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Help needed

Jordan1990

Newbie
Messages
2
Hi
I take insulotard as my slow releasing insulin I take 15 units and novorapid for food on 1 unit to every 10g carbs these are both by an insulin pen. The type of machine I have to check my blood sugar levels is a contour don't have any other health problems I see a diabetic consultant every 3-5 months but they aren't helping and all they suggest is pit your slow releasing insulin up by a unit... i test my levels around 3-4 times a day and they are pretty stable once I get my morning reading under control however this isn't improving my HB1c reading. My last reading was 81 last week and today I woke up my sugar levels were 22 how can i get my hba1c to around 60 I'm pulling my hair out
 
Welcome to the forum! I'm a type one and have found this forum to be of immense help. Your Hba1c reading will reflect an average over the last 3 or so months of your daily blood sugar readings, so if you get your daily blood sugar down, your Hba1c will get down too. A blood sugar reading of 22 is high and that may have happened for various reasons. What readings do you get during the day? Also diet is very important, even for a type 1. What do you usually eat in a day? For myself (we are all very different) I found that when I cut out all rice, potatoes, pasta, bread, flour (including all whole grain varieties) as well as the sugars, my blood sugar dropped significantly.
 
I would suggest a basal test to check your slow acting insulin dose is correct.
Once you have you basal steady, then you can address your bolus insulin dose. Bear in mind your ratio may not be the same all the time - it is not uncommon to need more with breakfast, for example.
 
Hello @Jordan1990 and again welcome. I think it's time to tag @daisy1 who'll post her welcome package when she's online. It contains loads of useful info no matter what type of diabetes you have :)
I'm not on insulin myself, so can't really comment.
 
Hi @Jordan1990 - and welcome.

As Helen has already suggesting doing some basal fasting tests to check your background dosage is right is a good starting point. Many of us find we also use different quick acting insulin ratios during the course of the day, so breakfast could be 1 unit to 5g of carb, then 1 unit to 10g of carb for lunch etc etc, speak with your nurse about this and also ask them to get you into a Dose Adjustment for Normal Eating course or DAFNE which is great for checking your insulin regime and helping you to make more informed decisions about adjustments. Also grab a copy of 'Think like a pancreas' written by a type 1 and a useful resource for understanding more about the role of insulin in good blood glucose management.

Don't panic you'll get there :)
 
Hi @Jordan1990, Could you give us a description of a typical day? e.g. times and doses of insulin, type and amount (carbs and protein) of food and BSLs??
And do you know how to do basal testing as suggested by @helensaramay ?
Best Wishes !!:):):)
 
@Jordan1990
Hello Jordan and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it both interesting and helpful.

BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:
  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
 
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