Need Help! :(

[jemz24]

So I had my little girl a year ago by c-section, since having her my levels have not gone back down I am still having to take high doses of insulin example; rice crispies 28 units of noverapid nearly 100 units of lantus in 24hrs, I've cut out bad foods only drinking water.
Now my doctor and diabetic nurse Arnt bothered about it, but in my mind I no this isn't right? I'm putting on weight due to access amount of insulin but I've just had my yearly review and im 73 on the chart this does not make sense to me im taking all this insulin putting on weight I'm bloated and swallon all the time just want to get back to my size 10 and be healthy again, feel like I am going to have a break down, can anyone help should I seek advice somewhere else, i want to loose weight but find diabetes is taking over my life.
Someone please help :'(

 

[azure]

@jemz24 Im on my way out so a quick reply for now. Have you had your hormone levels checked?

Can you put your ore-pregnancy doses and ratios here compared to your new ones?

{{hug}} Don't panic. I'm sure you'll get some good suggestions. X

 

[Juicyj]

Hi @jemz24 - If you can give us an idea of what your daily BG levels look like ? If you're running consistently high then it's a good suggestion to start with checking your basal insulin dose is set at the right level, otherwise you will be continuously over compensating by correcting with your quick acting, so getting your basal dose right means doing some fasting which you can split between morning/afternoon/night, here's a link to checking this:

The guidelines from Salford Diabetes Care (http://www.salforddiabetescare.co.uk/index2.php?nav_id=1007) gives the following information:

Evaluating the results and Suggested Changes

For each time period:

• Compare the BG readings for the three times you have tested a particular time period and look for a pattern
• BG changes of more than 2.0mmol/l between readings indicate the need to adjust the basal rate
• Make basal rate changes in small increments, typically 10%
• The basal rate should be increased 1-2 hours before the BG begins its rise or the basal rate needs to be decreased 1-2 hours before the BG begins its fall
• Make one change at a time
• Re-evaluate that time frame after any changes to the basal rate are made
• Then move on to the next time period

Start here and see how this goes, try not to get down as you it's just a temporary phase

 

[jemz24]

@jemz24 Im on my way out so a quick reply for now. Have you had your hormone levels checked?

Can you put your ore-pregnancy doses and ratios here compared to your new ones?

{{hug}} Don't panic. I'm sure you'll get some good suggestions. X

Hi azure
Thank u for the response, I didn't no u could get hormone level checked without sounding dum Lol,

Also I can't remember my exact doses when preganant as they took my notes but I no they've only dropped about half,
Pregnant lantus: bout 100 morning and night
Now: 58am and 49pm
Preganant Noverapid: 60 to 80 per meal
Now, 26 to 32 per meal
Hope this makes sense this is even with low carb meals.
Thank u for support xx

 

[jemz24]

Hi @jemz24 - If you can give us an idea of what your daily BG levels look like ? If you're running consistently high then it's a good suggestion to start with checking your basal insulin dose is set at the right level, otherwise you will be continuously over compensating by correcting with your quick acting, so getting your basal dose right means doing some fasting which you can split between morning/afternoon/night, here's a link to checking this:

The guidelines from Salford Diabetes Care (http://www.salforddiabetescare.co.uk/index2.php?nav_id=1007) gives the following information:

Evaluating the results and Suggested Changes

For each time period:

• Compare the BG readings for the three times you have tested a particular time period and look for a pattern
• BG changes of more than 2.0mmol/l between readings indicate the need to adjust the basal rate
• Make basal rate changes in small increments, typically 10%
• The basal rate should be increased 1-2 hours before the BG begins its rise or the basal rate needs to be decreased 1-2 hours before the BG begins its fall
• Make one change at a time
• Re-evaluate that time frame after any changes to the basal rate are made
• Then move on to the next time period

Start here and see how this goes, try not to get down as you it's just a temporary phase

Juicyj
Thank u for response without sounding stupid atm it's Like a guessing game it's like I don't have certain unit per carb my body is all over the place, but I will try give this ago with a little one it try test often as I can I could probably test more to help improve more, so stressful.
Many thanks jemma x

 

[Juicyj]

Hi @jemz24 Don't worry about sounding stupid It would be good for the 3 days to do your testing before meals and record your results and food eaten/carbs as well as times.

I find when things are going wrong that by recording this information gives me a place to start, forget about basal testing for the moment, just try and get a diary of what's going on, you've then got something to work with.

Have you also spoken to your DSN about this ? They are there to support you, so if it means spending an hour with them, try and get to see them to go through what's going on, I know it's stressful but to get back on track will require some effort and once you've got it sussed you can settle back into a routine again, sadly stress doesn't help our BG levels do try and so something relaxing too

 

[azure]

Hi azure
Thank u for the response, I didn't no u could get hormone level checked without sounding dum Lol,

Also I can't remember my exact doses when preganant as they took my notes but I no they've only dropped about half,
Pregnant lantus: bout 100 morning and night
Now: 58am and 49pm
Preganant Noverapid: 60 to 80 per meal
Now, 26 to 32 per meal
Hope this makes sense this is even with low carb meals.
Thank u for support xx

You don't sound stupid at all

I mentioned hormones because occasionally male hormones take a little longer to get back to normal after giving birth. If you think that might be an issue for you, you could ask your GP about tests.

My other thoughts are that maybe your body composition has changed slightly after pregnancy. This could well be a temporary change. I noticed I seemed to have slightly more fat percentage, but now that's pretty much heading back to normal. So give yourself time

A basal check is a good idea. If it was me, I'd also consider if a change of basal insulin might be worth a try.

But I stress again, I'd give it a little,longer and see how things go over the next few months. I'm still seeing changes now my son's a toddler, so keep on going doing what you need to to,control your blood sugar and gradually look at the suggestions you get here and from your team.