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High BG readings becoming more frequent

B

birchy66

Well-Known Member
Messages
143
Location
Essex, England
Type of diabetes
Type 1
Treatment type
Insulin
This past week I have had rubbish BG readings with more than usual on the high side, the highest being 12.2mmol/L last night before bed. This morning it was 10.8, pre lunch was 5.5, then pre-dinner 9.5 and before bed tonight 11.2. I think it's probably a combination of not being active enough (I can't always!!) and food choices.

I was diagnosed type 1 19 months ago and am 67 years old. I have had pretty good HbA1c results so far the last (June 2014) being 6.6%. I think I must be going through a rough patch at the moment but it does worry me getting high readings. I expect I will get it back on track again. Do other people have similar problems?
 
Hello birchy66, I hope this new post helps you to get some answers. :)
 
birchy66 said:
This past week I have had rubbish BG readings with more than usual on the high side, the highest being 12.2mmol/L last night before bed. This morning it was 10.8, pre lunch was 5.5, then pre-dinner 9.5 and before bed tonight 11.2. I think it's probably a combination of not being active enough (I can't always!!) and food choices.

I was diagnosed type 1 19 months ago and am 67 years old. I have had pretty good HbA1c results so far the last (June 2014) being 6.6%. I think I must be going through a rough patch at the moment but it does worry me getting high readings. I expect I will get it back on track again. Do other people have similar problems?
Click to expand...
you could do a miss a lunch meal basal test
http://www.diabetes-support.org.uk/info/?page_id=120

it looks like it may be a low basal in the afternoon/pre-tea? are you splitting or has the nurse suggested you to split your basal dose?

There is an online course for background and an idea to it. Free to register

http://www.bdec-e-learning.com/

This set of workbooks are worth reading and practising working examples of carbs and doses and corrections

Don't change dose without nurse approval

Workbook 1

http://www.diabetesinscotland.org.uk/Publications/9225 Carbohydrate Counting.pdf

Workbook 2

http://www.diabetesinscotland.org.uk/Publications/9226 Carbohydrate Counting the Next Steps.pdf


Carb list

http://www.diabetesinscotland.org.uk/Publications/9227 Carbohydrate Tables A6.pdf


Diary

http://www.diabetesinscotland.org.uk/Publications/9228 Free Diary Portrait A4.pdf


Sick day rules

http://www.diabetes-support.org.uk/info/?page_id=141

http://www.diabetes-healthnet.ac.uk...flet_-_Sick_Day_Rules_for_Type_1_-_Nov_13.pdf


Sick day rules flowchart

http://www.leicestershirediabetes.org.uk/uploads//documents/Type1 Sick_day_rules_InsulinV3.pdf
 
Hi. Yes, it sounds like your Basal may be a bit low; aim for 5 - 7 mmol in the morning. Some people split the Levemir although my DN didn't want to go along with that as she thought Levemir lasted 24 hours which it doesn't. I take account of the 12-18 hour Levemir life by varying the Bolus during the day i.e. more in the evening; I take the Levemir at night. Obviously you need to adjust food choices where needed and keep the carbs down where you can.
 
jack412 said:
you could do a miss a lunch meal basal test
http://www.diabetes-support.org.uk/info/?page_id=120

it looks like it may be a low basal in the afternoon/pre-tea? are you splitting or has the nurse suggested you to split your basal dose?

There is an online course for background and an idea to it. Free to register

http://www.bdec-e-learning.com/

This set of workbooks are worth reading and practising working examples of carbs and doses and corrections

Don't change dose without nurse approval

Workbook 1

http://www.diabetesinscotland.org.uk/Publications/9225 Carbohydrate Counting.pdf

Workbook 2

http://www.diabetesinscotland.org.uk/Publications/9226 Carbohydrate Counting the Next Steps.pdf


Carb list

http://www.diabetesinscotland.org.uk/Publications/9227 Carbohydrate Tables A6.pdf


Diary

http://www.diabetesinscotland.org.uk/Publications/9228 Free Diary Portrait A4.pdf


Sick day rules

http://www.diabetes-support.org.uk/info/?page_id=141

http://www.diabetes-healthnet.ac.uk...flet_-_Sick_Day_Rules_for_Type_1_-_Nov_13.pdf


Sick day rules flowchart

http://www.leicestershirediabetes.org.uk/uploads//documents/Type1 Sick_day_rules_InsulinV3.pdf
Click to expand...
Thanks Jack, these links are a great help.I was wondering if it might be the basal. I take Levemir at 10.30ish pm and don't split the dose. To counter the problem of the basal not lasting 24 hours, which I am sure it doesn't, I take twice my usual bolus dose at my evening meal. This seems to work most nights but I have to be careful as less carby meals or smaller portions can result in mild hypos. I'll get it right I'm sure given time.
 
Daibell said:
Hi. Yes, it sounds like your Basal may be a bit low; aim for 5 - 7 mmol in the morning. Some people split the Levemir although my DN didn't want to go along with that as she thought Levemir lasted 24 hours which it doesn't. I take account of the 12-18 hour Levemir life by varying the Bolus during the day i.e. more in the evening; I take the Levemir at night. Obviously you need to adjust food choices where needed and keep the carbs down where you can.
Click to expand...
Thanks Daibell. 5-7 mmol would be great and I have hit 6-7 many times in the past. I take a single basal dose before bed and like you I double the bolus dose at evening meal, which usually works, but I can hypo 3-4 mmol depending on the carb content.
 
@birchy66 and @Daibell I would re ask about splitting and perhaps print or email this

http://www.dafne.uk.com/uploads/223...on 1 - September 2013 - Insulin statement.pdf
This guidance statement is prompted by recent audit findings presented at the

Collaborative in June 2013 and published in abstract form as a poster at the EASD

September 2013.

Audit of 558 records from the extended dataset of the DAFNE Database Research

has shown that a statistically significant reduction in HbA1c 12 months after DAFNE

occurs only in patients taking background insulin twice daily.
 
jack412 said:
@birchy66 and @Daibell I would re ask about splitting and perhaps print or email this

http://www.dafne.uk.com/uploads/223/documents/PU04.009, Version 1 - September 2013 - Insulin statement.pdf
This guidance statement is prompted by recent audit findings presented at the

Collaborative in June 2013 and published in abstract form as a poster at the EASD

September 2013.

Audit of 558 records from the extended dataset of the DAFNE Database Research

has shown that a statistically significant reduction in HbA1c 12 months after DAFNE

occurs only in patients taking background insulin twice daily.
Click to expand...
Thanks Jack, I'll put this to my DSN and see what she has to say. I must admit there is a simplicity with only taking basal once per day but if twice results in lower HbA1c then that's got to be worth thinking about.
 
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