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high blood sugar

bluejay1

Newbie
Messages
3
Location
Stoke-on-Trent
Hi all,
My first post here so here is hoping I get it right. I have only recently been diagnosed with Type 1 diabetes (7 weeks) and have until the last 3 days have been able to control my blood glucose levels to the satisfaction of my diabetes nurse. However for the past 3 days my levels have been almost consistently over 10 mmol reaching up to 14.8 and never approaching low. Am I worrying too soon or is this just a phase my body is going through being new to the condition. My current insulin dosage is 14 units in the morning and 24 units in the evening, these unit figures have come down from initial 30 and 30 when first diagnosed. My diet has been more or less the same so am at a bit of a loss as to why I am having this sudden increase in my count. A lso I have picked up a slight cold these last few days, could this be causing the rise. I am with the consent of my nurse able to inrease my insulin dosage if i feel I need to. Is this something I should be considering, , it's the weekend and Iam unable to contact my advisor.Thanks in advance for any advice or comments anyone can give.
bluejay1
 
Re: high bllod sugar

Hi Bluejay,

Firstly, yes I would increase your insulin a bit - did your nurse give you any guidelines about how much to go up by? Don't whack it up loads, just a smidge & keep testing to see the effect.
Secondly, your raised glucose levels could possibly be caused by a cold, or other infection, but it's also possible that when you were first diagnosed your pancreas was still producing some small amount of insulin, and now it's not. This period where your body still makes some insulin is called the "Honeymoon Effect", and lasts variable lengths of time in different people - can be a few weeks of several months.

Vicki
 
Re: high bllod sugar

Welcome bluejay :)
Nice 1st post and it was fine :thumbup:
Daisy will be along soon with a post to welcome and help you .

Yep the cold you have started with could indeed be impacting on your higher blood sugar readings .
Illness , infection , can do this - it is then a much harder job to work out a titrate [increase the insulin]
It does make things more difficult to know what to do :roll:

Has your DSN advised you as to how many units to titrate your insulin with ?
What insulin are you currently using?
Will your advisor be back tomorrow - monday ?

Anna.
 
Re: high bllod sugar

Its me again,
Thank you Vicki and Anna for your replies. As I was decreasing insulin in steps of 2 it makes sense to start to increase it by the same. My prescribed insulin is Novomix 30 Flexpen which I undestand is a 30/70% mix Anna. Titrate , now there is a good word to puzzle the experts in my local :lol: I will post in a few days to update. Thanks again. :)

Robert.
 
Re: high bllod sugar

Hi bluejay and welcome to the forum :)

Here is the information that Anna mentioned which we give to new members and I think you will find this useful. Ask all the questions you like and someone will help.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

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 30,000 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

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes ... rains.html

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

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.
 
If you're keeping your carbs the same then yes it is probably the cold that is pushing your levels up.
My daughters levels often go up into the teens when she is ill.
When she was on premixed insulin like you, i wouuld have to increase her doses by 2-3 units and give a couple of units of novorapid inbetween time to keep her at more normal levels.
 
Hi all,
A quick update on my high blood sugar. I have incresed my insulin and my levels have dropped, so thanks to all who replied with support and advice. However my count is still a little bit higher than I would like. In my first post I did not mention that I am at the moment trying (so far successfully) to quit smoking with the aid of nicotine patches and wondered if this was affecting my blood sugar. Although I could find nothing in on the diabetes.co.uk site giving a direct link, it does appear that the contiuous intake of nicotine given by patches may increse boold sugar levels, so it's off with the patches and now it's sheer willpower. Does anyone out there have any experience or knowledge of this. Thanks in advance..MERRY CHRISTMAS
 
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