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Dosages

S

SeanHomer_1

Member
Messages
13
Type of diabetes
Type 1
Treatment type
Insulin
Hey guys,

I'm having issues with my meal time injection.
It used to be fine, my last HBA1C was 63, I've got good control of my diabetes,
However, and I have not changed anything in my diet recently, I am struggling to keep my blood sugars below 13.

My doses are as follows:
Lantus: 25 units at 23:00
Novorapid: 1u for every 10g

The last three mornings after my breakfast which I have at 9am, I have taken 6u with 60g of carbs that I eat.

The readings are as follows
Before meal: 7.5
2 hours after: 15.4

Before meal: 7.6
2 hours after: 15.1

Before meal: 8.5
2 hours after: 15.4

I am also struggling to get my levels below 10 throughout the day as well.

I am not very active at the minute and I tend to eat the same thing. The only thing that has changed in the past week is that I have started using the Freestyle Libre, before you say that's where I am going wrong, the readings above have been done with my freestyle optium neo (finger prick).

I really don't know what's going on, I am not ill, and it is really frustrating now as it is not like I am being lazy. Any help would be appreciated!!
 
I don't think it's my Lantus, I've I have it any higher than it is right now I reckon I would be waking up with levels below 5, my waking levels range from about 5.5 to 6.5
 
Also, would injection areas affect it? I use my stomach 95% of the time because it's the only part of me that I have fat
if I over inject in one area could it be affecting my insulin?
 
Ratios can and do change from time to time. You say you're not very active at the minute, that could well reduce your insulin sensitivity - assuming you were more active before the issue arose. You may well just have to increase your ratio whilst you're not currently 'active'. Have you or are you able to do correction dosages and if so does that help? (that would dispel duff insulin and bad injection site theories)
 
I guess the other question is what was your four hour reading after eating? If it was back to the level you were at before eating, then the simplest answer is probably to do your fast acting a little earlier before your meal.
 
mahola said:
Yes, it could. Do you have any lumps etc? Also, have you tried changing your insulin, it could have gone off.
Click to expand...

I wouldn't say I have lumps on my stomach, it does feel a tiny bit swollen though and yes I changed my insulin and it hasn't effected anything
 
I just tested 3 hours after and my results are 12.6 so it has gone down by about 3
 
Fair point @slip - I'd suggest that the initial response regarding basal testing would be the most appropriate action to take @SeanHomer_1
 
Basal testing is always a good start. I'd also look at the timing of your breakfast fast-acting insulin. Breakfast is the meal for which i have to bolus furthest in advance. So after you've checked your basal, I'd look at moving your bolus more in advance. Do it gradually and stick to the same breakfast when your doing it, as it makes it easier.

If you're still high, then consider your ratio too. You may need a higher ratio at breakfast.
 
SeanHomer_1 said:
Also, would injection areas affect it? I use my stomach 95% of the time because it's the only part of me that I have fat if I over inject in one area could it be affecting my insulin?
Click to expand...

You must try and rotate your injection sites, Lipohypertrophy issues are not always visible to the eye but still exist, next time you see your Consultant/DSN ask them to feel round the area to see if you have any lipo there.

When someone has Lipo issues it can lead to a slow absorption rate of the insulin, not saying this is the case with you but it's something to consider if your over-using your stomach to inject and may explain why your postprandial bg levels are high at 2 hours yet fall back down before you next eat.
 
Just a quick question, I just injected for my lunch and i didn't realise the needle wasn't fully inserted, it's now left a lump on my skin, is that an issue? And will the insulin be absorbed still?
 
SeanHomer_1 said:
Just a quick question, I just injected for my lunch and i didn't realise the needle wasn't fully inserted, it's now left a lump on my skin, is that an issue? And will the insulin be absorbed still?
Click to expand...

No way to tell sadly. All you can do is keep testing to see if your blood sugar is as you'd expect.
 
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