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blood sugar levels hi
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<blockquote data-quote="Spiker" data-source="post: 529345" data-attributes="member: 102150"><p>Hi William </p><p></p><p>It's good that you know that you have taken 5 or 10 units of Novorapid in the past to get high blood sugars down. </p><p></p><p>What I would suggest is that first of all figure out how much one unit of insulin will bring your blood sugar down by. Are you OK with skipping one meal to figure this out? It needs you to not eat for about 4 hours. So for example could you skip breakfast tomorrow and instead do a correction dose? </p><p></p><p>As a starting point for you assume that one unit of Novorapid will drop your blood sugar 1 mmol/L on your meter. (For me 1 unit drops me 1.5. For other people who are not overweight 1 unit can drop by 2-3). As you are on around 108 total units of insulin a day and weigh 18st you will need more insulin than those people to drop your blood sugar. </p><p></p><p>Let's take a target for your blood sugar of 8 mmol/L on your meter. As you say you have not seen that low for a while so that will be a good improvement. </p><p></p><p>In the morning take your blood sugar. For every mmol/L your meter is above 8, take 1 unit of Novorapid. So if your meter shows 15 again, take 7 units. If it shows 20 again, take 12 units. Don't eat anything. Do a blood sugar measurement every hour.</p><p></p><p>IMPORTANT - If your blood sugar goes below 8 any earlier than 3 hours, have a couple of biscuits to prevent a hypo. Hopefully that will not happen. If you feel weird do another blood test and if it is below 8 have another couple of biscuits. If that doesn't fix the feeling keep eating something sugary until the feeling goes away. </p><p></p><p>It may take a couple of days to get this right but once we know this value we can correct your daytime highs and then look at getting your Lantus right. After that we can get your carb ratios right and start carb counting. Won't be long before you are back into good blood sugars all day long. </p><p></p><p>Sent from the <a href="http://www.diabetes.co.uk/app/?utm_source=sig&utm_medium=txt&utm_campaign=appsig" target="_blank">Diabetes Forum App</a></p></blockquote><p></p>
[QUOTE="Spiker, post: 529345, member: 102150"] Hi William It's good that you know that you have taken 5 or 10 units of Novorapid in the past to get high blood sugars down. What I would suggest is that first of all figure out how much one unit of insulin will bring your blood sugar down by. Are you OK with skipping one meal to figure this out? It needs you to not eat for about 4 hours. So for example could you skip breakfast tomorrow and instead do a correction dose? As a starting point for you assume that one unit of Novorapid will drop your blood sugar 1 mmol/L on your meter. (For me 1 unit drops me 1.5. For other people who are not overweight 1 unit can drop by 2-3). As you are on around 108 total units of insulin a day and weigh 18st you will need more insulin than those people to drop your blood sugar. Let's take a target for your blood sugar of 8 mmol/L on your meter. As you say you have not seen that low for a while so that will be a good improvement. In the morning take your blood sugar. For every mmol/L your meter is above 8, take 1 unit of Novorapid. So if your meter shows 15 again, take 7 units. If it shows 20 again, take 12 units. Don't eat anything. Do a blood sugar measurement every hour. IMPORTANT - If your blood sugar goes below 8 any earlier than 3 hours, have a couple of biscuits to prevent a hypo. Hopefully that will not happen. If you feel weird do another blood test and if it is below 8 have another couple of biscuits. If that doesn't fix the feeling keep eating something sugary until the feeling goes away. It may take a couple of days to get this right but once we know this value we can correct your daytime highs and then look at getting your Lantus right. After that we can get your carb ratios right and start carb counting. Won't be long before you are back into good blood sugars all day long. Sent from the [url=http://www.diabetes.co.uk/app/?utm_source=sig&utm_medium=txt&utm_campaign=appsig]Diabetes Forum App[/url] [/QUOTE]
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