Humilin m3 kiwkpen

[JenniW90]

Hello, type 2 female aged 34. I'm on 20 units in a morning and 34 units at night, I am finding i am having up to 3 lows during the night, I have a decxom so my alarm goes off. I am find during the day with my readings but during the night they drop. I'm not eating anything out of my ordinary routine. So should I be dropping my evening dosage to see if this helps as I know I am on 30% fast acting and 70% slow acting? Any advice would help...thanks Jenni

 

[Marikev]

Am not familiar with the dexcom CGM, but could the lows be ‘false’ lows. I use freestyle Libre, 2 now 3 , and they give compression lows, ie when you lay on them during sleep it makes the reading low and sets off the alarm.
Are you checking them with finger sticks? And if actual lows treating with something carby?
I always have a small box of juice and some jelly babies or a chocolate by my bed for when I get a low glucose alarm in the night.

 

[EllieM]

Hello, type 2 female aged 34. I'm on 20 units in a morning and 34 units at night, I am finding i am having up to 3 lows during the night, I have a decxom so my alarm goes off. I am find during the day with my readings but during the night they drop. I'm not eating anything out of my ordinary routine. So should I be dropping my evening dosage to see if this helps as I know I am on 30% fast acting and 70% slow acting? Any advice would help...thanks Jenni

I'd second @Marikev 's suggestion to check whether the lows are real by doing a blood test when one wakes you. As a dexcom user I can confirm that they have given me occasional compression lows.

In general, if you are getting hypos it's a good idea to adjust your insulin dose so as to avoid/reduce them, but you really need advice from your DN or medical professional on how to make that adjustment. (Forum rules don't let us give medical advice, and certainly not advice on insulin dosing amounts.)
Given that you are also on oral meds for T2 it's possible that your DN will want to adjust these and/or the insulin. Do you have an email you can use to contact your DN? (In your position, assuming the hypos aren't compresssion lows, I would be urgently contacting my team for dosing advice.)

Good luck.

(ps you might want to edit your profile to say T2 on insulin rather than just T2 .)

 

[Geminigirl]

Hi, I was on Humulin M3, I would check with your DN because it is a mix of 70% background and 30% fast acting.

Issue with it is if you filtrate up, or down, you're adjusting both.

I'm moving over to a basal/bolus regime to give me more flexibility so I can adjust my carbs and even fast overnight/skip breakfast if I want to.

Might be worth asking about?

I found I was going low, or high unless I ate more or less exactly the same meals every day, which is boring.

Good luck.