It
it doesn't matter how old she is.ive been diabetic for 30 years.
it doesn't matter how old she is.ive been diabetic for 30 years.Ok...
Well you've got the choice what to do.. You can carry on at those levels for rest of week or you can phone them tomorrow... They will not mind as you should not be left at these high levels....
Or you can follow advice from iHs... As a 50+ year person of T1 and having used every insulin iHs does offer **** good advice on going. I know because I have had help from iHs and she saw me through some very tough times....
As I've said in previous comments they don't want me using correction doses n I've said what I ateWhat was yr bg before eating evening meal and how much carb did you eat? Has it been 3hrs since eating. 20.1mmol is really high and you need to test for keytones. You should really give yourself a correction dose. Look at the 100 rule on the internet. As a very very rough guide....1u bolus should lower bg by 3mmol so if this was me, I would use a correction bolus like 20mmol minus 9mmol (target) equals 11mmol. 11mmol divided by 3mmol equals approx 4u bolus correction. That should start to lower you but of course.....test bg every hour and drink water to flush the sugar build up out in the loo. If you start to feel sick, then phone hospital
Hi Donnellysdogs,As you are using more insulin bolus for food than the typical 1 to 10g, your correction bolus will not be the normal either... The typical av diabetic is set up on 1 unit to bring down by 3bg however as you are insulin resistant you need to try adjusting an monitoring to find out your own level..
So, ideally you would try next 1 unit for 2.5bg drop. If that doesn't bring you down to normal target number after 5 hours then next time do a correction on a basis of 1 unit brings you down 2bg.
If you aren't at target level at end of 5 hours then you need to keep changing... However, if your levels are above 12 then your correction doses may not work so well as if your levels are less than 12.....
It
it doesn't matter how old she is.ive been diabetic for 30 years.
Hi iHs,@colsan.... for correction doses to work well, the calculation needs to be weighed up on the total daily dose of bolus and basal insulin added together and then that gets divided into 100 to give the correction factor. But, the TDD also needs to be giving bg levels that fall within sensible targets. If the TDD is wrong, then the correction factor wont be quite right either but we all have to start somewhere so thats why the rough guide of 1u to 3mmol is used first of all and then if it doesnt seem to work, it can be adjusted up or down. You could have a go at using 1u to lower by 2mmol and calculate yr correction dose on that and use sensible bg targets to calculate to. Ideally, a bg correction should only be done after 4hrs of bolus unless mega high at the 3hr mark. Once you get yr basal dose correct which ideally is done by doing some fasting and adjusting it up or down according to what bg target you use. then all thats needed is to get the insulin to carb ratio correct by eating something like 20g carb and using a ratio. Most start with 1u for 10g but it can be adjusted up or down to suit the bg targets set out by dsn, doctor or looking at NICE.
Don't over correct though!! The aim should always be to get to target level by 5 hrs after correction.
Pubs are hopeless with coke!! I always end up on slimline tonic water or carbonated water.
I always worry that people will over correct.. So thats my only concern...
If you go along with them not wanting you to do correction doses, then your only option is to reduce the amount of carbs you eat at meals.As I've said in previous comments they don't want me using correction doses n I've said what I ate
If you go along with them not wanting you to do correction doses, then your only option is to reduce the amount of carbs you eat at meals.
I think the bottom line here is that you have been on twice daily mix for 30 years and you are not being given the support by your doctor to do basal bolus properly. Though having said that you are quite resistant to the advice offered here, maybe you are the same with your doctor?
If twice daily was working for you then maybe you should go back to it, at least until you are ready to make the extra effort that is needed for basal bolus. But I suspect twice daily injections were not working for you, otherwise your doctor would not be getting you to change to basal bolus.[/QUOTE[/QUOTE
You obviously think I'm thick saying twice daily is easier on the brain, actually maths is my job. You may wish to look again I'm not Kai I'm kal. What a know it all@kai........if you feel that bolus basal regime with carb ratios and correction factor is too much to take on board, then go back to twice daily again. Twice daily is easier on the brain doing maths but doesnt allow very well for flexibility.
Do what you feel comfortable at using
For your information I'm doing exactly what my diabetic team suggested. I have tried to get in touch with them again today and nobody is available. Mind your own business. Worst site ever never coming back full of pple wanting help like me n know t all like you, can't you just help without being an ar......@Kal The attitude you are displaying on the forum is probably why you are struggling with the Basal/Bolus regime. If you are not willing to listen to someone trying to help you here, then I have to wonder whether you bother listening to those trying to help you from your medical care team? As someone for whom Maths is their job, getting your head around what you need to do should be fairly simple, as it's really all about that.
If you don't want our assistance, we can stop trying to help, but as you asked for it, forum members are doing the best they can in the face of significant hostility from you. If you really aren't interested in what the forum has to say, can I suggest that you get in touch with your Diabetes team as soon as you can, as hopefully they will provide you with advice and help that you do want to hear.
For your information I'm doing exactly what my diabetic team suggested. I have tried to get in touch with them again today and nobody is available. Mind your own business. Worst site ever never coming back full of pple wanting help like me n know t all like you, can't you just help without being an ar......
For your information I'm doing exactly what my diabetic team suggested. I have tried to get in touch with them again today and nobody is available. Mind your own business. Worst site ever never coming back full of pple wanting help like me n know t all like you, can't you just help without being an ar......
Well doneSorry to jump in but an update that im proud of. 7.7 pre meal this evening! Woooooohooooooooo.
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