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<blockquote data-quote="JontyW" data-source="post: 367051" data-attributes="member: 40312"><p>Hi noosrat,</p><p></p><p>Here is another posting that you did on March 6th 2013 which shows your typical eating pattern: <a href="http://www.diabetes.co.uk/diabetes-forum/viewtopic.php?f=15&t=38187&p=356686#p356686" target="_blank">viewtopic.php?f=15&t=38187&p=356686#p356686</a>. So my questions about how you manage your blood glucose control are (using Lantus & Novorapid) ...</p><p></p><p>1. What are the carbs and Novorapid dosage for each of these meals/snacks shown above (I can see 6:30am was 40g CHO so must be breakfast)? You need to tell us that so we can suggest what might being going wrong!</p><p></p><p>2. At 22:00, which is only 3 hrs since dinner, if you are going hypo then you have got the wrong IC ratio for that meal.</p><p><strong>3. "generally hypo at 9.20 + 11.00 + 15.00 + 21.30"</strong> Have you done a fasting test to check the Lantus level is correct .. please let us know?</p><p>4. So do you really accurately carb count and know the correct ratio for each meal as described in the document I sent the link for because if you hypo regularly you are taking too much basal and/or bolus? An introduction to carbohydrate counting and insulin dose adjustment</p><p></p><p><a href="https://shop.diabetes.org.uk/store/lite" target="_blank">https://shop.diabetes.org.uk/store/lite</a> ... -book.aspx</p><p></p><p>The suggestion sent by iHs was very good advice ...</p><p></p><p></p><p></p><p>So you need to answer these questions so we can offer you more suggestions.</p><p></p><p>JontyW</p></blockquote><p></p>
[QUOTE="JontyW, post: 367051, member: 40312"] Hi noosrat, Here is another posting that you did on March 6th 2013 which shows your typical eating pattern: [url=http://www.diabetes.co.uk/diabetes-forum/viewtopic.php?f=15&t=38187&p=356686#p356686]viewtopic.php?f=15&t=38187&p=356686#p356686[/url]. So my questions about how you manage your blood glucose control are (using Lantus & Novorapid) ... 1. What are the carbs and Novorapid dosage for each of these meals/snacks shown above (I can see 6:30am was 40g CHO so must be breakfast)? You need to tell us that so we can suggest what might being going wrong! 2. At 22:00, which is only 3 hrs since dinner, if you are going hypo then you have got the wrong IC ratio for that meal. [b]3. "generally hypo at 9.20 + 11.00 + 15.00 + 21.30"[/b] Have you done a fasting test to check the Lantus level is correct .. please let us know? 4. So do you really accurately carb count and know the correct ratio for each meal as described in the document I sent the link for because if you hypo regularly you are taking too much basal and/or bolus? An introduction to carbohydrate counting and insulin dose adjustment [url=https://shop.diabetes.org.uk/store/lite]https://shop.diabetes.org.uk/store/lite[/url] ... -book.aspx The suggestion sent by iHs was very good advice ... So you need to answer these questions so we can offer you more suggestions. JontyW [/QUOTE]
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