Definitely give the Lantus a couple of days.....
Also, 2mmol isn't significant.......when fine tuning the basal testing on pumps you would only make a change if it fluctuated by more than 1.7mmol.....you certainly cant achieve those levels of accuracy on injections, so a 2mmol fluctuation could be ignored for now....
Hmmm novorapid. I had also read 1.7 was the cutoff, but didn't realize that was for pumping and not necessarily injections. I will stay at 12 | 6 for a few days and see what happens with that. I stopped the test at 2mmol/L difference, but the arrow had recently changed from straight across to trending slowly down.
I guess I would also like to see what happens if I get the two doses closer together, eg. 10 | 8. But maybe I shouldn't bother. I'd like to get to some conclusion at some point lol.
I will use whatever I need to, but would like to see what happens if I do. I haven't yet tested 12 | 6 of Lantus during the day, and can't today. Will do that tomorrow.Would you like the doses to be close together?
They certainly don't have to be, its just whatever you need that dictates the dose....
Are you using blood test data for these basal tests....?
I will use whatever I need to, but would like to see what happens if I do. I haven't yet tested 12 | 6 of Lantus during the day, and can't today. Will do that tomorrow.
I am using CGM data for the basal tests. Do I need to use blood?
Cool. I will keep on with the CGM, and could verify with blood once I feel I'm really close. This particular sensor is pretty close, within 1mmol/L to blood. I usually check two or three times a day.I wouldn't say you do need to use blood test data, certainly not for pump basal rates once they are already partially established....
but for injections, the argument could be that the blood test gives a much more accurate before and after picture which would make adjustments more effective, and would highlight that you may not need to adjust....
I suppose they both have pros and cons, so doing what you're doing now is fine....
I have an issue with my bolus that I could use some help with. I am using 1:8 ratio for lunch and 1:11 for supper. I am waiting 15 minutes before eating.
So, typically what's happening is I start to drop between my shot and eating, and continue to drop after eating by about 2mmol/L over half an hour. My blood sugar continues to drop until the 1 hour mark when it starts to rise. Around the 2 hour mark, I have to give myself a small dose of 2 to 3u or I will rise too high. This stops the rise, turns it around, but then I end up crashing half an hour to an hour later.
It's a bit of a roller coaster, and I'm not sure how to turn this around.
If you are dropping before you eat then you could assume that the insulin is starting to work before digestion is taking place....
The normal behaviour is a rise up to the 1.5-2 hour mark, then a steady drop back down in to range.....
You say after 2 hours that it will continue to rise, which suggest there may be some delay to the digestion/glucose absorption....
I would say that bringing the shot to immediately before eating would be a good place to start...then look at the Libre data and see what's happening, without, if you can manage, a correction...
Obviously you would have to consider what you are eating and what the fat/protein content it....as well as carbs...
As a non libre user I may be talking rubbish I wouldn't put too much faith in the trending arrow....as long as you know what you active insulin you should be fine....I think if the arrow is down trending I should eat earlier than 15 minutes after my shot. If it's going up, I should wait 15 minutes. If straight across, who knows lol?
If I have a delay in the digestion/glucose absorption, should I split my shot, eg. if I would be taking 6u, take 4u before I eat, and 2u after?
Right now, I am eating exactly the same thing for lunch, so this would be a good place to start - a ham sandwich on 10 grain bread and a yogurt. The carbs are 46 grams. I'm uncertain how to tell what the protein content is. There's protein in the ham and the yogurt. Do you figure it out by percentage?? And how do you figure out the fat content? There's butter on the sandwich.
Right now, I am eating exactly the same thing for lunch, so this would be a good place to start - a ham sandwich on 10 grain bread and a yogurt. The carbs are 46 grams. I'm uncertain how to tell what the protein content is. There's protein in the ham and the yogurt. Do you figure it out by percentage?? And how do you figure out the fat content? There's butter on the sandwich.
As a non libre user I may be talking rubbish I wouldn't put too much faith in the trending arrow....as long as you know what you active insulin you should be fine....
The issue seems to be how quickly the insulin starts....ten to fifteen minutes usually is the norm but everyone is different....so it's definitely worth exploring with the lead in times.....
My reference to fat and protein was because high fat meals can cause a delay in absorption.
But a sandwich and yoghurt will digest normally for most folk.....
I wouldn't count that out for sure....Yeah, and it should for me too, but it does seem I have a delay. I've read thyroid can have an effect with absorption. I am hypothyroid on desiccated thyroid. Possibly that's a confounding issue?
As a non libre user I may be talking rubbish I wouldn't put too much faith in the trending arrow....as long as you know what you active insulin you should be fine....
The issue seems to be how quickly the insulin starts....ten to fifteen minutes usually is the norm but everyone is different....so it's definitely worth exploring with the lead in times.....
I would have agreed TIL I started with the Libre. I injected an hour before eating this morning before a downwards trend started and 30 minutes at lunch. The insulin action is taking far longer than I imagined it would do. It’s helped stopped post meal lows and given less peaks by doing this. Was starving at breakfast though!
Becca, I find the same thing. Although I've been having some trouble going too low before the meal kicks in - looks like sometimes I wait too long. I take my Humalog, and wait until I see a downtrend in the arrow. I mostly have to wait 20ish minutes.I would have agreed TIL I started with the Libre. I injected an hour before eating this morning before a downwards trend started and 30 minutes at lunch. The insulin action is taking far longer than I imagined it would do. It’s helped stopped post meal lows and given less peaks by doing this. Was starving at breakfast though!
So do you leave an hour between injection and breakfast every morning.....?
I haven't heard such a length of time but if that's what you need to keep the spike down that's what you need...
45 minutes is the longest I have used......30 minutes is where it seems to have settled for now.....
So do you leave an hour between injection and breakfast every morning.....?
I haven't heard such a length of time but if that's what you need to keep the spike down that's what you need...
45 minutes is the longest I have used......30 minutes is where it seems to have settled for now.....
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