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I need some help please

Ziggy2017

Ziggy2017

Well-Known Member
Messages
729
Location
Northern Ireland
Type of diabetes
Type 3
Treatment type
Insulin
Dislikes
Diabetes and injections
Hi everyone I didn’t know what to title this as I have no clue what is going on with my diabetes lately I have an appointment with my diabetes dr but I have to cancel as my mum is working that day and can’t take me so I have turned to my fellow diabetics for help. What is happening is I eat I have a small spike in my sugar and within a hour or so I’m going low. Has anyone experienced this before? Thanks for your help
 
What do you mean by spike?

Bg of 4 to 6, or 4 to 10.

Food will always bump you a little, even a hard core keto will have some increase. I'm generally at the low end of low carb. Maybe 30g a day and I will go up 1 to 1.5 on my bg.

I'm running around 1 to 1.4 up on normal numbers because I am getting bootfuls of greif starting a new contract at work.

Stress is increasing the weight loss too. Not so keen on that these days.
 
Spl@ said:
What do you mean by spike?

Bg of 4 to 6, or 4 to 10.

Food will always bump you a little, even a hard core keto will have some increase. I'm generally at the low end of low carb. Maybe 30g a day and I will go up 1 to 1.5 on my bg.

I'm running around 1 to 1.4 up on normal numbers because I am getting bootfuls of greif starting a new contract at work.

Stress is increasing the weight loss too. Not so keen on that these days.
Click to expand...
a small rise in my sugar usually 1 mmll or less then an hour or so later I go from say 7.0 to 4.0
 
If you eat carbs your sugar is supposed to rise before dropping again. It's what happens in non diabetics. If it ends up lower than you started with, you took too much insulin for your meal.
What insulins are you on and how do you decide how much to take?
 
Antje77 said:
If you eat carbs your sugar is supposed to rise before dropping again. It's what happens in non diabetics. If it ends up lower than you started with, you took too much insulin for your meal.
What insulins are you on and how do you decide how much to take?
Click to expand...
I’m on 4 units of levemir in the morning and novorapid if needed also my dose is set by my drs
 
Ziggy2017 said:
I’m on 4 units of levemir in the morning and novorapid if needed also my dose is set by my drs
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Are you eating low carb? If so, does your doctor know this? The fewer carbs you eat the less insulin you need. Unless your carb consumption is consistent your insulin requirements will change meal on meal. Too much insulin and your levels will drop.
 
Bluetit1802 said:
Are you eating low carb? If so, does your doctor know this? The fewer carbs you eat the less insulin you need. Unless your carb consumption is consistent your insulin requirements will change meal on meal. Too much insulin and your levels will drop.
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No I actually eat food quite high in carbs potato waffles pizza etc
 
Hi @Ziggy2017 ,

We can't advise on dosage regarding meds. You need to see your Doc.

Are these lows as happening after you inject for a meal only? (Notice you only use novorapid as a correction dose.)

Ziggy2017 said:
I would usually give novorapid if I’m about 11.0 or 12.0 but I haven’t used it for at least a week
Click to expand...

Are you still going low using the basal only?
You need to review your Levemir dosage with the doctor..
 
Antje77 said:
So you are going low after eating without taking novorapid? Have you changed your diet to less carbs? How are your numbers overnight? Do you know if you're still producing insulin?
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Yes I go low without novorapid. No I have not changed my diet it’s been the same as it always has. Numbers vary overnight probably something around 9.0 to 3.5. And no I don’t know if my body is producing it’s own insulin
 
Jaylee said:
Hi @Ziggy2017 ,

We can't advise on dosage regarding meds. You need to see your Doc.

Are these lows as happening after you inject for a meal only? (Notice you only use novorapid as a correction dose.)



Are you still going low using the basal only?
You need to review your Levemir dosage with the doctor..
Click to expand...
I don’t have insulin with my meals I have a set dose of 4 units to do me the whole day thanks for the advice calling diabetes nurse tomorrow
 
Ziggy2017 said:
a small rise in my sugar usually 1 mmll or less then an hour or so later I go from say 7.0 to 4.0
Click to expand...
Hi @Ziggy2017, sorry to hear of your troubles. My take on it as a T1D, not professional advice or opinion:
Maybe your short-acting insulin dose taken before your meal is too high or carb intake too small for that dose.
Or there is too big a gap between dose and eating your meal? Or that you are not breaking down the insulin more quickly than before? Has what you eat changed ? (e.g. more fat so that the BSL does not rise as quickly)?
Has any of your other medication changed such that there is less insulin resistance (e.g. lowered dose of steroids) ?
Any injection accidentally into muscle? Repeated injection into one area --> lipodystrophy --> more rapid absorption?
I hope the above helps, if not out comes the deerstalker hat !!
 
Ziggy2017 said:
I don’t have insulin with my meals I have a set dose of 4 units to do me the whole day thanks for the advice calling diabetes nurse tomorrow
Click to expand...

May I be so bold as to narrow the "possibility" down to the Levmir...?

If you are not injecting for meals. Your background dose needs accessment by your HCP... (The doc.)
 
kitedoc said:
Hi @Ziggy2017, sorry to hear of your troubles. My take on it as a T1D, not professional advice or opinion:
Maybe your short-acting insulin dose taken before your meal is too high or carb intake too small for that dose.
Or there is too big a gap between dose and eating your meal? Or that you are not breaking down the insulin more quickly than before? Has what you eat changed ? (e.g. more fat so that the BSL does not rise as quickly)?
Has any of your other medication changed such that there is less insulin resistance (e.g. lowered dose of steroids) ?
Any injection accidentally into muscle? Repeated injection into one area --> lipodystrophy --> more rapid absorption?
I hope the above helps, if not out comes the deerstalker hat !!
Click to expand...
Hi @kitedoc the only insulin I have is 4 units at 8am every morning. My diet has not changed I’ve always eaten potato waffles and pizza etc my tacrolimous (anti rejection drug) has been lowered but that was over a month ago. And as far as I know I’m not injecting into muscles or using the same space I switch legs everyday. Thanks for your help
 
Jaylee said:
May I be so bold as to narrow the "possibility" down to the Levmir...?

If you are not injecting for meals. Your background dose needs accessment by your HCP... (The doc.)
Click to expand...
I have been on the phone with my diabetic nurse and every time I call the lower my levemir by 1 unit they have been doing this for a while as they want me to be 5.0 odds in the morning
 
Still having problems with the low just before dinner ate then I was fine but a hypo has just struck :banghead:
 
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