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highs to lows in less than an hour - what could be going on?
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<blockquote data-quote="the_anticarb" data-source="post: 166285" data-attributes="member: 16982"><p><strong>Re: highs to lows in less than an hour - what could be going</strong></p><p></p><p>Thanks jopar, I'm pretty sure the basal is correct as I'm taking my lantus dose at night and testing on waking and it's around 4.5-6 which is what it is supposed to be according to the docs.</p><p></p><p>But I've had to increase my nightime basal dose from 4u before pregnancy to 18u and it may go up even more before the birth.</p><p></p><p>How soon would you inject before breakfast? I am on a massive dose in the morning now a 7:1 ratio up from 1:1 before pregnancy. So don't want to miss time it and go hypo before I eat.</p><p></p><p>I have found a lower carb/smaller breakfast to be better to manage the highs but still need to inject on that ratio even with, say 20g carbs, to get the post meal high under the target for pregnant ladies which is 7.8</p><p></p><p>I don't think my insulin profile is working the way it did before I was pregnant, have tried having carb snacks around 10-15g two hours after meal as mop-up snacks but still going hypo several times a day, reckon the basal dose although right for the fasting reading, may be too strong later in the day as it lasts 24 hours (plus I have another basal dose of 12u lantus at 8am) this is why the pump may be better for me what do you think? I understand you can vary the basal dose much more on a pump wheras with lantus you're stuck with the injection for 24 hours?</p><p></p><p>ta</p></blockquote><p></p>
[QUOTE="the_anticarb, post: 166285, member: 16982"] [b]Re: highs to lows in less than an hour - what could be going[/b] Thanks jopar, I'm pretty sure the basal is correct as I'm taking my lantus dose at night and testing on waking and it's around 4.5-6 which is what it is supposed to be according to the docs. But I've had to increase my nightime basal dose from 4u before pregnancy to 18u and it may go up even more before the birth. How soon would you inject before breakfast? I am on a massive dose in the morning now a 7:1 ratio up from 1:1 before pregnancy. So don't want to miss time it and go hypo before I eat. I have found a lower carb/smaller breakfast to be better to manage the highs but still need to inject on that ratio even with, say 20g carbs, to get the post meal high under the target for pregnant ladies which is 7.8 I don't think my insulin profile is working the way it did before I was pregnant, have tried having carb snacks around 10-15g two hours after meal as mop-up snacks but still going hypo several times a day, reckon the basal dose although right for the fasting reading, may be too strong later in the day as it lasts 24 hours (plus I have another basal dose of 12u lantus at 8am) this is why the pump may be better for me what do you think? I understand you can vary the basal dose much more on a pump wheras with lantus you're stuck with the injection for 24 hours? ta [/QUOTE]
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