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Type 1 Diabetes
My insulin is not working.
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<blockquote data-quote="Celsus" data-source="post: 1765675" data-attributes="member: 185674"><p>Its actually not a number. Its all about how you feel!</p><p>Some diabetics walk around in the upper twenties and still feeling great and hardly any symptoms.</p><p>(we were actually many diabetics in last century who lived up in that range for tens of years. Not good, but we did...)</p><p>Others will start to feel dizzy and get nausea etc. up in that range these days if used to being very low range bg.</p><p></p><p>You already shared with us the great news that you have no ketones in your urine, so definitely not any emergency situation as it is. As it shows that your body is still metabolizing carbs and have free insulin to support it. But its important that you keep drinking plain water to help your body/kidneys to rinsing out the excess bg as much as possible. As also your body increases urine level for that same reason and your blood plasma therefor needs extra suppirt to keep volume up (and acidity down) And then keeping your routine up to check your bg every 2-3 hours and bolus adequately to get your bg down to a more reasonable level.</p><p></p><p>You also shared with us that you take approximately 30 units of Lantus per day. So your daily rate of bolus is probably also up in the 30-40 units range. The small number of units you take for correction (2-4 units) does therefor indicate to me that it is way too low to have much/any impact at all. I would even myself (being like 3 times more insulin sensitive than you) have taken more units to correct being up in the 20-25 mmol/L range.</p><p></p><p>You see it works like if you are up in the 20+ range, then even taking your 'normal dose' for a main meal will further increase your bg level to be even higher, as you are less insulin sensitive when up there. Its like you need to get above that threshold to help it get back down again. But then the trick is to observe when it starts ramping down, as then your insulin sensitive goes back up to normal again. But to kick off that ramping down, I would myself need to take probably 8 units or so of bolus if I was up in the 20-25 range. And please notice I only take 11 units of bolus in total for my 3 main meals during a full day when in normal range. And I eat 'normal full fat carb meals'. Like 120-140g per day.</p><p></p><p>If I were you I would also throw out my current basal insulin pen and take a fresh out of the fridge, to make 100% sure my basal is there doing its job in the background as intended.</p></blockquote><p></p>
[QUOTE="Celsus, post: 1765675, member: 185674"] Its actually not a number. Its all about how you feel! Some diabetics walk around in the upper twenties and still feeling great and hardly any symptoms. (we were actually many diabetics in last century who lived up in that range for tens of years. Not good, but we did...) Others will start to feel dizzy and get nausea etc. up in that range these days if used to being very low range bg. You already shared with us the great news that you have no ketones in your urine, so definitely not any emergency situation as it is. As it shows that your body is still metabolizing carbs and have free insulin to support it. But its important that you keep drinking plain water to help your body/kidneys to rinsing out the excess bg as much as possible. As also your body increases urine level for that same reason and your blood plasma therefor needs extra suppirt to keep volume up (and acidity down) And then keeping your routine up to check your bg every 2-3 hours and bolus adequately to get your bg down to a more reasonable level. You also shared with us that you take approximately 30 units of Lantus per day. So your daily rate of bolus is probably also up in the 30-40 units range. The small number of units you take for correction (2-4 units) does therefor indicate to me that it is way too low to have much/any impact at all. I would even myself (being like 3 times more insulin sensitive than you) have taken more units to correct being up in the 20-25 mmol/L range. You see it works like if you are up in the 20+ range, then even taking your 'normal dose' for a main meal will further increase your bg level to be even higher, as you are less insulin sensitive when up there. Its like you need to get above that threshold to help it get back down again. But then the trick is to observe when it starts ramping down, as then your insulin sensitive goes back up to normal again. But to kick off that ramping down, I would myself need to take probably 8 units or so of bolus if I was up in the 20-25 range. And please notice I only take 11 units of bolus in total for my 3 main meals during a full day when in normal range. And I eat 'normal full fat carb meals'. Like 120-140g per day. If I were you I would also throw out my current basal insulin pen and take a fresh out of the fridge, to make 100% sure my basal is there doing its job in the background as intended. [/QUOTE]
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My insulin is not working.
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