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foot drop please help !!!

It looks very much as if you are using quick acting insulin to cover your background insulin needs especially in the evening. It would be more usual to have a 50/50 split between basal and bolus but you are using 33 units of quick acting and just 15 units of Levemir per day. I'd say go back to basics and do some basal testing if you want to get on top of this.
 
@ryan1990 the only way of knowing whether you have a tumour is to have tests done at a hospital and not use Dr Google to diagnose and make yourself worry unnecessarily.
As Robert has said, you are bolus heavy and basal light which is most likely the cause of your bg problems. Usually, when the basal is increased, the bolus needs to be reduced. The only way for sure is to test bg every 2hrs and not eat any food that would cause a change in how your control is. Try doing this in stages, so 5hrs at a time. If you want to cheat a bit, you could try adding the basal and the bolus together and then divide by 2 to get a 50/50 split and then do the basal test to see if the basal needs to be increased or reduced. Start with the morning first and then work your way over the 24hr period over a period of a couple of weeks. After Christmas will be a good time..
 
ryan1990 said:
thank you yeah i will try and increase my rate of control however it is proving difficult i am having less hypos now but i still can't work out why my sugars are still dropping to 2.1 and so on I'm currently taking 11 units in morning 7 in afternoon and 15 in evening as i find i am constantly high in evenings if i don't take this i am also trying to carb count but its difficult when portions sizes vary when eating out i went for pizza the other night and took 16 units but didn't take into account white flour is a slow releasing carb so come half 3 in the morning my sugar was 13.5 the spasticity in my legs is pretty much there all the time but the body cramps and aching is worse when sugars are high and the foot drop and spastic movements in my limbs happens only when I'm low which is confusing :(
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Ok, Ryan, those are HUGE doses of insulin. Also, white flour is NOT slow releasing, it is very fast. Now, with this new information it sounds like you need to learn to bolus for fat and protein, as well as carbohydrates. Protein tends to push your blood sugar up about four hours after eating. And fat combined with carbs (and/or protein) can make it rise for higher and longer.
If you take insulin twenty to thirty minutes before you eat, then 90-120 minutes later your blood sugar is fine, then you bolused well for the carbs. If it is high or dropping fast, that bolus needs adjusting.
Then if you check again three hours after the meal and it is rising again and hits a peak four to five hours after the meal, that means you are getting a rise from the protein and fat.
The best thing to do is eat the meal, check your bloods to see the pattern and just cope.
Then a day or two later, eat it again and this time adjust your boluses to suit, all the time checking again.
So, for example, I have been learning about this on the pump forum from Ewelina and Tim.
I kept getting that high late in the evening. Ewelina suggested a way to calculate what I needed.
Then I went to Pizza Express and ate three quarters of a large (thin crust) pizza and a really sugary dessert. I bolused for the carbs in the pizza (less than 4 units for me), and then added 1.5 units extended bolus delivered over three hours. Then I couldn't resist dessert, so I bolused another 1.5.
My blood sugars stayed perfect all evening.
Now, you are not on a pump, so you can't give yourself an extended bolus to head off the high four hours after your meal. What you can do is to split your bolus. Do the part for carbs before you eat, then give the rest about 90 minutes later so it is active as the glucose from the protein hits your blood stream.
 
RuthW said:
Ok, Ryan, those are HUGE doses of insulin. Also, white flour is NOT slow releasing, it is very fast. Now, with this new information it sounds like you need to learn to bolus for fat and protein, as well as carbohydrates. Protein tends to push your blood sugar up about four hours after eating. And fat combined with carbs (and/or protein) can make it rise for higher and longer.
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Ruth, have a look through all of Ryan's posts and I think you will find he is just injecting the same amount of insulin regardless of what he is eating.
Countless people have tried to help Ryan, unfortunately he isn't listening. :( He will not accept his insulin dosage is wrong and this is causing all his health problems.
 
So I should be taking far less humolog ? How come you can eat a pizza and a dessert with 7 units of insluin if I did that I would be in the 20s i will try and see if this method works when should I be taking my levmir ? @CarbsRok the only reason I take a set dosage at the moment as try to eat to that pattern is that's what I was told to do upon diagnosis and the only treason I'm in this ****** mess now is because I tried adjusting it which caused the roller coaster and I haven't Been able to get back to steady figures since that was 4 years ago I just don't see how the doctors could leave me in this **** no wonder I'm ill
 
Hi @ryan1990 Dont worry about other people's dosages. We all need different amounts of insulin. The right dose is what works for you.

Diabetes control is a bit like a house - you need strong foundations to build on. That is, your basal needs to be right first ( the foundation) If that's not right, you may find yourself fiddling round with all kinds of adjustments to the walls further up the house ( that is, your boluses) but the house will never be solid because the foundations (basal) needs sorting.

A basal test would help a lot. In the meantime, enjoy the holidays :)
 
@azure yeah im going to have a whack at sorting my bolus out as im currently on 16 units of it and think that may be whats causing my 2.1 reading during the day think if i drop it down a notch it might sort it out i am also taking way too much daytime insulin so maybe i should look at ratios rather than just eating to match the number of units im taking as by my count if im taking 10 at breakfast thats like nearly 100 grams of carbs i need to eat which is way too much but its confusing me as if i take lower doses of insulin i go real high
 
Yes, I can see you're confused @ryan1990 Once your control gets knocked off balance, it's hard to get back on track because there seems so much to sort.

If you take a segment of the day at a time, it makes it easier to manage. For example, sort out the morning first.

Once you've got your basal sorted, you can then investigate if your boluses (insulin before meals) is right. It might be boring, but when I was first diagnosed, I found it helpful to eat exactly the same meal of food where I was sure my carb counting was right eg a baked potato that I weighed before cooking. I'd start with an insulin dose, test after 2 hours, then adjust my dose according to what the result of that test was. Stick to foods that are easy to carb count and aren't too high in fat.

There's a lot of help on here. I know you've been struggling, and it must seem very, very frustrating, but you can sort it. It'll just take some hard work. Don't be afraid of asking again if you want to check something.

Here's to better control for you in 2016 :)
 
ryan1990 said:
So I should be taking far less humolog ? How come you can eat a pizza and a dessert with 7 units of insluin if I did that I would be in the 20s i will try and see if this method works when should I be taking my levmir ? @CarbsRok the only reason I take a set dosage at the moment as try to eat to that pattern is that's what I was told to do upon diagnosis and the only treason I'm in this ****** mess now is because I tried adjusting it which caused the roller coaster and I haven't Been able to get back to steady figures since that was 4 years ago I just don't see how the doctors could leave me in this **** no wonder I'm ill
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With respect Ryan, you have done nothing but blame everyone and everything else on your diabetes control. One of your posts quite clearly states you have no contact with a diabetes team. We have all told you to ask for a referral from your GP to a hospital team. We have given you links to bdec, we have explained about sorting out your basal and the fact your bolus is way to high.
Every time we go over the old ground time and time again, you do a google search and come up with another dafter than daft reason as to why you are having hypos.
If you wont listen or have difficulty in understanding what you are told then you have 2 choices, start to listen or insist that you are seen by a specialist team.

No one is having a go at you we are all frustrated beyond belief that we can't help you because you wont be helped.
 
To add what Azure has said, when you do a basal test without eating any carb so no bolus, test bg levels every 2hrs and hope that your basal doseage is right and that yr bg levels are about 7mmol every 2hrs. If they go low or higher than 7mmol, then log the data down so that you can see whether the basal is keeping you at an ok level without food. If you go down to 4mmol, then eat 2 teaspoons of sugar or glucose tabs to get you up to 7mmol again and carry on until the morning session is over. That way, you will get an idea of how the basal is affecting your bg levels. From the morning data that you get, you can see whether you need to increase the basal or lower it.
For myself, I found that the morning basal test held me ok at 7mmol but basal testing onwards to the afternoon, my bg went from 7mmol all morning to 4.5mmol about 2pm and go a bit lower at 3pm so I eat some glucose tabs to get me up to 7mmol again. What did this tell me??..... I needed to use less bolus for my lunch and more bolus at breakfast. Using an insulin to carb ratio and eating the same amount of carb at breakfast as I did lunch, I was able to adjust the bolus correctly using a ratio and adjusting it.

For yourself, it could well be that your morning basal is not high enough to keep you at 7mmol and that is why you are using a lot of bolus which is having a hit and miss effect if you haven't found the correct amount of carb that you need to eat for the set amounts of bolus you are using.
 
cheers @iHs and @azure i will try the basal test in the morning and see what readings i get then i can start to get it back on track iv not had a low reading for two days now so i must be doing something right i have dropped my bolus dosage down dramatically which at first wil cause high readings but should steadily improve if i get my basal sorted out
 
ryan1990 said:
@iHs @Omnipod could constant lows be caused by a tumor ? and how does the two insluin injections work and how would i use basal for meals ? iv had diabities for 7 years now I'm currently taking 11 units in morning 7 at mid day and 15 in evening and 16 levmir at night i am trying my best to manage my lows however i have severe hypo unawareness i feel fine but then my sugars are 2.4 or something silly its very frustrating
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I think your doses sound far too high.
Perhaps you should think about taking your Levemir in the morning? 16 units sounds about right. Most type 1's usually split the Levemir dose.... 8 in the morning and 8 before bed.
If I took more than 6 units of fast acting in a single dose... I would definately hypo. I carb count. For every 15grams carbohydrate, I take 1 unit if insulin. I dont count protein or vegetable & salad that grows above the ground.
2.4 is too low mate. Can you not get an a DAFNE course?
 
i just want to say i now have full control of my sugars now for the last week i have been ranging at a steady 7.5 to 5.5 with no unexpacted highs or lows and i am now getting my hypo feeling back too so everything is good i am now carb counting and have now halfed my insulin intake due to counting carbs i am very thankful to everyone that posted on here and owe my good health to all of you for suggesting basal testing and so on thank you all happy 2016 !!!!
 
ryan1990 said:
i just want to say i now have full control of my sugars now for the last week i have been ranging at a steady 7.5 to 5.5 with no unexpacted highs or lows and i am now getting my hypo feeling back too so everything is good i am now carb counting and have now halfed my insulin intake due to counting carbs i am very thankful to everyone that posted on here and owe my good health to all of you for suggesting basal testing and so on thank you all happy 2016 !!!!
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Awesome - well done :)
 
From despair to success !! Well done mate !! Great work:)
 
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