End of honeymoon period?

[drahawkins_1973]

Hi all,
Over the last couple of weeks for a couple of days my insulin requirements have been really reduced to almost not needing any bolus to cover meals. After a couple days they go back to relative normality. However for the last few days I can't seem to get levels into single figures. Was my pancreas having a last blow out recently and now totally given up?? My basal levels seem ok as levels stabilise after a about 4 hours after eating but C:I have gone from 1:20 to 1:10. Any advice??


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[anna29]

dra hawkins 1973

Have deleted all the excess duplicate posts of this for you .

Glitch on system may have caused this to happen roblem:

Posted here to explain - hope you don't mind me helping you out with this .

Anna .

 

[noblehead]

Quite possible, it will be a case of monitoring and adjusting your insulin accordingly over the coming days. Hope things settle down for you soon!

 

[drahawkins_1973]

Thanks Anna!
Hi noblehead. I'm testing more to try to figure things out. The strangest thing happened this afternoon. Was 5.3 pre-lunch. Did my revised 1:10 bolus (only 2.5 units novarapid) and 3.5 hours later was still high, up at 10.4. 4.5 hours after lunch I tested before driving home and was 8.5. I just tested before dinner 6 hours after lunch insulin and have dropped to 5.5 so I dropped 3 units in 1.5 hrs. Very odd!!! So I ended up where I should have been it just took ages.


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[smidge]

Hi DRAHawkins!

This tends to happen to me when I'm getting a cold or similar infection. BG goes mad and I almost double my insulin requirements. It settles back down when the infection has cleared. As noblehead said, just keep monitoring. Use as much insulin as you need - bt be prepared to backtrack quickly if BG starts to fall.

Smidge

 

[drahawkins_1973]

It's been 7 months since I was diagnosed and so I guess I'm really expecting my honeymoon period to finish soonish and so I attribute any changes to that happening, but you're right it could be cold/infection. More testing is the way forward I guess!
Maybe we can rephrase the old saying
" no rest for the wicked"
to
" more test for the diabetic"




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[drahawkins_1973]

Re: End of honeymoon period? effect of carbs!

I've been testing more recently to try and undertsand what is going on and get why my I:C ratios have gone from 1:20 to 1:10

I still have the same effect from one unit of insulin. It drops my levels by 5mmol.
But what I have noticed is that carbs are having much more of effect on my sugar levels. Whereas before 10g carbs raised me 3mmol it is now raising me 6mmol!

This is kind of back to front to what I expected. But it does explain my really high spikes after eating

Has anyone else expreinced this?

 

[mentat]

The mathematics behind blood sugars is really very approximate stuff that relies on conditions in your body being stable. Your basal insulin does more than you realise!

I've experienced this sort of crazy thing quite a few times, I've always suspected that my immune system has never been "dead set" on eliminating my beta cells, and stops attacking them sometimes. I'm on an autoimmune protocol diet right now and my sugars are a lot more stable than usual and my dosages are slowly falling so there may be something to it.

 

[drahawkins_1973]

HI Mentat,

Thanks.

I agree about the basal insulin I first wondered whether I needed to up that (I am only on 3 units of Levemir once). But I've re-done a basal test and my basal dose is good, my sugars are really stable, and so I'm not keen to change it.
My problem seems to be eating
I think I'll try changing the timing of my bolus insulin and looking into low carbing for while to see if that helps.

Sorry for my ignorance but what is autoimmune protocol diet?

 

[mentat]

Oh I'm not suggesting you change your basal! Just that its activity contributes to what your sugars do when you eat. And when your insulin sensitivity changes, a lot of surprising things can happen.

I'm on the paleo autoimmune protocol, basically a low-carb elimination diet that cuts out all allergens and gut irritants, as some believe that allergens, irritants and feeding gut bacteria lots of carbs are major factors contributing to many autoimmune diseases. This page gives a decent overview.