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Type 1.5/LADA Diabetes
Nightmare diabetes appointment
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<blockquote data-quote="smidge" data-source="post: 705140" data-attributes="member: 29301"><p>Right, so after two days of taking Insuman Basal as my evening basal, my fastings were still very high - no worse but no better than Levemir - which meant I was having to use too much Apidra before breakfast and dropping low from mid morning - which is what I'm trying to avoid. So, yesterday, I changed the timing of my Insuman from 6.30pm to 10.00pm. I had a little drift up of BG from around 5pm - presumably as my Levemir had worn out, but I took a little more Apidra with my tea and then my normal evening dose of Insuman at 10pm. Result was that I dropped a little low and had to eat a 6g carb chocolate about 2.30am, but I woke with a perfect 5.5mmol this morning. Yippee! The first single-figure fasting I've had in a long time! It's early days and yesterday wasn't entirely representative of my normal routine, but at least it gives me hope I'm on the right lines. I'll see what happens over the next few days and if the pattern is consistent, I'll experiment with knocking a half unit off my Insuman Basal to stop the early morning low (might do that tonight actually) and adding a half or 1 unit to the morning Levemir to see if I can make it last a little longer into the evening. Anyway, the upshot of this for today is that I didn't have to correct a fasting high with Apidra, so I only needed the right amount to cover my breakfast, so no mid morning lows so far and an almost perfect graph on the Libre for the moment <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>Smidge</p></blockquote><p></p>
[QUOTE="smidge, post: 705140, member: 29301"] Right, so after two days of taking Insuman Basal as my evening basal, my fastings were still very high - no worse but no better than Levemir - which meant I was having to use too much Apidra before breakfast and dropping low from mid morning - which is what I'm trying to avoid. So, yesterday, I changed the timing of my Insuman from 6.30pm to 10.00pm. I had a little drift up of BG from around 5pm - presumably as my Levemir had worn out, but I took a little more Apidra with my tea and then my normal evening dose of Insuman at 10pm. Result was that I dropped a little low and had to eat a 6g carb chocolate about 2.30am, but I woke with a perfect 5.5mmol this morning. Yippee! The first single-figure fasting I've had in a long time! It's early days and yesterday wasn't entirely representative of my normal routine, but at least it gives me hope I'm on the right lines. I'll see what happens over the next few days and if the pattern is consistent, I'll experiment with knocking a half unit off my Insuman Basal to stop the early morning low (might do that tonight actually) and adding a half or 1 unit to the morning Levemir to see if I can make it last a little longer into the evening. Anyway, the upshot of this for today is that I didn't have to correct a fasting high with Apidra, so I only needed the right amount to cover my breakfast, so no mid morning lows so far and an almost perfect graph on the Libre for the moment :-) Smidge [/QUOTE]
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