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Insulin change causing high's BS readings

Discussion in 'Type 1 Diabetes' started by clarey123, Jul 27, 2016.

  1. clarey123

    clarey123 Type 1 · Member

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    Hi, New to the forum. I have been a type 1 diabetic for the last 15 years. I was on novomix30 until the beginning of July and have been changed to levemir and novorapid since the change blood sugars have been all over the place and I am waking up between 12-16mmol in the mornings. I was well controlled on my novomix30 but had several serve hypo's this is the reason for my insulin change.
    Would anyone suggest having more levemir at night or is it this causing the highs?
    Any advice would be greatly appreciated.
     
    #1 clarey123, Jul 27, 2016 at 9:24 AM
  2. azure

    azure Type 1 · Expert

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    Welcome @clarey123 :)

    Sometimes a swap to a different regime can take a while to get your dosages right.

    Do you take one injection of Levemir a day or two? When do you take it?
     
    #2 azure, Jul 27, 2016 at 9:36 AM
  3. clarey123

    clarey123 Type 1 · Member

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    I take two injections of levemir a day at 7am and 9pm
     
    #3 clarey123, Jul 27, 2016 at 9:40 AM
  4. tim2000s

    tim2000s Type 1 · Expert
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    Hi @clarey123 - alongside your new insulin regime, are you carbohydrate counting?
     
    #4 tim2000s, Jul 27, 2016 at 9:45 AM
  5. clarey123

    clarey123 Type 1 · Member

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    Yeah I am carb counting which is all new to me was recommended to use a 1:8 ratio
     
    #5 clarey123, Jul 27, 2016 at 9:48 AM
  6. azure

    azure Type 1 · Expert

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    If you weren't carb counting on mixed insulin that might have contributed to your hypos possibly.

    Have you done some night time blood tests to see when your blood sugar starts to rise?

    What's your blood sugar like before bed?
     
    #6 azure, Jul 27, 2016 at 9:52 AM
  7. clarey123

    clarey123 Type 1 · Member

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    Before bed blood sugars are around 4.9-6.2mmol. Have done a few 3am tests which were all around 9.8mmol, which I why I think I should possibly be taking more levemir to keep it down
     
    #7 clarey123, Jul 27, 2016 at 9:59 AM
  8. azure

    azure Type 1 · Expert

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    Always check with your DSN if you're in any doubt, and make any changes in very small increments.

    Your bedtime sugars seem fine.

    If you do put your evening Levemir up, test during the night and give it a few days before adjusting again if you need to.

    Good luck :)
     
    • Agree Agree x 1
    #8 azure, Jul 27, 2016 at 10:16 AM
  9. Juicyj

    Juicyj Type 1 · Expert
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    Hi @clarey123 as your nighttime levels are rising, and with your bolus having been depleted it leads to correcting your basal rates - as @azure has said check with your DSN as you are on a new regime they will want to keep a close eye on you.
     
    #9 Juicyj, Jul 27, 2016 at 10:22 AM
  10. clarey123

    clarey123 Type 1 · Member

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    Thanks for the advice
     
    • Like Like x 2
    #10 clarey123, Jul 27, 2016 at 10:32 AM
  11. noblehead

    noblehead Type 1 · Guru
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    If the basal dose (levemir in your case) is set at the right dose your fasting bg levels shouldn't fluctuate by more than 1.6mmol/l, I'll include a link to basal testing which explains how to do the test in different time frames, but agree with @azure that you should check with your DSN if ever in doubt about anything:

    http://www.salforddiabetescare.co.uk/index2.php?nav_id=1007

    Good luck.
     
    #11 noblehead, Jul 27, 2016 at 12:57 PM
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