Insulin Sensitivity Based On Weight And/or High Blood Sugar

How high is your BS? I find that if mine's above 12 I need a larger correction dose.

 

Personally I find I need quadruple my usual correction dose in the mornings. I tend to split it so I have half when I wake up and then the other half 2-3 hours later mid morning once I've gauged how well the earlier correction worked.

I'm very insulin resistant in the mornings and I find the best approach is to have a low or zero carb breakfast and try not to let it creep too high.

 

Hi there

if you start by adding up your daily basal and all bolus doses in 1 day
this will give you a TDD -- total daily dose

so get your total daily dose for the last 4 days and then add them up and divide by 4
this will give you an average TDD

now take 100 and divide by TDD
this result is the amount your blood sugar should reduce by giving 1u of fast acting as a correction dose.

hope this helps a bit

 

Hi there, just out of interest what are you eating from breakfast and what's your carb/insulin ratio in the morning, also when are you going high ?

If you are waking high then you need to check your basal, so wake at 3am and test then, if you're going high from waking till lunch then your bolus carb/ratio would need reviewing.

I am insulin resistant in the morning so have a low carb breakfast, otherwise with carbs on board I am high till lunch

 

I've had the same problem this morning. Blood sugar reading this morning 17.5. I had two slices of seeded bread toast and marmite for breakfast. Injected my correction dose: 1 unit brings it down 2 - 5 units given plus another 4 units for toast. Two hours later feeling **** so test sugars - 18.4! So have given myself another correction dose but less than normally as don'y want to end up with hypo! I have housework to do and that often leads to a hypo especially vacuuming!!!

It's all so complicated!!

 

I find delaying my breakfast can make me go high too. I need food and insulin first thing. If I do have to delay my breakfast, I either have a tiny bolus (without food) or a small amount of food plus bolus to keep my BS ok until I can eat.

@cath67plum Yes, it's frustrating waking high like that as it can mess up the morning for hours. If you're generally waking high, you might want to look at your basal dose. If you normally wake up in range, but go high after breakfast, bolusing more in advance of breakfast can work wonders.

 

Assuming you mean waking bg levels, I'm not sure what basal you inject but if it's levemir/lantus have you considered split-dosing to give you a better 24hr coverage?

 

Hello @paulpapa - is this a typical pattern at night and what did you eat last night ? Alot depends on what was eaten, if you are eating say a high fat meal at night then splitting your bolus over 2 hours would help alot, so taking say 2/3 before then a 1/3 an hour or so after eating, as fat slows digestion. Typically pizzas, curry work well with this type of bolus split. Also have your adjusted your carb/insulin ratio at night ? Getting your last reading in range will help you then to see what's going on in the night.

I know it's frustrating but with a little work it will improve, perhaps write a food/insulin diary whilst this is happening to record patterns as you haven't got your libre ?

 

As mentioned by @noblehead do you take your basal once in the morning or do you split ?

If your ratios are low then this is what's causing your issues - don't be afraid of adjusting, as long as you are eating/injecting say 4 hours before bed then you have a good window to watch what's happening with your BG levels before bed, I try and aim for about 5.5 to 6.5 before bed, it then helps you to see when waking if the overnight basal was working as it should or needs adjusting.