Maxy
Well-Known Member
Looking at what you've written, your bg levels are still high during the day. I'd also look at your levemir timings. Doing midnight/midday injections doesn't leave you much room for management before bed, but this is your choice entirely.
Given the reaction overnight and your bg levels during the day, it suggests your levemir split is wrong. You might want to look at a more 1/3 overnight, 2/3 during the day split and treat it as two different basals. This has worked for me.
The other point to be aware of is the impact of protein. Even if you aren't eating carbs, protein does cause a bg level increase. It's harder to bolus for, and I find that I require a delayed shot of fast acting to cover it.
I'd also suggest redoing the basal testing according to the Salford guidelines.
I don't know if any of this helps.
This makes a lot of sense- I used to do my whole levemir dosage in one big lump, but I found its absorption rate was even more ropey for many years. A third less at night with a split dose sounds like a great starting point which I can adjust from. The impact of protein on BG levels is something I've experienced but never properly read about, confusing, but I'll definitely be learning more about it to factor this in. Timing of my jabs is definitely not a properly controlled factor in my current regime, other than levemir at roughly the same time and novorapid timed before meals.
Hey Maxy,
I'm sat after just coming out of a hypo, took too much QA last night !! I read your analysis of hypos and hypers and sympathasise with this completely !
My moods were pretty **** last year, based on the fact I was yo-yoing a lot and my doc said low mood was reflective of my BG bouncing around so much, so I took the step of learning more about Dr Bernstein's methods. I try to low carb as much as possible, sometimes it's tough particularly when I am really hungry, but on the whole I've cut out rice, pasta, bread, sugar, cereals and eat a high protein diet which with some QA tweaking, has stabilised my sugars. When I get into it then I generally see better readings, however you still have to take QA for a protein diet as your body is clever at converting this into sugar for energy. So are you taking anything when you eat a protein only meal ? And have you read up on his method ?
Also are you correcting before meals ? I used to correct whenever I tested but after doing DAFNE I now only correct at meal times.
It also sounds like you are down with a bug so all in all a bad combo at this present time.
I always see type 1 as work in progress, what works for one doesn't necessarily have the same effect on another as we are all so unique, but recording your results is vital.
Stay positive though it will come right again![]()
Sorry to hear about the yoyo rollercoaster Juicy! The mood side to it is very clear cut and easy to see, you can feel why it's going wrong but feel a bit helpless to control it- more stress, higher cortisol- it feels like one massive contradiction at times. You're right though staying positive helps a hugely.
Just in case I was a bit vague with my last post- I was intentionally consuming no carbs over the weekend so that the doctors could see what my basal is doing then sort that out before going back to sorting out the bolus again.
Although saying this, I intentionally consumed very few to no carbs last summer- I had the most stable levels recorded for a month or two, i.e. between 5–8 consistently. Bolus insulin requirements were virtually nil and basal was significantly lower (I adjusted it by instinct to cover the high protein and high fat). I stopped due to realising it was a bit dangerous due to the body dipping into glycogen stores in the liver which would not be there for emergency situations. I was also doing a lot of exercise at that time so night time lows were a risk, but funnily enough nowhere near as common as they are now.
I'm going to do a DAFNE course soon which should enlighten me to some more precision based work and help me self manage a bit better. Thanks for your replies and all the best.