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help for a relative

C

creative

Well-Known Member
Messages
70
Location
Crete, Greece
I am type 2, medication (tablets), diet and exercise.

My wife is visiting her father (Type 1) for a long time due to his wife being in hospital.

My wife has never had to inject but is now happy to inject for her Father.

He is injected 14ml, Lantus, Solostar at 8pm every evening 2 hours after food. His BG morning is usually 120/130. As mine are low 100`s she is concerned she is doing everything right.

Any comments or advice please. Thanks in advance.

Allan
 
I'm not sure about adults but any waking reading between 4mmoL and 7mmoL is a good reading for us.
 
I did the sums
120 -130 in mg/dl is 6.7 - 7.2mmol/l
I think most doctors would say that was fine. for me as a mere T2 I'd flip. I try to keep below 5mmol/l which is 90mg/dl.
If your wife is injecting the right amount each day, There may be a reason why the dose has been chosen to result in a slghtly elevated fasting BG.
Why doesn't your wife phone her father's doctor and ask?
Hana
 
Thank you Hanadr for the helpfull advise, never thought about asking his doctor!!

Nothing just 'as a mere T2' by the way, as you must know but because my wife and myself have had no experience of Type 1 that is why I asked for advise and experience from T1 members.

Thank you anyway for your input.

Allan

PS Sorry for being European with the different numbers.
 
Hi, as a Type 1 I can tell you those figures are bang on target. A Type 1 must be conscious not to run too low for too long due to the life-threatening risks of hypo unawareness, which is why those figures are great for a Type 1 - you need to keep your hypo symptoms. Keep up the good work!

The DAFNE targets are (multiply these by 18 to get the numbers you're using):

pre breakfast - 5.5 - 7.5
other meals - 4.5 - 7.5
Pre bed - 6.5 - 8.0

Pre bed - be aware of when the last insulin was injected and how long it could last (eg Novorapid normally lasts 2-4hrs but can last as long as 6hrs at the very outside). I worry any time I'm below 4.5 due to the fact hypos can sometimes come on quick and strong, hypos being the immediate danger for Type 1s. I hope that helps.
 
Ceative

I agree with moonstone, the DAFNE figures should incorparate a saftey net to limited and prevent hypo's..

For T1's you need to have a BG of 4mmol/l on waking if it's this low though there is a danger of a night-time hypo if it happens on frequent bases, it would be wise to carry out a BG around 2-3am to see how low this point is...

I would dismiss what Hanna has said, she is a type 2 diabetic, doesn't know what she is really talking about when it comes to T1 diabetes or how different factors need to be taken into consideration when you are over-seeing some-one else diabetic control, which is a lot more difficult than dealing with your own..

It seems that your wife is doing a grand job

If hypo occurs or if she supects that dad might be having one (as until she see him have his first one she might not know the signs he shows) do an exta BG test to find out what his levels are.. If hypo under 4mmol/l then give 15g of fast acting carbs, wait 15 mins, check BG to see if he's levels have returned to normal if not repeat...

Here depending on what insulin reginme he's using, if it's 2 injections a day then he will need a carby snack, a sandwhich bananna etc..

If on 4 jabs a day, then you can look at to when he's next meal is due, if it's due with an hour then shouldn't need a carb snack (but need to keep on on him) if longer give a small snack, a bannana etc to tie him over until his next meal..
 
Thank you jopar for your help.

My father-in law is nearly 70 but is mentally aware of his condition, he has had 2/3 hypo`s and knows what to take to reduce the dangers.

He only has one injection per day, as mentioned 2hrs after his evening meal, but this combined with his 5 way heart bypass 10 yrs ago and his wife in hospital, seems to be putting added stress into his life. His wife has been monitoring and treating his Diabetes but will insist on giving him rice and pasta (typical Greek food)

I disagree that we should dismiss Hanna`s contribution, like me a Type 2, I agree there must be a great difference between contol by food/tablets and by injections. The two types are different but are linked in many ways so any suggestions are welcome.

I shall pass on your congrats to my wife, thank you.

Allan
 
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