So a lot of you may think this system is completely crazy and dangerous, and admittedly it is, but I don't know what else to do.
Up until around a year ago, I had been doing the normal thing of keeping the lantus dose roughly the same each day, this had worked very well for me for many years.
Something changed around a year ago where I realised my sugars in the morning would change dramatically depending on how many carbs I had eaten/ how much novarapid insulin I had put in the day before..
Even when my sugars were perfect in the evening, I'd sleep with it being 5 (it would be 5 after many hours of eating-- all food had been digested) and wake up to it being 15 but the next day the same amount would make me very low in the morning (if i had eaten a different amount of carbs compared to the day before)
As a result, I started adjusting my lantus based on this.. ie, based on how much carbs I had eaten during the day/how much insulin I had put in that day.. I eventually came up with a 1.5 ratio, I divide the total novarapid insulin ive had that day by 1.5 and get my lantus dose.. (also, my novarapid ratio is also 1.5u to 10g carbs). Before this system, I had set numbers based on whether I'd eaten a lot of carbs, a small amount, or barely anything, on the day. This usually worked but sometimes didn't- sometime's I'd wake up high in the mornings and sometimes low.
Most of the time this system works and my sugars are good in the morning, but on days where I can't remember how much insulin I've put exactly, its quite dangerous. And some days, I wake up low in the mornings. It used to be quite often until I started the ratio method, but on occasion, it does still happen.. and sometimes I wake up with levels of 8-9 (but this varies every day, most days it is 5-6).
A doctor I had seen thought this system was very interesting but suggested possible solutions for the future- potentially splitting doses or changing to a longer acting insulin or a shorter one.. I was shocked to find out about these options as it had never been suggested to me before.. nevertheless, I'm excited to know that there are alternative solutions.
Has anyone else got any advice for this? I have had advice of 'keep lantus dose the same daily' and i have tried many times but it simply does not work. I cannot ignore what my readings are telling me.. it used to work very well for me, but for some reason something changed and it no longer does.
Up until around a year ago, I had been doing the normal thing of keeping the lantus dose roughly the same each day, this had worked very well for me for many years.
Something changed around a year ago where I realised my sugars in the morning would change dramatically depending on how many carbs I had eaten/ how much novarapid insulin I had put in the day before..
Even when my sugars were perfect in the evening, I'd sleep with it being 5 (it would be 5 after many hours of eating-- all food had been digested) and wake up to it being 15 but the next day the same amount would make me very low in the morning (if i had eaten a different amount of carbs compared to the day before)
As a result, I started adjusting my lantus based on this.. ie, based on how much carbs I had eaten during the day/how much insulin I had put in that day.. I eventually came up with a 1.5 ratio, I divide the total novarapid insulin ive had that day by 1.5 and get my lantus dose.. (also, my novarapid ratio is also 1.5u to 10g carbs). Before this system, I had set numbers based on whether I'd eaten a lot of carbs, a small amount, or barely anything, on the day. This usually worked but sometimes didn't- sometime's I'd wake up high in the mornings and sometimes low.
Most of the time this system works and my sugars are good in the morning, but on days where I can't remember how much insulin I've put exactly, its quite dangerous. And some days, I wake up low in the mornings. It used to be quite often until I started the ratio method, but on occasion, it does still happen.. and sometimes I wake up with levels of 8-9 (but this varies every day, most days it is 5-6).
A doctor I had seen thought this system was very interesting but suggested possible solutions for the future- potentially splitting doses or changing to a longer acting insulin or a shorter one.. I was shocked to find out about these options as it had never been suggested to me before.. nevertheless, I'm excited to know that there are alternative solutions.
Has anyone else got any advice for this? I have had advice of 'keep lantus dose the same daily' and i have tried many times but it simply does not work. I cannot ignore what my readings are telling me.. it used to work very well for me, but for some reason something changed and it no longer does.
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