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Multiple injections

P

pechelbron

Member
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8
Hi
Type 2 My readings are erratic and seem to bear no resemblance to what I eat. I take 34 units of long acting insulin at bed time and morning readings are usually around 9 mmol but can be as low as 6 I get up at 6 but rarely eat until my wife merges at 9 am. Do you think I am right in giving my self a short burst of quick acting eg 8 units and then a boost around 9am which would normally be another 16 units. Same breakfast every day sometimes results in a hypo e.g yesterday 4.2 Am I the only one who feels left out to dry during Covid. eg 1 consultation in a year?
 
Has your DN given you any advice on dosing eg
1) when and how to change your long acting insulin
2) correction doses - how much extra short acting insulin to give if your blood sugar is too high?
3) carb ratio - how much insulin to give for each 10g of carb?

So when you wake in the morning there are 3 factors to your dose
1) if your bg is too high you may wish to give a correction dose
2) if you are about to eat you want to dose for that
3) Many of us suffer from the dawn phenomena, where our blood sugars go up in the morning because our livers pump out sugar to help out with the day. In this case, you may need to inject just for this...

But all these quantities vary massively from person to person so I have no idea whether or how much you should be injecting at 6 am. Your 6am injection will be a combination of a correction dose and a dose to cope with the dawn phenomena. The dawn phenomena amount will probably be the same each day, but the correction dose depends on your morning reading.

And in addition, just to confuse matters, as you are T2 you may or may not still be producing lots of your own insulin, (T2s tend to overproduce until and unless their insulin producing cells are damaged by long term high blood sugars). My discussion above assumes you are producing none, but in practice you are probably still producing some of your own.

Sorry I can't be more help but there are no fixed dosages for insulin. Some people need drastically more than others. Experience should help you determine how much you need, because you can see how your blood sugar has been affected by your individual dose.

Please tell me that you have a DN you can talk to about this.
 
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