Just been told I've apparently have very good bg control, in fact too tight? never would i thought a diabetic specialist complain about that. Nor would I of thought that a diabetic specialist nurse would complain about estimated hb1ac 42mmol/mol (84 of 90 days data). I'm apparently in some sort of honeymoon phase according to them.
Last appt was told between 4 and 10 is good, the lower the better. Goto sleep around 5-6mmols if flat graph should be fine, that was in response to if my BG was under 5 i tended to grab a biscuit or something and was told shouldn't worry. Suddently 4 weeks on, the SAME DSN thinks thats too risky for hypo eh? now given target 7-10 before bed and 4-7 daytime hours is that normal? I asked if i should just eat a sandwhich or small bowl cereal or something before bed to be given reponse, you shouldn't chase your insulin with food, how else supposed to goto bed higher?
The flat graph inbetween food/exercise was after changing toujeo dose down several weeks ago. I really dont understand the logic if flat graphs are good then why would they want me to reduce the long acting even further?
Maths its just as well i'm ok
was a nice and easy 1:10 ratio now been asked to try 1:12 ratio but not to round up or down. I've asked for half dose pen to be able to do that better was given what i perceive as a negative response just eat a little more or less to get the 'correct ratio'. I was rounding up or down for the 1:10 ratio.
I'm not keen on changing the long acting dose at all to me a flat graph (+/- 0.2) makes much more sense than what i presume would be a slow rise from not enough basal.
I do agree with insulin ratio changed but the max carbs i have for breakfast is 41 if hungry most of the time its 26g carbs + whatever is in the the milk with my hazlenut latte.
With the 1:12 ratio 26/12 = 2.16 units not supposed to round up/down ? ok so need make it to 36g for 3 units (or remove 2g of carbs from the 2 wheatabix how much of a wheatabix biscuit to remove urgh).
They are apparently sending me some new 'sick day rules' via email alongside some "exercise guidelines" for what to do with fast acting insulin, i was informed before if swimming an 'hour or so so after food' reduce novarapid by 1-2 units if it was a planned swim, now told if planned reduce somewhere between 25-50% apparently i'll work out the right amount. The nurse then proceeded to talk about proespect changing to insulin pump after another 3 months after some 'education course' that they are going to sign me up on to make it easier? I was if unplanned just eating some fast acting carbs which seemed to work well what is wrong with continuing to do just that I have no idea. 25-50% less fast acting insulin considering luch between 26 and 40max would be very difficult to acheive without a pen which can do half unit measurements.
CGM readings have been recently a couple of MMOL's out vs finger pricks (taking 10 minute lag into consideration). Why would a DSN write off possible compression lows and suddenly panic control is too tight based on CGM readings that appear to be consistantly reading 20%+ lower than the fingerprick results?
Not happy with todays appointment I was always taught if something isn't broken don't fix it!
Last appt was told between 4 and 10 is good, the lower the better. Goto sleep around 5-6mmols if flat graph should be fine, that was in response to if my BG was under 5 i tended to grab a biscuit or something and was told shouldn't worry. Suddently 4 weeks on, the SAME DSN thinks thats too risky for hypo eh? now given target 7-10 before bed and 4-7 daytime hours is that normal? I asked if i should just eat a sandwhich or small bowl cereal or something before bed to be given reponse, you shouldn't chase your insulin with food, how else supposed to goto bed higher?
The flat graph inbetween food/exercise was after changing toujeo dose down several weeks ago. I really dont understand the logic if flat graphs are good then why would they want me to reduce the long acting even further?
Maths its just as well i'm ok
was a nice and easy 1:10 ratio now been asked to try 1:12 ratio but not to round up or down. I've asked for half dose pen to be able to do that better was given what i perceive as a negative response just eat a little more or less to get the 'correct ratio'. I was rounding up or down for the 1:10 ratio. I'm not keen on changing the long acting dose at all to me a flat graph (+/- 0.2) makes much more sense than what i presume would be a slow rise from not enough basal.
I do agree with insulin ratio changed but the max carbs i have for breakfast is 41 if hungry most of the time its 26g carbs + whatever is in the the milk with my hazlenut latte.
With the 1:12 ratio 26/12 = 2.16 units not supposed to round up/down ? ok so need make it to 36g for 3 units (or remove 2g of carbs from the 2 wheatabix how much of a wheatabix biscuit to remove urgh).
They are apparently sending me some new 'sick day rules' via email alongside some "exercise guidelines" for what to do with fast acting insulin, i was informed before if swimming an 'hour or so so after food' reduce novarapid by 1-2 units if it was a planned swim, now told if planned reduce somewhere between 25-50% apparently i'll work out the right amount. The nurse then proceeded to talk about proespect changing to insulin pump after another 3 months after some 'education course' that they are going to sign me up on to make it easier? I was if unplanned just eating some fast acting carbs which seemed to work well what is wrong with continuing to do just that I have no idea. 25-50% less fast acting insulin considering luch between 26 and 40max would be very difficult to acheive without a pen which can do half unit measurements.
CGM readings have been recently a couple of MMOL's out vs finger pricks (taking 10 minute lag into consideration). Why would a DSN write off possible compression lows and suddenly panic control is too tight based on CGM readings that appear to be consistantly reading 20%+ lower than the fingerprick results?
Not happy with todays appointment I was always taught if something isn't broken don't fix it!
