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Levels have doubled in 3 weeks

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Paynejack02

Member
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5
Hi, my name is Jack 26 and I was diagnosed with type 1 at the start of August. My levels were 28 mmol when I went into hospital. 5 days later I left hospital and was put on 20 units of Lantas in the mornings and then 11 units of novorapid with each meal. My levels had been between 3.9 - 10 which I was very pleased about. At the end of November my diabetic nurse put me on carb counting with a ratio of 1 unit per ten grams of carbs. My levels continued to stay between 4 and 10 until about 3 weeks ago when all of the sudden they haven’t been lower than 10.5. I’m was told by my nurse to put my lantus up 2 units a day until it becomes lower again (started Monday so now on 26 a day) I’ve also been giving myself a few extra units of novorapid with food and my levels just keep climbing and don’t go below 11. Has anyone got any advice on what else I can try?
Much appreciated Jack
 
Paynejack02 said:
Hi, my name is Jack 26 and I was diagnosed with type 1 at the start of August. My levels were 28 mmol when I went into hospital. 5 days later I left hospital and was put on 20 units of Lantas in the mornings and then 11 units of novorapid with each meal. My levels had been between 3.9 - 10 which I was very pleased about. At the end of November my diabetic nurse put me on carb counting with a ratio of 1 unit per ten grams of carbs. My levels continued to stay between 4 and 10 until about 3 weeks ago when all of the sudden they haven’t been lower than 10.5. I’m was told by my nurse to put my lantus up 2 units a day until it becomes lower again (started Monday so now on 26 a day) I’ve also been giving myself a few extra units of novorapid with food and my levels just keep climbing and don’t go below 11. Has anyone got any advice on what else I can try?
Much appreciated Jack
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Hi Jack - I'm not going to offer you any suggestion, but I will tag in @Jaylee , @Scott-C and @Mel dCP who are all experienced T1s and may have some suggestions for you.

Has your eating been a bit different of late, with all the celebrations going on, or have you had a cold or anything?
 
Thanks for the reply I’ve ate a little more than usual but nothing too drastic and have been giving insulin for snacks etc, also not been ill at all
 
Paynejack02 said:
Thanks for the reply I’ve ate a little more than usual but nothing too drastic and have been giving insulin for snacks etc, also not been ill at all
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It's possible that your honeymoon period has ended/is ending and your pancreas is stopping its production of insulin. The nurse won't want you to increase your insulin too rapidly because that could result in hypoglcaemia. Honestly, I would just continue with her advice, it will come down eventually. (If there's any chance that your insulin has gone off you should change vials, plus look to see that you're not overusing any one injection site.) Also, if you've got a hidden infection (eg urinary tract) then that could be pushing your sugars up.
 
Hi Jack,

I think you are maybe coming to the end of your honeymoon period, where your pancreas is relieved at having injected insulin and starts to work a bit. You are heading the right way in increasing your Lantus & Novorapid steadily.

I found it useful at this stage to get a bit boring with my food and ate the same meals in the same portion sizes while I got sorted and brought my levels down. Have the same meals means you keep the same number of carbs at each meal for a few days and can better see how the insulin increase is affecting you..

The other thing I found that helped was taking a 15 to 20 minute stroll after meals which will also help bring your levels down. You can also lower the amount of carbs eaten in each meal.
 
I would ask the nurse if your bolus ratio needs changing rather than constantly adding to basal.
 
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