confused about insulin

[ness1982]

Hi everyone. I'm currently taking 36 units of levemir on a night time (gradually upped from 30 as morning levels were creeping up again) which was working really well at keeping my fasting level just below 6, but for the past 2 days it seems to be getting lower. Yesterdays was 4.3 and this mornings was 3.9. I was worried about placenta failure so had a cereal bar (healthy one) without insulin to check my levels weren't dropping. An hour later my blood sugar was 10.0 (first time I've been happy and reassured to have a high reading) but half an hour later it was 6.2 which has left me a little confused as to whether I've got the right balance of insulin as my numbers seemed to drop to a normal level quite fast with no insulin. I usually take 10 units of novorapid to keep my levels within range 1 hour after breakfast but do tend to get hypos between breakfast and lunch (despite snacking). Has anyone experienced anything like this and if so any suggestions on how to solve it? Also I've been reading that some people are told to test 1 hour post meals and others 2 hour post meals and was wondering if anyone knew why? Obviously I'm going to carry on testing at 1 hour as that's what my consultant has told me to do but was just curious. Oh and I'm 33 weeks pregnant. Many thanks xx

 

[David147]

Having your levels normal is important for after Riley is born. I've had 2 with GD. The first one was fully under control (with oral insulin, not injections) and the second one wasn't. She didn't want to put me on insulin and the other med I was taking wasn't getting my fasting #'s down. That said, neither of my boys had problems with their blood sugars after they were born.

I'm really surprised at how fast they're moving with all of that though, so that's good news. I would assume they don't think the baby is TOO big at this point and they'd prefer to let him bake as long as needed. And yes, your #'s warrant intervention with medication if diet (& exercise) aren't doing it for you.