Hi there
first thought is are you suffering with a cold or do you possibly have an infection ??
insulin needs increase with an infection.
here is a link to sick day rules which may help.
http://www.diabetes-support.org.uk/info/?page_id=141
also -- a call to your support team would be a good idea too in my opinion.
Another possibility is you may have had a change to your basal requirements. If you are consistently having to apply the same or similar corrections or you are seeing that your numbers are always a similar amount above what you expected they should be following previous meal and dose then, if you are not ill, you are likely looking at needing to make changes to your basal insulin.
Hope you get it back under control soon.
/A
I forgot about that! I don't feel any pain whilst injecting but it feels a bit weird under where I inject, feels a bit firmerHow are your injection sites? Could you be injecting into lumps?
I remember being told that it doesn't hurt injecting into lumps. Sounds like moving to a fresh site would be worth trying
Did you apply any correction before bed or was it just the levemir?Hi Andy, I have seen that my numbers are always similar amounts above what I think, normally around 11-13. I take 12 units of levemir before bed and thats the only time I take it. Went to bed at 12.8 yesterday and woke at 8.7. So increasing my basal to 13?
Did you apply any correction before bed or was it just the levemir?
With nothing else if you are seeing a drop overnight then it seems that your levemir is a little high if anything. I am surprised that you are only taking a single dose a day as typically it doesn't last a full 24 hours (according to http://iddt.org/about/gm-vs-animal-...imes-of-animal-gm-human-and-analogue-insulins they recon about 14 hours) so perhaps you need to look at splitting your dose. Ideally overnight you shouldn't see too much of a rise or fall, a 4mmol drop overnight looks to me like too much levemir at night, if I had that kind of drop I would be backing off my evening levemir by 2 units but I take 2 doses a day of that.
I would strongly suggest that you contact your DSN and discus with them about splitting your levemir dose since you are apparently dropping overnight and rising during the day, however I suspect you are covering for the lack of basal insulin in the afternoon with your rapid insulin doses instead. Have you completed DAFNE or some other similar course? If not then it might be worth doing a quick search and familiarising yourself with how to keep a diary in that format then go to your DSN with that. Being able to see the splits between your food dose and correction doses as well as the daytime and overnight basal activity should help work things out.
While waiting on a DAFNE course take a look at : http://bdec-e-learning.com/I didn't apply any correction before bed and agree that I dropped a bit too much. I've been waking up slightly higher than when I go to sleep with normal levels so maybe going low overnight without realising. I've not completed any courses, was just taught about carb counting months ago. I'll get in touch with my DSN as well. Thanks for the help
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