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Metformin for type 1
- Thread starter Jess1D
- Start Date
Sorry also my bm this am upon waking was 5
Now having given 2 units to correct - it’s 15.9 & rising
I think you've got a good case for going back on a pump....
But I find once my levels go up to 15 my insulin resistance seems to increase.... I definitely have IR and I need to inject in the morning even if I don't eat.
What basal are you using and when are you taking it? It couldn't be something simple like you are taking lantus in the morning and it has run out by the next morning? (Sorry if you've already mentioned this, couldn't see it in my quick reread of your posts.)
But I find once my levels go up to 15 my insulin resistance seems to increase.... I definitely have IR and I need to inject in the morning even if I don't eat.
What basal are you using and when are you taking it? It couldn't be something simple like you are taking lantus in the morning and it has run out by the next morning? (Sorry if you've already mentioned this, couldn't see it in my quick reread of your posts.)
Hi
Thanks for the response
So this am 2 small bits of toast- 12grams carbs
My insulin to carb ratio is 1-10 or 1-12 been using the latter
Numbers were 8 on waking -gave 6 units, 40 mins after breakfast I was 10.6-gave 1 unit, an hour later there 15.4-gave 3 units
Another hour later 16.7
So given 2 units
Started the metformin 3 days ago
I take Tresiba at 7pm - take 8 units, if I have 9 I wake up low
I am struggling with this- so blinking frustrating
My reading before bed is normally between 7-9
NicoleC1971
BANNED
Have you ever had cortisol checked? We do react to light by chucking out lots of cortisol and this shows up as the dawn phenomenon in people like us who can't produce insulin to deal with it or type 2s with high insulin resistance too.Now having given 2 units to correct - it’s 15.9 & rising
Perhaps you are simply very reactive to cortisol. I believe it is a simple test to perform (no bloods). I appreciate that getting a GP to approve such a test isn't straightfoward.
Either way I think @EllieM is correct to say a pump would help you to get ahead of this spike and even out your doses across more hours so that you are not putting a large dose in thus making the fatty lumps (if they exist) worse.
re not eating first thing, I did use to find that vigorous exercise without food would also produce a 'stress' spike though depending on your dog etc. I'd hope the daily dog walk was a calming experience?! I still skip breakfast bar a spoon of nut butter but would concede that eating something might help but would make that full fat yog or eggs rather than a banana.
RE low carb, I find things easier with less carb because it reduces my dosing errors.
Re the dosing errors, I am quite lazy but do think it is hard to get the dose right just by counting carbs as we all know that the quality of the carbs and the company in which they are consumed makes a big difference to results.
I feel I’m missing that trickle effect of insulin (that you get with the pump) numbers went as high as 17 this am, came down to 10 at 11am
Also the frustrating part is I truly feel my nurse is just like deal with it!!
She seems to think things are going well & I need to focus on the positives?!!
Also the frustrating part is I truly feel my nurse is just like deal with it!!
She seems to think things are going well & I need to focus on the positives?!!
I am waiting for docs to ring back today, 5am - bm-11.9- gave 7 units to cover my breakfast (25grams carbs).
7.40am - 12.8 & rising-gave 1 unit
Took the dog for a walk
8.09am - 16.2 rising
8.15am - 15.4 level
8.29am - 17.2 rising
This is beyond a joke
I’ve given 10 units for 25grams of carbs- is this really normal?!
7.40am - 12.8 & rising-gave 1 unit
Took the dog for a walk
8.09am - 16.2 rising
8.15am - 15.4 level
8.29am - 17.2 rising
This is beyond a joke
I’ve given 10 units for 25grams of carbs- is this really normal?!
Hope you get some help from the doctor, but a few things strike me from your post.
How long did you wait after your pre breakfast insulin, before eating, and how much of that dose was a correction? Higher levels can result in insulin resistance, and need more insulin to reduce blood sugar by.
The insulin you gave at 7.40 am probably wouldn't have started to work by 8.09 am, and walking for some people will raise their blood sugar.
As meters are allowed a +/-15% the last 3 tests could all be the same, so not rising, and by continuing to give extra insulin you could be heading for a hypo later on, as insulin will go on working for 4-5 hours.
The amount of insulin a person needs is normal for them, I take what I personally need, and don't care or worry how much any one else takes. We're all different and there's no right or wrong amount.
How long did you wait after your pre breakfast insulin, before eating, and how much of that dose was a correction? Higher levels can result in insulin resistance, and need more insulin to reduce blood sugar by.
The insulin you gave at 7.40 am probably wouldn't have started to work by 8.09 am, and walking for some people will raise their blood sugar.
As meters are allowed a +/-15% the last 3 tests could all be the same, so not rising, and by continuing to give extra insulin you could be heading for a hypo later on, as insulin will go on working for 4-5 hours.
The amount of insulin a person needs is normal for them, I take what I personally need, and don't care or worry how much any one else takes. We're all different and there's no right or wrong amount.
Doctors never rang me back- the receptionist was like why do you feel you need your cortisol checked!!
So been low carb breakfast in am- still running high
This am woke at 5am- 15
Gave 4 units to correct-went back to bed(felt rough) got up at 8am- still 15- gave 3 units
Had 3 scrambled eggs & 4 cherry tomatoes for breakfast- gave 1 unit
- 15.7
Taking dog for a walk in the hope they come down
These numbers are such a drain-wearing me out
So been low carb breakfast in am- still running high
This am woke at 5am- 15
Gave 4 units to correct-went back to bed(felt rough) got up at 8am- still 15- gave 3 units
Had 3 scrambled eggs & 4 cherry tomatoes for breakfast- gave 1 unit
- 15.7
Taking dog for a walk in the hope they come down
These numbers are such a drain-wearing me out
So this am woke up & was 5, gave 2 units straight away, an hour later had 100g full fat Greek yoghurt,handful blueberries & 5 Brazil nuts -gave 3 units for this
As you can see by the graph just risen & risen
So far today I have given 14 units
I really don’t know what to do anymore- feel awful
Fenn
Well-Known Member
Hi, I am very sorry to even comment as I am generally as daft as a brick with all this stuff but have been following, may I ask does this happen everyday? have you tried injecting a reasonable amount without food and closely watch your bg to catch the hypo? Have you used all other sites apart from belly? Seems like a lot of skin area for it all to be overused, surely if that was true, some sites would be better than others? ie. your "favourite" sites.
I take metformin, although the endo yesterday was scratching his head and asking why, he didn't take me off it *shrug* but it does not seem to do me any harm.
Again I apologise for being thick, I was under the impression that the slow acting insulin gave us a baseline, then we adjusted for meals with the quick acting, now wouldn't that mean your slow acting is too low? I take a split dose (Levemir) now, one in the morning, one in the evening, I take 14 units at night and 10 in the morning, my point is if you are on a split dose, have you tried varying the doses? if you are not, maybe worth a try? sorry if these are dumb questions, you have miles more experience than me.
I take metformin, although the endo yesterday was scratching his head and asking why, he didn't take me off it *shrug* but it does not seem to do me any harm.
Again I apologise for being thick, I was under the impression that the slow acting insulin gave us a baseline, then we adjusted for meals with the quick acting, now wouldn't that mean your slow acting is too low? I take a split dose (Levemir) now, one in the morning, one in the evening, I take 14 units at night and 10 in the morning, my point is if you are on a split dose, have you tried varying the doses? if you are not, maybe worth a try? sorry if these are dumb questions, you have miles more experience than me.
Hi, yes most days yes, I have tried different injection sites & different breakfasts - low carb which is what I have been doing recently - even today though it happens- I just cannot see why this is happening!!
I have emailed my nurse - as I’ll be honest I don’t know whether I’m coming or going right now with the diabetes
The other day we went out for a coffee & lunch, I was 11 before we got there- injected 8 units to cover the food & the correction needed, blood sugars went nuts-21-27
Can you test for ketones?
Some people need much more insulin than others.The other day we went out for a coffee & lunch, I was 11 before we got there- injected 8 units to cover the food & the correction needed, blood sugars went nuts-21-27
For example, I need between 5 and 15 units of quick acting insulin just for getting out of bed and to cover the little splash of milk in my coffee, even if I wake up on a great number, and I need 5 to 15 units for my first meal of the day, which is less than 5 gr of carbs.
Then later in the day I need a lot less insulin per carb.
If your ratio has suddenly changed a lot but you're still using your old ratio, you'll go high after anything.
