emily deacon
Well-Known Member
- Messages
- 142
- Type of diabetes
- Type 1
- Treatment type
- Insulin
Do you mean you hit a low at 6am? If so, how low was low? Or that you've hit a low at 6mmol/l? 6mmol/l isn't low.
Yes, DAFNE advises only correcting at meal times. But obviously, if you're going to bed with a blood sugar that demands a correction, without a corrective dose you're going to spend 8 hours higher than you'd like to be. To be cautious about over correcting you could adjust your correction factor for corrections without food, so you're taking a corrective dose, but a smaller corrective dose, to avoid over correcting.
Hi, I've not been on a DAFNE course yet, diagnosed T1 in Aug2017. So I use common sense and I correct sometimes without food and I would have done after a Chinese if I hadn't got the preprandial right. I'd have done 1 unit just be be on the safe sideAfter my Chinese I was a high of 19. So I injected 2 units of novarapid insulin. By 6am I was 3.2
How long after the meal did you got to bed? Perhaps you didn't allow the 4-5 hours needed to ensure the meal-time insulin has been used up and the meter reading is valid. You can correct at any time but you must ensure your reading is late enough after the last insulin injection to give a valid measure.After my Chinese I was a high of 19. So I injected 2 units of novarapid insulin. By 6am I was 3.2
If you think your basal is too high and will help bring you down then maybe ok.
But high teens are not a good place to be for a few hours while you sleep.
So maybe this is a chance to learn a bit about corrective doses!
Play it safe and just inject 1 unit now and test again in a couple of hours.
Lots if it is a regular thing. As a one off a handful of times a year it sometimes can’t be helped. We all make a few mistakes, we get colds, our diabetes is erratic, etc.I’ve been lowering my basal over the last few days to avoid hypos - was having two a day, also lowered my bolus too. But tonight’s meal has really pushed me up!
How much damage could high teens through the night do me?
Lots if it is a regular thing. As a one off a handful of times a year it sometimes can’t be helped. We all make a few mistakes, we get colds, our diabetes is erratic, etc.
Get a feel for corrective doses so next time you can address it confidently.
With no short acting onboard and running at a flattish say 9 take 1 unit then test test test in the following hours.
For me that might drop me to 5 (from 9). Do the same starting higher and the 1 unit is less effective for me, eg 12 would go to 9, 15 to 13 etc. Many people find similar - higher you start the larger the correction needs to be to get the same drop.
Then when you think you have it all figured out some variable will change like the weather, stress, hard or soft Brexit etc. That’s T1 life!
But you’ll get a feel for things and general patttrns.
Good luck!
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