High sugar levels AGAIN feeling upset :(

This is your basal rate.. How much were you previously raising your increases in units by?

Did you ever do the basal fasting checks as mentioned in our previous discussions? You really need to get that right before anything else.

noblehead said:

Did you ever do the basal fasting checks as mentioned in our previous discussions? You really need to get that right before anything else.

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Whats your total bolus compared to total basal on an average day?

Have you done basal testing?

Are you increasing basal dose now wvery 3 days?

Nothing stays the same with doses.... Ie winter doses can be different to summer, breakfast bolus ratio can be different to evening meal...

Have you got a record of the last doses you were using when ur levels have been under 10?

donnellysdogs said:

Whats your total bolus compared to total basal on an average day?

Have you done basal testing?

Are you increasing basal dose now wvery 3 days?

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Are you asking me DD

noblehead said:

Are you asking me DD

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No.. !! Lol!!

donnellysdogs said:

No.. !! Lol!!

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You quoted my post so was unsure

lcarter said:

Yes I did the basal tests. ( I did mention this earlier) I went from 19 to 13 in 6 hours in the morning.

I dont have a typical day if im honest as my ratios don't add up so they change. Im not increasing basal its just increased to 22 last night.

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Basal testing for more than 6 hours? Ie an over night, a morning and a afternoon and an evening? Its a whole 24 hr overview needed...over a few days.. Not a whole day starving...

Incidentally, have you checked your fridge is at the correct temperature??

Your food bolus aren't really a concern as much as your basal rates. As a rule of thumb if you go high or low 2-3 hours after eating then its your bolus...

A reminder on how to do a basal check:

http://www.salforddiabetescare.co.uk/index2.php?nav_id=1007

looking at the pages from your diary i still don't think you have your insulin to carb ratios sorted out.

I know it can be a pain but you might want to start weighing your food and getting hold of the Gem collins calorie counter.
you can get a copy on line from amazon for about £3-£4

I am in the process of applying to go on a pump and they have me completing in depth 24 hour diaries listing everything I do and at what times to build a proper picture of how i live.
another chat with your Diabetes care team would be good too.

Thanks for uploading your diary

Though this is just a brief snapshot , this and what you have described does sound to me that it's mainly a basal issue . Because you are having issues when you adjust the dose of basal , it sounds very like it could be the Lantus. As it was explained to me, though Lantus works very well for many people, some individuals body chemistry causes Lantus to erratically release rather than a controlled slow release. So it's possible to have crashing hypos ( too fast release) and also not keeping a steady basal dose going ( too slow or inadequate release ) If this happens to be true in your case, then your switch to Levemir should see a positive change in stability. Until that is achieved it's probably best to leave your Bolus ratio alone though it will likely need adjusting anyway later on. As @donnellysdogs has said - they often need adjusting anyway, for no discernible reason Oh such fun !

One wee suggestion I would make from your diary entry is maybe consider roundin up at times rather than down. For example, for 38g carb, bolus 4 units rather than 3.5 as at a ratio of 1:10 38g is closer to 40g . It's a small change but can make a difference.

Oh and if you can get hold of a DAFNE diary or download the DAFNE app, because the BG changes and patterns are so much easier to see . I hate diaries personally, and moan like a kid at filling 'em in but do so to spot patterns when things are mot going as I want them

Onwards and downwards !

Signy

lcarter said:

Thank you so much. Very helpful suggestions there which I shall endeavor to do!

I cannot get hold of levemier till next week- would I be better upping my lantus or just correcting until then? (Although that's not really working either!) Just checked levels. 21. thankyou again.

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Up it....