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<blockquote data-quote="Draco16" data-source="post: 1939040" data-attributes="member: 467776"><p>Hi, I wasn't sure if you meant you always corrected when high after food? or you mean you normally take your insulin after food?</p><p></p><p>If the latter this will in explain why you are running a lot higher than you think - novarapid is just not quick enough for injecting after meals and your bg is rocketing upwards while you are eating. You need to look at pre-bolusing (injecting before eating, for some on nova that can be upto 1 hour) as well as dose. I just wanted to check you are not waiting to finish eating before injecting as that is not good at all re your numbers.</p><p></p><p>But the bit that concerns me most is are you testing for keytones? Sleeping for 16 hours a day, the other symptoms you describe and the fact your average bg is 12 - all mean you must do so urgently, if you don't have a meter then please go to hospital.</p><p></p><p>See link here <a href="https://www.diabetes.co.uk/diabetes_care/testing-for-ketones.html" target="_blank">https://www.diabetes.co.uk/diabetes_care/testing-for-ketones.html</a></p><p></p><p>But you should routinely test when over 17 bg, but also when you have been repeatedly over 13 bg - and with an average of 12 bg you will almost certainly be repeatedly over 13 bg unfortunately.</p><p></p><p>Hopefully keytones are not an issue here, after that your best tools for getting your bg down are</p><p></p><p>1. pre-bolusing</p><p>2. low or lower carb meals (even eating the exact same meal repeatedly to get good control and fine tune your understanding)</p><p>3. Libre - so you get a better picture of what is going on across the day</p></blockquote><p></p>
[QUOTE="Draco16, post: 1939040, member: 467776"] Hi, I wasn't sure if you meant you always corrected when high after food? or you mean you normally take your insulin after food? If the latter this will in explain why you are running a lot higher than you think - novarapid is just not quick enough for injecting after meals and your bg is rocketing upwards while you are eating. You need to look at pre-bolusing (injecting before eating, for some on nova that can be upto 1 hour) as well as dose. I just wanted to check you are not waiting to finish eating before injecting as that is not good at all re your numbers. But the bit that concerns me most is are you testing for keytones? Sleeping for 16 hours a day, the other symptoms you describe and the fact your average bg is 12 - all mean you must do so urgently, if you don't have a meter then please go to hospital. See link here [URL]https://www.diabetes.co.uk/diabetes_care/testing-for-ketones.html[/URL] But you should routinely test when over 17 bg, but also when you have been repeatedly over 13 bg - and with an average of 12 bg you will almost certainly be repeatedly over 13 bg unfortunately. Hopefully keytones are not an issue here, after that your best tools for getting your bg down are 1. pre-bolusing 2. low or lower carb meals (even eating the exact same meal repeatedly to get good control and fine tune your understanding) 3. Libre - so you get a better picture of what is going on across the day [/QUOTE]
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