Blood sugar rising despite Novorapid

[JMoli]

Hi, not sure what to do?! Blood sugar good yesterday until salmon dinner. Went low after, couple of jelly babies, then woke at midnight (6 hours after eating) to a high alert of 14. Stayed around 12-14 all night, woke to a 10.9. I don’t have a correction dose yet so took a half unit. Went up to 11.9? Had a coffee and handful of nuts. Then tried one unit correction dose and now at 12.9 half and hour later? Usually I’m around 6/7 through the night and wake between 6-7. I’ve no idea how to eat for breakfast? I am due my period so aware hormones are possibly not helping but I don’t know what to do? I’m still in the honeymoon period and have had a weird week of changing carb ratios (daily) - some days 1:35 others 1:15 and back. I’m pretty lost! Any ideas? Thanks
Oh, checked keotones 0.1

 

[Rose22]

Hi, not sure what to do?! Blood sugar good yesterday until salmon dinner. Went low after, couple of jelly babies, then woke at midnight (6 hours after eating) to a high alert of 14. Stayed around 12-14 all night, woke to a 10.9. I don’t have a correction dose yet so took a half unit. Went up to 11.9? Had a coffee and handful of nuts. Then tried one unit correction dose and now at 12.9 half and hour later? Usually I’m around 6/7 through the night and wake between 6-7. I’ve no idea how to eat for breakfast? I am due my period so aware hormones are possibly not helping but I don’t know what to do? I’m still in the honeymoon period and have had a weird week of changing carb ratios (daily) - some days 1:35 others 1:15 and back. I’m pretty lost! Any ideas? Thanks
Oh, checked keotones 0.1

Heat doesn’t help numbers sometimes, I found hormones where rising me to 16-18 even though dosing before meals so I contacted my specialist diabetes nurse and she advised me to up my background insulin by 20% during period time and see, may need more but start 3 months that and see, may be worth emailing your nurse see what she advises?
It’s ever changing isn’t it! I had a week a couple of months back where I hardly needed any insulin at all! Now I’m on highest levels yet, so I get what it’s like with the fluctuations and changing doses. Salmon dinner shouldn’t rise you, fatty fish good, so would say prob other things adding to numbers going up a bit. I think I see high numbers when about to get Ill too.
14 not drastically high but I’m sure you are feeling it enough. Hope you see more stable numbers today, at least every day is a new one with diabetes, sometimes we just don’t know!

 

[Antje77]

Hi @JMoli ,
Sounds like you're doing all the right things within the guidance you've been given and your own experience.
If I were you, I'd keep on doing what you are doing: keeping a close eye on bg and on ketones too if your bg doesn't come down, and carefuly correcting.

As for the cause, I'd blame the period for now. Many people experience higher bg's despite taking more insulin around their periods. (For me it's the other way around, which is just as annoying.)
This stuff also always happens during the weekend, when you can't get advice unless it's an emergency .

If you manage to keep at around those levels I'd wait until monday before calling. If they go higher or if you get high ketones, don't wait until monday.

Good luck!

 

[JMoli]

Thanks so much, it certainly is ever-changing!! I think I’ll go low carb today as I haven’t got a clue what today’s carb ratio is and it’s hot so I don’t want to hypo. I spoke to a dietician the other day and she had a look at my Libre graphs (not helped by the fact I had a dodgy sensor that gave crazy high readings for three days) but she’s happy with my basal. I’ll see if I’m high through the night again and increase tomorrow maybe.
I’m SO fed up with diabetes just now, I can’t seem to even go two days with a consistent carb ratio and feeling pretty sorry for myself. My unit correction sent me close to hypo earlier so had a biscuit and two jelly babies and now I’m high again!! I give up for today!!! Xx

 

[ert]

My unit correction sent me close to hypo earlier so had a biscuit and two jelly babies and now I’m high again!! I give up for today!!! Xx[/QUOTE]
I hope you get better readings soon. I find above 3.5 mmol/l I eat blueberries or a small slice of apple. I only eat jelly babies for treatment blood sugars below this level which is a DAFNE classified hypo. Otherwise, my blood sugars will spike high, like you're finding.

There is a book you may want to look out for by Dr S Ponder, Sugar Surfing: 'How to manage type 1 diabetes in a modern world.' It helps you accept that diabetes is about getting unrepeatable results, ie even if you eat the same things every day and your insulin requirement is still different. It teaches you to follow the blood sugar numbers and accept and work with the variability.

 

[JMoli]

My unit correction sent me close to hypo earlier so had a biscuit and two jelly babies and now I’m high again!! I give up for today!!! Xx

I hope you get better readings soon. I find above 3.5 mmol/l I eat blueberries or a small slice of apple. I only eat jelly babies for treatment blood sugars below this level which is a DAFNE classified hypo. Otherwise, my blood sugars will spike high, like you're finding.

There is a book you may want to look out for by Dr S Ponder, Sugar Surfing: 'How to manage type 1 diabetes in a modern world.' It helps you accept that diabetes is about getting unrepeatable results, ie even if you eat the same things every day and your insulin requirement is still different. It teaches you to follow the blood sugar numbers and accept and work with the variability.[/QUOTE]

Thanks, I’ll try and get a copy. Usually two jelly babies stop a hypo for me and don’t cause a high but nothing is as it usually is recently! I’m very insulin sensitive but not sure what’s happening just now

 

[ert]

Usually two jelly babies stop a hypo for me and don’t cause a high [/QUOTE]
I find it depends on whether your blood sugars are still dropping, levelled out, or on the way back up (the arrow on your Libre). It's less likely to cause a spike eating jelly babies if your blood sugars are still dropping. It's DAFNE that suggests only taking jelly beans for blood sugars below 3.5 mmol/l.

 

[JMoli]

Usually two jelly babies stop a hypo for me and don’t cause a high

I find it depends on whether your blood sugars are still dropping, levelled out, or on the way back up (the arrow on your Libre). It's less likely to cause a spike eating jelly babies if your blood sugars are still dropping. It's DAFNE that suggests only taking jelly beans for blood sugars below 3.5 mmol/l.[/QUOTE]

Thanks, so they course suggests some fruit if you’re heading low but not reached hypo (and arrow not going straight down) ? That’s good to know, I have hypo fear and tend to get into a panic!

 

[JMoli]

Think I have a tooth infection so this must be behind the horrible high blood sugars! Aargh, not wanting a dental problem during a pandemic.....

 

[Juicyj]

Think I have a tooth infection so this must be behind the horrible high blood sugars! Aargh, not wanting a dental problem during a pandemic.....

Unfortunately you will need to get an emergency appointment to get that sorted, running high as a result of a dental infection needs urgent treatment. I had a dental appointment last week and was super impressed with how well they managed the apt, I was sent a text asking me to reply when I was there and once they were ready they texted me to tell me to come to the door, I used handgel upon entering and bag was placed in a box and it was taken to the treatment room, I wasn’t looking forward to it but felt it was actually ok and so impressed with the staff and handling so try not to worry too much about that.

 

[JMoli]

Hi @JMoli ,
Sounds like you're doing all the right things within the guidance you've been given and your own experience.
If I were you, I'd keep on doing what you are doing: keeping a close eye on bg and on ketones too if your bg doesn't come down, and carefuly correcting.

As for the cause, I'd blame the period for now. Many people experience higher bg's despite taking more insulin around their periods. (For me it's the other way around, which is just as annoying.)
This stuff also always happens during the weekend, when you can't get advice unless it's an emergency .

If you manage to keep at around those levels I'd wait until monday before calling. If they go higher or if you get high ketones, don't wait until monday.

Good luck!

Thanks so much, I think it’s a mixture of period hormones and a bad tooth! Typically it’s the weekend!! I’ll call the dentist tomorrow and hopefully be seen tomorrow. Thanks again

 

[JMoli]

Unfortunately you will need to get an emergency appointment to get that sorted, running high as a result of a dental infection needs urgent treatment. I had a dental appointment last week and was super impressed with how well they managed the apt, I was sent a text asking me to reply when I was there and once they were ready they texted me to tell me to come to the door, I used handgel upon entering and bag was placed in a box and it was taken to the treatment room, I wasn’t looking forward to it but felt it was actually ok and so impressed with the staff and handling so try not to worry too much about that.

Thanks, that’s really reassuring. Have an appointment for tomorrow, had to explain type 1 and importance to be seen to receptionist but hoping I’ll get some kind of temporary filling or something