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Low carb but continued high BG (type 1)
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<blockquote data-quote="JoshPowJenks" data-source="post: 2398246" data-attributes="member: 542766"><p>Thanks for your response [USER=372717]@EllieM[/USER]</p><p></p><p>If I do have an underlying infection, it's not something presenting any obvious symptoms. I've not had Covid as far as I'm aware, and I've been vaccinated so I'd be unlikely to have it rough.</p><p></p><p>My night and fasting readings are roughly the same at the moment (but can be too high, 10-12mmol roughly), although this does change quite frequently. A few weeks ago I dropped my nighttime Levemir from 6u to 5u which seemed to be right based on my night vs morning readings, but I've had to drop it again to 4u as 5u started dropping me too much again. It's worth noting that I occasionally have unexplained spikes at around 2-3am. Could be dawn phenomenon or even delayed stomach emptying, I'm not sure.</p><p></p><p>If I up the bolus for the meal, it'll likely be too much in the short term and I'll go low. I'm usually OK for the first two hours when Novorapid <em>should</em> be peaking, so any more bolus would probably send me low, followed by a 2 hour spike.</p><p></p><p>As for my team, they're pretty rubbish in all honesty. I don't have a dedicated team per se - there are various diabetic nurses at the hospital, and if I need to speak to anybody I have to leave a voicemail and it's total pot luck who calls me back, and 9 times of out 10 it's somebody I've never spoken to before and they have no knowledge of my medical history. It's rare I get advice that actually helps, they just seem to give me basic cookie cutter advice that doesn't actually address the problem I'm having at the time. In fact, I'm still waiting for them to call me back after the voicemail I left them last Thursday for something unrelated.</p></blockquote><p></p>
[QUOTE="JoshPowJenks, post: 2398246, member: 542766"] Thanks for your response [USER=372717]@EllieM[/USER] If I do have an underlying infection, it's not something presenting any obvious symptoms. I've not had Covid as far as I'm aware, and I've been vaccinated so I'd be unlikely to have it rough. My night and fasting readings are roughly the same at the moment (but can be too high, 10-12mmol roughly), although this does change quite frequently. A few weeks ago I dropped my nighttime Levemir from 6u to 5u which seemed to be right based on my night vs morning readings, but I've had to drop it again to 4u as 5u started dropping me too much again. It's worth noting that I occasionally have unexplained spikes at around 2-3am. Could be dawn phenomenon or even delayed stomach emptying, I'm not sure. If I up the bolus for the meal, it'll likely be too much in the short term and I'll go low. I'm usually OK for the first two hours when Novorapid [I]should[/I] be peaking, so any more bolus would probably send me low, followed by a 2 hour spike. As for my team, they're pretty rubbish in all honesty. I don't have a dedicated team per se - there are various diabetic nurses at the hospital, and if I need to speak to anybody I have to leave a voicemail and it's total pot luck who calls me back, and 9 times of out 10 it's somebody I've never spoken to before and they have no knowledge of my medical history. It's rare I get advice that actually helps, they just seem to give me basic cookie cutter advice that doesn't actually address the problem I'm having at the time. In fact, I'm still waiting for them to call me back after the voicemail I left them last Thursday for something unrelated. [/QUOTE]
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