difficulties managing glucose level

Hi guys,


my name is Sini,I have T1D for 40 years.About a year ago I switched to a low carb diet which,in general, changed my life to so much better (my A1C used to be around 6.8%,now it is in the 5.3 - 5.6% range).I am using FreeStyle Libre and FreeStyle Precision Neo to monitor my glucose.

However I do have an issue with glucose level management.

I noticed that approximately every 4-6 weeks it happens that my glucose goes off,usually not higher than 10mmol/l.It used to last 2-3 days and then it would get back to normal.As much as I can remember it started about 1.5 years ago.

Today is the 8th day that I'm out of my normal range and trying to find out how to manage it.

My diet is pretty steady,when everything is fine I keep my levels between 4.0-6.5mmol/l without any problem.

I've tried several things

- increased Novorapid insulin up to 4 units per meal

- increased long acting insulin Toujeo 3 units

- made sure to change pen needles and check if insulin pen is working properly

- tried to use "new" insulin and started using new pen

- changed injection sites


Unfortunately no change yet!

I would really appreciate the feedback if there are others who experienced the same thing.


Thank you,


Sini

Juicyj said:

Hello and welcome @Sinni

Changes in your blood glucose control can happen for many reasons, hormones, stress, exercise, heat, sometimes we can’t even put a reason to it, are your corrections managing this ?

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Thank you for your reply!

I totally agree about what you're saying,it just feels frustrating when nothing seems to be working.Good thing is that my glucose levels are not that high,previously - before I started low carb diet my glucose would be between 15-20 mmol/l.
Two days ago I got a new insulin pen and today is the first day that I feel much better and glucose is more under control.
It could be that the pen I was using was faulty ( I got it about 1.5 years ago).

Thanks again

Sinni

ert said:

This happens to me when my insulin is 2-4 weeks old even though it/s been in the fridge.

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Hi,

I haven't noticed anything like that so far.So what do you do regarding insulin storage?

Jollymon said:

Stress and hormones are factors in bs management! Becoming upset about why a number is so large might not help you regain control of that number due to the stress of it.

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Yeah,you're right about that one.I guess what I need to do is after excluding possible "suspects" stay calm knowing that it'll soon go away

Thank you

Jollymon said:

You are counting all of the carbs, right?

Another issue might be injection spot scar tissue. That’s going to slow absorption rates. We all develop this over time, so w have to keep our injection spots moving.

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Hi,
I am not counting carbs because the majority of the food I eat consists of about 15-20 items that I keep rotating for different meals.Those are my favorite ones which normally have no or very little effect on my glucose.