Newbie here

[ali705]

Hi all
I'm Ali, almost 60, diagnosed T2 in 1995, recently been plugged into a Libre 2 Plus and started on Humalog a few days ago and struggling with it! My Libre daily charts look like a map of the Himalayas, including some pretty spectacular sudden hypos and hypers! After 30 years of T2 and being pretty stable until the last year where my numbers have increased steadily, the sudden peaks and troughs are worrisome. Any help/suggestions welcomed.
Cheers

 

[Antje77]

Hi all
I'm Ali, almost 60, diagnosed T2 in 1995, recently been plugged into a Libre 2 Plus and started on Humalog a few days ago and struggling with it! My Libre daily charts look like a map of the Himalayas, including some pretty spectacular sudden hypos and hypers! After 30 years of T2 and being pretty stable until the last year where my numbers have increased steadily, the sudden peaks and troughs are worrisome. Any help/suggestions welcomed.
Cheers

Hi @ali705 , welcome to the forum.

Are you logging your meals and your insulin doses to see if you can find patterns between the two?

Humalog is a fast acting insulin, are you on a long insulin as well?

How are you dosing your Humalog? Do you take it before every meal? Are you on fixed doses or does the dose depend on the type of meal or your blood glucose before eating?

Sorry for all the questions, they may help in working out what is going on though.

If you've only started the humalog a few days ago, do you have regular contact with your doctor or diabetes nurse to talk your doses through? Finding the right dose is trial and error, so in the beginning doses usually need to be adjusted very often.

 

[ali705]

Hi @ali705 , welcome to the forum.

Are you logging your meals and your insulin doses to see if you can find patterns between the two?

Humalog is a fast acting insulin, are you on a long insulin as well?

How are you dosing your Humalog? Do you take it before every meal? Are you on fixed doses or does the dose depend on the type of meal or your blood glucose before eating?

Sorry for all the questions, they may help in working out what is going on though.

If you've only started the humalog a few days ago, do you have regular contact with your doctor or diabetes nurse to talk your doses through? Finding the right dose is trial and error, so in the beginning doses usually need to be adjusted very often.

Hi and thank you.
I've only been told to wear the Libre monitor and to inject twice a day. No back up. No follow up appt til mid-November either. Humalog is a biphasic insulin (25%/75%) so only 25% is fast acting. I take it before breakfast and before tea. It sounds like I'm not doing what I need to do in terms of monitoring the rest, ie what I'm eating/drinking, exercise, etc. Though as my daily diet and routine rarely vary, it's noticeable that the insulin spikes don't really seem to be related to either.
I'll start a record today and see if I can find any correlations.
Thanks

 

[grantg]

start marking down your exercise as well as the foods, regardless that your not using an insulin to carb ratio it could prove useful to include the carb content, perhaps your body can deal with upto X carbs and if over that then doesn't cope as well, insulin requirements can come down with exercise. took me a couple of months before glucose levels started to be more stablised. now peaks just with meals and if exercising lowish-low (depending how much and what type).

Might be worth asking at your next appt especially if you lead a fairly active lifestyle (at differning times of day) if perhaps switching to a long acting and fast acting regime maybe more appropriate. would mean more injections however it should allow much greater control.

If you have a DSN assigned. You should be able to get the clinics telephone number and call for advice regarding your dosages. Hopefully you've shared the data with them.

what are your highs and lows (if checked against fingerprick) if not checked against a fingerprick you should be doing that. sensors lag behind timewise and appear (to me) if rapid changing levels (straight up / down arrows) appear to try predict. alongside might be worth looking up compression lows (if lows are just at night and/or laying down/sitting). they seem to work much better when hydrated well

breakfast & dinner i'd guess your having more or less at the same time each day each day (or at least close as possible to it).