Help needed!!

Hi @ThePQ88 , welcome to the forums.

Can I ask you to be a bit more precise with regards to the quantities involved?. OJ may have a lot of sugar in it, some people use it to avert hypo's. 2 'bits' of toast doesn't really tell us much.

A slice of bread is typically in the region of 15g of carbohydrate, if you had 2 slices - that's +30g and the OJ. How much insulin did you inject for this?

Do you carb count? Give us a bit more info and we might be able to help you.

I use Humalog 25Mix and have been on it for just over 2 years now. I seem to get on OK generally speaking but my carb intake is only around 120g per day at the moment and I do go high sometimes.

Are you seeing the hospital doctor and getting meds from your GP? My initial thought is that your GP has failed to action an instruction from the specialist ????

I started on Novomix 30 and didn't get on at all well with it. I find the Humalog Mix25 much better so maybe talk to your doc about a different insulin (or a basal /bolus regime).

40 units of Novomix 30 would give you around 12 units of rapid acting insulin and 28 units of long acting. Do you know what your carb/insulin ratio is?

The rapid acting part is pretty much spent within 4 to 5 hours so if you had your toast and OJ at midday or later then you will not have enough rapid acting insulin in your system to cope with it.

What is the timing of your injections with regard to the food you've mentioned?

ThePQ88 said:

I did my reading at around 8.30am this morning and it read 8.9. I then did my usual shot, had a bowl of special K and got on with my day. I then tested at about 2pm and found it to be 2.2. I have an appointment with the hospital on Tuesday - hopefully I'll have some more answers then

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If you didn't eat a meal around midday along with whatever activities you did then this would be why your BG was 2.2

Regards

Martin

If your injecting twice a day, you need to inject a good 30 mins before your meal (less if your pre-meal BG is low), you need to eat again 5-6 hours later and not miss out meals, you may also need a snack in between meals too.

On top of this you need to test your BG's before each meal, and at least 2 hours after each meal.

If your BG drops low then your body will produce its own glucose to help it rise and you will get a high BG reading a few hours afterwards, if you over treat a hypo or hyper then you can end up bouncing between highs and lows for a day or so.

ThePQ88 said:

I have had my appointment at the hospital today and they have switched my regime to 4x a day - I start it tonight! I hope this will stop the above happening to often again!! Thanks for comments so far guys

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Good luck - test lots and lots, even during the night if you need to.