Glucose levels dropping what to do?

1505helen said:

Ok so after a day of quite high averages yesterday (in the 15 range). Emma's results have dropped to 7.5 this is good I know but when she spoke to nurse this morning she said up the long lasting dose to 12 units (was 10) tonight.

She said she feels a bit hypo at 7.5 and I'm a bit worried that she's gone into the honeymoon phase and if she injects 12 units tonight she might go hypo over night.

My thoughts are that she should leave it at 10 tonight as she sees the nurse at the hospital again tomorrow. Am I right?

She injects at 10:30 so any reply before then would be helpful!

Thanks,

Helen x

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mo1905 said:

I would not have thought 2 units would make a great deal of difference either way with the long acting insulin. If you're worried, leave it at 10 and discuss with nurse tomorrow. Good luck.

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brett said:

There is alot to consider here. What is her level before bed and how much does she drop from bed till waking. Also a 3 am test would be useful to make sure she is not dropping too low, then rising early hours.

Also, is there any qa working before bed, or foods eaten before bed.

Feeling hypo at 7.5 would be normal after having high readings. It will take time and probably why your dsn is doing things slowly. Ideally bringing levels down gradually so that she feels normal between 6~8 then hypo or low awareness kicking in 4~4.5

Your dsn is saying to up the long acting to reduce the 7.5 morning reading which makes sense. However, not if her pre bed is something like 10+, as it would be dropping by more than 2. This would only be a valid "test" if it was started after 4 hours of previous qa given and after 4 hours of last carbs consumed. Alot to considet but need the answers before doing anything in my opinion.

Hope this is of help.





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brett said:

Lol, keep meaning to get that book.

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EmmRoseTat said:

I was thinking that, although it's the 2 tests iv done since speaking to her which have concerned me.
These are my levels for the past couple of days
20/4
Before breakfast 10.2
Before mid day meal 11.4
Before evening meal 9.2
Before bed 10.9

21/4 1.3 from night to morning
Before breakfast 11.5
Before midday meal 12.8
Before evening meal 11.4
Before bed 15.5

22/4 (today)
Before breakfast 15.3
Before mid day meal 8.5
Before evening meal 7.2

This would suggest your basal at night is correct and would leave the same.

Take for eg last night to morning , before bed 15.5, and before breakfast 15.3. A drop of 0.2 perfect.

this would suggest to slightly increase your nova rapid as if you had been 7 before bed you would of woke at 6.8, with possibly dropping lower before 3am.

Increasing your basal would then be acting as a correction for a higher before bed reading for which qa should be used. Also you may then have too much basal working in the day causing all sorts of problems.







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