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Message: <blockquote data-quote="kitedoc" data-source="post: 1964112" data-attributes="member: 468714">Hi [USER=496757]@SB.25[/USER], Sorry to hear your life has become more complicated. As a T1D, not as professional advice or opinion:do you have a glucose meter to monitor your blood sugar levels (BSLs)?  That way you can gauge what the addition of this long-acting insulin is doing to your BSLs.   If not, since you are prescribed insulin, I believe the GP can order the strips and meter for you - but I bow to others' experience on this. (I assume you live in the UK)As the nurse mentioned, the insulin you are now taking could lower your BSLs. If you go to the Home page and Type 1 diabetes there is a topic called hypoglycaemia (hypo- = low, -gly- glucose, -aemia - in the blood, or hypo for short).You will see that hunger can be a symptom of hypos, so ideally doing a glucose meter reading  (from a drop of blood gained by fingerprick) at the time of feeling hungry, or most hungry can give you an idea about whether your BSL is low or not.Definition of low BSL is a reading of either less than 4 mmol/l or less than 3.6 mmol/l.Sometimes people experience feelings of a hypo at higher readings like 5 or even 6 so if you are not sure you could always repeat the test say 10 minutes later.The article on hypoglycaemia also mentions what to do in a hypo, if you should ever experience symptoms as well and have a low reading.There are a number of long-acting insulins: one lasts in its BSL-lowering effect for 12 to 20 hours or so, another for 20 to 24 hours, and others longer.  A number of these have a fairly even effect on BSL over the time they work for but others can tend to have a mild peak on BSL-lowering ability partway through the time they are active.  If your insulin has such a peak, that may tend to be the time when a low BSL may be more likely to occur.So please let us know here what insulin you have ben prescribed and ask your DSN what effect your particular insulin is likely to have on your BSLs in terms of time after its injection.As others have suggested you will need to wait for the blood test results before knowing more about whether insulin is the best next thing or some other treatment. Best Wishes <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile    :)" loading="lazy" data-shortname=":)" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile    :)" loading="lazy" data-shortname=":)" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile    :)" loading="lazy" data-shortname=":)" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile    :)" loading="lazy" data-shortname=":)" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile    :)" loading="lazy" data-shortname=":)" /></blockquote>

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