across
1:45: 10.3 Libre trending across. 9.7 @ blood
2:15 9.2 Libre trending slow down

I had nothing to eat after 7:45. I stopped the test at 2:15 because I've dropped 3.6mmol/L in 2.5 hours. I would assume my daytime Lantus is too high. I took 14u this morning. So do I go to 12u or 13u tomorrow morning? Will stay at the 6u tonight.

Thanks!
 
evej said:
First round of daytime testing.

7:45: Last bolus 2u Humalog
11:45: 12.9 @ Libra trending across. 11.8 @ blood
12:45: 11.8 Libre trending across
1:45: 10.3 Libre trending across. 9.7 @ blood
2:15 9.2 Libre trending slow down

I had nothing to eat after 7:45. I stopped the test at 2:15 because I've dropped 3.6mmol/L in 2.5 hours. I would assume my daytime Lantus is too high. I took 14u this morning. So do I go to 12u or 13u tomorrow morning? Will stay at the 6u tonight.

Thanks!
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Are there any other factors that might impact on blood sugar, like more physical activity at that time of day? It does look like it's trending downwards in the afternoon, but that might be because your cortisol levels are going down. It also might be a Lantus peak.

I haven't done a basal test, because to me there are so many other variables that I'm not sure how meaningful it is. For someone using a pump the basal insulin is far more adjustable, than for someone injecting. At the moment your blood sugars are still quite a lot higher than you want, so if you lower the Lantus, you are going to have to increase your ratios for short acting insulin, and that will bring with it a more zig zaggy effect.

So I would leave it unadjusted for now, but bank that information, for when you get into a more normal range. Which you will.
 
One further thought. Freestyle Libre has a very nice daily patterns graph, how does that look?
 
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