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Newbie saying hello + general query

J

johnar

Member
Messages
10
Firstly, hi guys. This is my first post but I've been lurking for since diagnosis (about 7 weeks ago).

As well as saying hello I've got a little question for type 1s on basal/bolus regimes.
I've only recently got my lantus down to the right level and I think as its been a little too high its been hiding a slightly wierd BG level issue.

It seems that my post evening meal levels are much higher than they should be (above 10) and are often quite difficult to reduce for a few hours (I'm carb counting and adjusting my levels to match).

I was wondering if anyone else had this sort of an issue and how do you control it? I've tried injecting after I've eaten but this doesn't seem to make much of a difference.

I hope that makes sense!

john
 
Hi johnar,
I have been a type 1 diabetic for 31 years, since I was 11. You seem to have a similar problem to the one I had a while back. Previously I would need a high sugar level (>12) before bed to be sure of not going hypo before morning. My diabetes specialist is very switched on (I think I'm lucky though) and will "try out" things that many might not. His solution was to split my usual evening dose of Levemir (24hr insulin) so that I now have 64 units in the late evening and 22 units at breakfast time, previously this was over 90 units, evening only. I had to slightly increase my Novorapid (short acting insulin) at my evening meal and reduce it at breakfast, but it keeps my evening sugars much more acceptable and stable through the night. Now my BM is about 7 right through to the morning.
I hope this is of use to you,
Good luck,
mrburden
 
Hi John,

When do you inject your lantus? In the morning or at night?
If you inject at night, it may be that your basal lantus is not lasting the full 24 hours. You may have to split your dose to 2 like many others have to.
Your high readings could also be down to you having a higher carb/insulin ratio for your evening meal. My ratio is different for different times of the day. Your body responds differently to the insulin depending what other hormones are about. For example, many people have a higher carb/insulin ration in the morning because of the higher levels of cortisol in the blood stream at this time.

Do you exercise before your evening meal? This may also be an issue.

Sorry there are so many factors! Everyone is different.

Tasha
 
Cheers for the replies guys, its very difficult to give you all the relevant information ina short post!
I take my basal at 6pm but the problem remains if i eat my dinner late, latest i've probably eaten is at about 8pm and i still had the high results.
I'm going to just try adjusting my ratio at dinner time, its still very confusing because I'm very much in my honeymoon period so who knows whats going on in there!
thanks again
john
 
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