How can I control my levels?

You need to speak with your diabetes nurse and explain to them about your high fasting bg levels, they will probably ask you to increase your levemir dose to bring your morning levels down.

As a general guideline only... Not for you to change any dosing....without speaking to your dsn etc...this is how generally doses work.. Some people vary.....

Generally total bolus for the day and total basal for the day would be fairly equal.. Ie if you take 50 units of basal insulin (generally) you would find that your bolus would equate to the same-(ish) amount.
This is called a 50/50 ratio.
Some people run on a 60/40 ratio and a few run on a 70/30 ratio.
We are all individual and it all depends on our individual lifestyles.

It seems that you are having significantly more novorapid than your basal insulin.
So your nurse may well raise your basal more.

As you are a driving instructor it us imperative that you are not at risk of hypo's whilst fine tuning your needs.

By the looks of the levels you have stated and the timings and ratios you are currently on I personally would have thought that your bolus may need to be reduced and your basal to be increased. However you must speak to your DSN.

Due to your job it is sensible to balance your changes sliwly rather than put you at risk of hypo. I cannot emphasise that enough...

Hi. Can you let us know your BMI as excess weight can make it difficult to stabilise insulin due to insulin resistance. Do continue keeping the carbs down but for all meals.

Hi
When having night sweats did you actually test yourself?
Have you done any night time time tests?

Are you testing pre eating and 2 hes after? How much are you raising (or dropping after meals?)

How are you working out how much correction to give yourself?

Sorry for asking so many questions....

Welcome to the elite club by the way!

Hi
Well that was a better reading to wake up to.
Will you do a 3am check please? It is important that if you change your basal rate that you do a check during the night. Best to do this before you suddenltly have a bad hypo one night!!
Do test before meals and 2 hours after meals. This is important to see the effects of the bolus change.
Glad that your morning level was improved...

I generally like you get limited sleep. Going to bed most nights about 11.30 ish and up again at 4.50 with testing during the night as well.

Unless you can see the rises 2 hours after your food (which really need to be less than 2.7bg rise or drop) then how the heck does your DSN know whether it is your bolus or basal that needs to be changed. Gggggggrrrrrrr!!!

Let us know how your readings pan out today.... It needs to be monitored like this for when you are working and days when you don't... As there may well be a difference that would show...

Don't rush in to changes...test to see what occurs today....until your basal is balanced with your bolus you may have slightly higher readings during the day....

We're not medics... We aren't professionals but we have experience of what works for us. We are all individuals though. So we are just letting you know what we would do in your situation....sometimes as well different members suggest different things... Thats only because our bodies all react differently.

Hiwever, basics of testing pre meal, 2hours after meal, nught time testing are pretty much standard to us all.

Have a good day. Don't stress if you see raises...they can be sorted...

It may well be that you need more insulin with your evening meal than you would during the day...that wouldn't be odd.

However it is your basal rate that you have to check. This is to allow you flexibility around your eating times and activities.

For example if family are with me at breakfast time.. I eat. Uf they aren't I don't eat at all until my evening meal. If I did not have my basal rates right I wouldn't be able to do this. It applies whether you are on MDI or a pump. You need your basals right first....then this helps to get your bolus ratios right.

You'll get there. No fears...don't worry, honest.

To do a basal test.. You need to have a meal and bolus as usual. Then don't eat another meal for 10 hours and try tontest every two hours. If you go low, then you must treat the hypo and stop testing.
If you go high, use it as a test for a correction bolus... Treat the high with the dose that you would normally and carry on testing every 1-2hours. If your dose is correct you will be back to your target figure of say 6.0 bg by 5 hours after the correction bolus.. Do not eat for 5 hours. If you get to normal target figure before 5 hours your correction insulin would be too much.
If you don't hit your target level by 5 hours you aren't having enough correction insulin.

Hope that helps.

Let us know how you get on....
Best wishes...

Hi. Thanks for the reply on BMI. I suspect your excess weight is a big part of your problems. Taking insulin when you have excess weight can be problematic as you are adding insulin to your blood when it may already have too much due to insulin resistance. You must seriously reduce the carbs in your diet if you haven't already done so. I would target 100gm/day or less until things stabilise. Insulin doesn't cause weight gain but it enables the body to make more use of the carbs you eat and store excess as fat. I'm assuming you don't have any other medical condition that could also be part of the problem?

Hi Shazia555

How have you got on today?

I think carbs for weight loss, gym for general fitness, which makes you hungry and you eat more

If you had breakfast and bolus and then dropped by lunch to 5.8 that could warrant less bolus.. Yes, as if you had been 5.8 to start off with you would have been hypo...
Have you got 1/2 unit bolus pens? It may need a full unit decrease but may only need 1/2 unit....depends upon your ratio's..

So lovely to see that you have improved your levels. Well done. Goid result. Keep testing. I hope dinners and teas etc will work out good too!!