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Having a bad day

TooMuchGlucose

TooMuchGlucose

Well-Known Member
Messages
254
Type of diabetes
Type 1
Treatment type
Insulin
So I woke up, felt fine went to the toilet then go to check my blood sugar before eating... it was 3.8. I feel find ***?!? So I check again and it reads 3.8, a third time 4.3 so I treat it as a hypo have some lucozade then eat my breakfast. Obviously this concerned me so rang my diabetic team, advised me to take levemir down from 14 to 13. I'm still concerned as I've woken up on 4.4 and 4.6 before and felt fine, was I hypo then? But...it gets worse I forgot to take my NovoRapid with my breakfast, rang my diabetic team again, awaiting for a phone call back. What should I do in the mean time, drink copious amounts of water?
 
We're all different but I'm quite happy to wake with numbers between 4.0 and 5.0, my target is 4.5. My average numbers across the day are usually between 5.3 and 6.2.

I personally don't feel hypo until about 3.6, sometimes 3.0. I wouldn't treat 4.3 as hypo, I'd just make my breakfast of 2 scrambled eggs and 1 piece of wholemeal toast, would probably need 2-4 units of humalog with it from that BG, and would expect to be at 6.2 ish a couple of hours later.

If you forget your insulin then you need to do a correction dose, what that dose is will depend on your own Insulin/Carb and insulin/(mmol/ml) numbers. As a type 1 you should know those numbers (your DSN will help work them out). There are meters out there that will work all this out for you (Freestyle Insulinx is what I use).
 
Hi and welcome. The advice to reduce your Levemir down by 1 unit makes sense. I wouldn't worry about the missed Novorapid. Having high blood sugar from one meal doesn't matter, although a correction dose could be done.
 
Hey, do you guys mean correct with my next meal? If so I do know how to do that, sorry for asking this I'm obviously feeling a bit out of it right now..
 
Okay, thanks again guys the DN did ring me back eventually and said to do what you suggested. Obviously sugar had gone up, it was 11.8 guess I was lucky it was the breakfast one I'd missed. If it was a dinner or tea injection I'd missed it would be a lot higher.
 
Even after all these years of diabetes, I forget my bolus insulin sometimes! If I remember mid-meal I just have it then, but if it's after my meal, I test my blood sugar and do a correction bolus. I don't wait until the next meal to correct. The thought of my blood sugar merrily going out of control because I forgot a bolus isn't something I like, and I usually feel rough if my sugar is too high.

I hope you've got it sorted now :)
 
azure said:
Even after all these years of diabetes, I forget my bolus insulin sometimes! If I remember mid-meal I just have it then, but if it's after my meal, I test my blood sugar and do a correction bolus. I don't wait until the next meal to correct. The thought of my blood sugar merrily going out of control because I forgot a bolus isn't something I like, and I usually feel rough if my sugar is too high.

I hope you've got it sorted now :)
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Thanks, I feel pretty good right now. I was pretty much in zombie mode, reminded me a lot in the months before my diagnosis so nothing I couldn't handle really.
 
I wouldn't have worried about it. Neither would my consultant. As long as your basal rate is right and not pushing you into a hypo. Apart from your basal, in the morning you have no insulin on board, so you may be quite stable at that 3.8. A small insulin reduction will give you a bit of a margin for error, if you want that. But 3.8 is not a biological hypo. It is below the clinical definition of hypo for Type 1s, but if you were a Type 2 waking with that, believe me, your consultant would be thrilled.
 
RuthW said:
I wouldn't have worried about it. Neither would my consultant. As long as your basal rate is right and not pushing you into a hypo. Apart from your basal, in the morning you have no insulin on board, so you may be quite stable at that 3.8. A small insulin reduction will give you a bit of a margin for error, if you want that. But 3.8 is not a biological hypo. It is below the clinical definition of hypo for Type 1s, but if you were a Type 2 waking with that, believe me, your consultant would be thrilled.
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A lot has happened since this thread, had to half my basal pretty much and change my bolus ratios, but everything seems okay now :) http://www.diabetes.co.uk/forum/threads/lost-hypo-awareness.82998/
 
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