Hey everyone,
I've been a type 1 diabetic for 12 years soon, where I have been through both pump and pen therapy. I have a preference for pen, thus using those. In general, I do not have an issue, but I have a hard time figuring out how to ideally set up my basal insulin.
I am very active, thus the preference for Lantus for more flexibility. Normally I take 11 units in the morning (9 am) and 2 units in the evening (9 pm). My current issue is, I tend to drop low during the night, and also wake up with a low, even if I eat a small snack during the night to get my blood sugar up.
I have tried to adjust the ratio further down (using the JuniorStar pen for adjustments at 0.5 units), but I find that reducing the evening one down to 1.5 (still a 25 percent reduction in the evening) is making my blood sugar rise instead and make the morning BG combined with breakfast unbearable.
I have tried to reach out to my diabetes nurse about this, however, her and I don't really get along (no mean attitude, but our personalitys crash, and I find it hard to be open about my situation with her - hence why I am changing to a different hospital. Also, she hasn't responded to my latest questions either)
The next appointment of mine is first in 2 months at the new hospital, and normally I'd go with their advice, but until then I was wondering if anyone could help me out? I have always had my dosage split since I was diagnosed, so I have thought about trying to do one daily injection instead to see, if that could benefit me somehow, but I am afraid in during so my BG would drop low throughout the day.
Any help is appreciated! Thanks! (Basal: Lantus) (Bolus: NovoRapid)
I've been a type 1 diabetic for 12 years soon, where I have been through both pump and pen therapy. I have a preference for pen, thus using those. In general, I do not have an issue, but I have a hard time figuring out how to ideally set up my basal insulin.
I am very active, thus the preference for Lantus for more flexibility. Normally I take 11 units in the morning (9 am) and 2 units in the evening (9 pm). My current issue is, I tend to drop low during the night, and also wake up with a low, even if I eat a small snack during the night to get my blood sugar up.
I have tried to adjust the ratio further down (using the JuniorStar pen for adjustments at 0.5 units), but I find that reducing the evening one down to 1.5 (still a 25 percent reduction in the evening) is making my blood sugar rise instead and make the morning BG combined with breakfast unbearable.
I have tried to reach out to my diabetes nurse about this, however, her and I don't really get along (no mean attitude, but our personalitys crash, and I find it hard to be open about my situation with her - hence why I am changing to a different hospital. Also, she hasn't responded to my latest questions either)
The next appointment of mine is first in 2 months at the new hospital, and normally I'd go with their advice, but until then I was wondering if anyone could help me out? I have always had my dosage split since I was diagnosed, so I have thought about trying to do one daily injection instead to see, if that could benefit me somehow, but I am afraid in during so my BG would drop low throughout the day.
Any help is appreciated! Thanks! (Basal: Lantus) (Bolus: NovoRapid)