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FEMALES PLEASE!!!

victoria__1986

Well-Known Member
Messages
117
Type of diabetes
Type 1
Treatment type
Insulin
Hi,

I am currently on the second week of carb counting, and it is going really well. Until today when I hit a road block.

I am due on and my sugars are 18-19. I understand you should not use high correction doses, so do I alter the amount of quick acting I give before carbs? I'm currently on 1 unit to every 10g of carbs. My sugars after dinner were 18.8. Way too high!

Any advice on this would be appreciated!

Thankyou
 
The same thing happens to many women including me about a week before I am due a period. As I have an I insulin pump I can increase my temporary basal rates to about 120-130% on the pump for different times during the day. I usually find that no adjustments are needed during the night, if you are on injections my DSN always suggested to try and take correction dose at the same time as the food bolus. That's not always possible as you need to bring your blood sugars down. I would phone your hospital team and explain what's happening and ask for their advice on how much additional insulin you should take during this time of the month. There is a formula (it's been published on here many times but I haven't got it to hand) that works out approx. what your correction dose needs to be which they should know - they can give you a starting point and tweak from there. No one on here can say how much extra as it will be different for everybody and probably different from month to month and day to day that's why it's a bit trial and error to see what works for you. All the best.
 
Hi,

I am currently on the second week of carb counting, and it is going really well. Until today when I hit a road block.

I am due on and my sugars are 18-19. I understand you should not use high correction doses, so do I alter the amount of quick acting I give before carbs? I'm currently on 1 unit to every 10g of carbs. My sugars after dinner were 18.8. Way too high!

Any advice on this would be appreciated!

Thankyou

Hi Victoria,

I have exactly the same problem - I have read that it is caused by your body becoming more insulin resistant at that time. I have found small amounts of exercise is often very effective at dealing with this. If exercise isn't possible or isn't working - and it doesn't always - I tend to increase my morning basal by 1 - 1.5 units. I should just qualify that by saying I am on small doses (6 units in the morning) so that is about a 20% increase. I don't adjust my night time dose although I probably should - I just worry about going low at night if I adjust that. I also inject more rapid-acting with my meals if i feel it is necessary and correct as needed. The main problem with this is that when the period actually starts my BG fall through the floor immediately and I have to backtrack the doses very quickly. That's why I'm nervous of adjusting night time levels.

Smidge
 
i have a fibriod that bleeds 24/7 for last 7 month , still my gp wont refur me back for the op until im stable in my hbc1 tests :( so i can understand how it feels a my sugers raise when it gets bad , xx
 
Thank you so much for all replying, I exercise a lot so am not having to increase my insulin before my meals for that. It's late afternoon and evening. I think I will need to increase my long acting at dinner by a few units and more fast acting for dinner.
As if there wasn't enough to put up with being a diabetic!

All trial and error at the moment

Thank you again

Sent from the Diabetes Forum App
 
This has been a fascinating read and something I had not thought about. I am 55 had been on metformin and gliclazide for about five years. Then in November I started bleeding like I have never experienced before and this continued for a month until being given medication to stop bleeding.

Sitagliptin was also started in November, but because the gynae issue needs an investigative operation, and the pre op appointment identified my BG was much too high for anaesthetic I was started on insulin two weeks ago. That and very strict carb reduction has brought my BG down and I hope that when I get to hospital tomorrow there will not be anything to prevent the investigations going ahead.

I was not regularly testing before the Sitagliptin was introduced in November, but the results through December and Early January were much higher than the Hba1c done in November would have indicated.

Reading your posts have made me consider if it was the gynae problem that contributed to my BGs being so high at this time. It is thought endometrial hyperplasia is causing the problem but tomorrow they will take a biopsy to see if anything more concerning is present.

Thank you for your post - it has given me something extra to ask about tomorrow.

Regards

Debbie
 
This has been a fascinating read and something I had not thought about. I am 55 had been on metformin and gliclazide for about five years. Then in November I started bleeding like I have never experienced before and this continued for a month until being given medication to stop bleeding.

Sitagliptin was also started in November, but because the gynae issue needs an investigative operation, and the pre op appointment identified my BG was much too high for anaesthetic I was started on insulin two weeks ago. That and very strict carb reduction has brought my BG down and I hope that when I get to hospital tomorrow there will not be anything to prevent the investigations going ahead.

I was not regularly testing before the Sitagliptin was introduced in November, but the results through December and Early January were much higher than the Hba1c done in November would have indicated.

Reading your posts have made me consider if it was the gynae problem that contributed to my BGs being so high at this time. It is thought endometrial hyperplasia is causing the problem but tomorrow they will take a biopsy to see if anything more concerning is present.

Thank you for your post - it has given me something extra to ask about tomorrow.

Regards

Debbie

Hi I hope all went okay at the hospital. DId they answer whether the bleeding would cause that?

Hope you're well
 
Hi Victoria.

Thank you for your message.. All went relatively well thank you. I forgot to ask if the bleeding might have caused the raise in BG but we did discuss that the Norethisterone which I am on to stop the bleeding could have caused it and it was agreed it could.

My BG went down to 3 in theatre but they gave me intravenous glucose which of course worked fantastically.

They have found 'lots of' polyps, but I don't know what lots means. They were going to fit a myrena coil as a treatment for the endometrial hyperplasia but didn't because of the other stuff. Will get results in 3 - 4 weeks, but was told high chance of needing hysterectomy.

BG was over 13 this morning don't know if that's anything to with procedure but more likely to be the unplanned waitrose curry bought in a hurry on way home!! Feel sluggish today.

Best wishes

Debbie
 
I had agreed to having it fitted, after some conversations to convince me of its potential benefits. They only made the decision not to once they had seen what was there.

Every cloud has a silver lining, and my silver lining just might be a couple of months off work, timed nicely with the delivery of our new caravan. What could be better - I will keep looking at the positives!

Thank you for your message, you look after yourself too

Best wishes

Debbie
 
i have a fibriod that bleeds 24/7 for last 7 month , still my gp wont refur me back for the op until im stable in my hbc1 tests :( so i can understand how it feels a my sugers raise when it gets bad , xx


I know I'm a bloke but what your GP says doesn't sound right at all. Go back to your GP and ask for justification or even a second opinion as it may be that your erratic bloods may be due to whats happening in your body.

Also I've had many different operations under general anaesthetic and they simply put me on a drip which balanced my bloods. They only need to control you whilst you're under as after, any hypos or highs, can be treated accordingly.

Even simpler when on a drip. They can also balance you at a level suited to your bloods eg if you're happier running slightly higher level than normal.

My advice is to go back to your GP and don't take any nonsense.

Dom


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I know I'm a bloke but what your GP says doesn't sound right at all. Go back to your GP and ask for justification or even a second opinion as it may be that your erratic bloods may be due to whats happening in your body.

Also I've had many different operations under general anaesthetic and they simply put me on a drip which balanced my bloods. They only need to control you whilst you're under as after, any hypos or highs, can be treated accordingly.

Even simpler when on a drip. They can also balance you at a level suited to your bloods eg if you're happier running slightly higher level than normal.

My advice is to go back to your GP and don't take any nonsense.

Dom


Sent from my iPhone using Tapatalk
i will do to . ive really waited since last july like this it was on the day of the op i was told i was type 2. i have to rejoin the nhs que again to :( thankyou for the advice there is definatly somthing in that x
 
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