Can't get good results!

You need to do 2 hourly checks between 4am and 9am without anything to eat.

You are not being specific enough with your testing and just guessing your changes to what you are guessing are the times.

You need to find out what your changes are at a minimum of every 2 hours before guestimating.

This is why something like the libre is brilliant. I'd like to go on a pump and it would make the whole process much easier.

Diafreakies said:

That's exactly what I need! I have no problem with my motivation, I have never tried so hard to get something right in my life, but I am completely failing! Thanks for the idea, keeping a diary with all of that in would be a good idea I think! I just wish that my nurses were more involved. I moved to another Uni a year after I was diagnosed and now the care I get is not good compared to how great it was before! I know I can't blame them for my problems, but I was literally given this pump and sent off with it with barely any information! The first hospital I was at saw me every week, now I'm lucky if I can get an appointment once a month!

Do you find your basel rates change frequently still? Or does everything stay pretty similar now that you've got it more under control?

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I did DAFNE in Sept 2013 and I always use the monitoring diary. I also have some sheets of paper where I note what I eat and my carb calcs. I went to DAFNE with an HBA1c of 8.9% with a pump in mind as did my daughter as well. She's now got a pump but I'm happy injecting as I have more control MYSELF and I alter my ratios and night Humulin I depending on how my BSs are. I also swapped novorapid 4 months ago to Apidra as twhen using novorapid my ratio's when up to 5:1CP. With Apidra it's 2:1CP but that ratio can vary depending on what I'm doing. If you need to alter ratios then do so BUT ALWAYS keep your diary.

I know this is a bone of contention but you might find lowering your carbs and cutting right back on rice and pasta in particular might provide some stability. These are notorious to match to insulin and consequently cause peaks and troughs. I am low carbing and have been for 2 months and it is much easier to stay within a narrow range. Rule of small numbers, smaller amount of carbs and insulin equals smaller amount of error in dosing etc.

Just a thought, nothing more.

Ali

Ali H said:

I know this is a bone of contention but you might find lowering your carbs and cutting right back on rice and pasta in particular might provide some stability. These are notorious to match to insulin and consequently cause peaks and troughs. I am low carbing and have been for 2 months and it is much easier to stay within a narrow range. Rule of small numbers, smaller amount of carbs and insulin equals smaller amount of error in dosing etc.

Just a thought, nothing more.

Ali

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I agree with Ali Re: cutting back on high unit carbs like rice and pasta. I too love these foods but lately I've reduced and limited the amount of rice and pasta I eat...Don't know what insulin you're using...my daughter has novorapid in her pump but if your BSs are highish as to try Apidra or something similar. It's worth a try because insulins react differently in us all.

I am reading Bernstein at the mo and trying very hard not to exceed 40 grams of carbs a day. Most of my carbs are from veg and salad. I am not eating bread, pasta, rice, potatoes etc. My readings are mostly in the 5s and 6s with very little variation day to day. My A1C just came back as 6.1 reflecting 2 months of this regime, the next one is predicted to be 5.7 ish. I use a Pinterest page called Typeonegrit for a lot of my recipes and indeed Pinterest in general is excellent, also just google for them, sites like DJ Foodie, um I eat I breathe is possibly another or some such name lol!!

I have just had a chicken and avocado salad for lunch, yum yum. Typeonegrit also has a Facebook page but you have to be committed to trying this before being allowed in, them's quite strict lol!!

But as I said earlier, it is a highly emotive area when it comes to diabetes and some people prefer other methods. I just know it is working far better for me.

Ali

My hba1c was 9.1 in November then it was 8.8 in January then 8.2 in march... I have cut out all sweets snacks and bad food and eat 3 times a day and no sugar and I'm doing a bit of walking... yes it is difficult but I'm determined to get it to 7% or less... as I said in a post of mine before I'm going in for ivf

claire_786 said:

My hba1c was 9.1 in November then it was 8.8 in January then 8.2 in march... I have cut out all sweets snacks and bad food and eat 3 times a day and no sugar and I'm doing a bit of walking... yes it is difficult but I'm determined to get it to 7% or less... as I said in a post of mine before I'm going in for ivf

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Very best of luck Claire, I hope you get to where you need to be and can have your treatment. I have just had salmon, mexican stir fry veg and spicy zucchini cakes for my tea. Yum yum and not a potato in sight!!

Ali H said:

I know this is a bone of contention but you might find lowering your carbs and cutting right back on rice and pasta in particular might provide some stability. These are notorious to match to insulin and consequently cause peaks and troughs. I am low carbing and have been for 2 months and it is much easier to stay within a narrow range. Rule of small numbers, smaller amount of carbs and insulin equals smaller amount of error in dosing etc.

Just a thought, nothing more.

Ali

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Yes to this. The point is that a lower carb intake will give you not only lower insulin doses, both basal and mealtime, but more consistent BGs as well. The span between pre- and post-meal will shrink. That makes BGs much, much easier to manage.

Also, once this starts, it tends to be a benevolent self-reinforcing wheel - the opposite of the vicious circle.

I'm on 30g a day as per Bernstein, like Ali. But 70g a day, say, would still make a huge difference. Try it and see