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<blockquote data-quote="Hertfordshiremum" data-source="post: 2404883" data-attributes="member: 507802"><p>Hi Jeremy</p><p></p><p>I think you could do with a diabetic nurse to help you with this, have you been assigned someone? Do you have a number you can call other than the GP or endo? I have an email for my nurse and a number for their Hertfordshire diabetes central office where I can leave a message for her or the on duty diabetic nurse will call me back. I wouldn’t like to advise you on doses but if you are regularly having to correct it doesn’t sound right yet. I see why you have lowered the basal if you were often waking up with a hypo or almost hypo. It is important to avoid a nighttime hypo. </p><p>I think you have had such a rough ride you could do with the correct help this time around. In my experience endocrinologists are more concerned with the bigger picture and getting the insulin right seems to be the diabetic nurses specialism. Might be different with you though. The problem is your body won’t always react in a consistent way, keeping a detailed diary which you obviously are is the way forward. But there are so many factors that effect the results, if you had the same meal but at different times of the day you will most likely get different results afterwards, the weather plays a part as well, too hot and you absorb any carbs in your system quicker and therefore go high much more quickly, too cold and you can drop by quite a bit. If you have been busy at work or exercised more that day, if your body has kicked out a small amount of insulin on it’s own... Just to check when you inject are you holding the pen in and counting to 10 slowly? Also for me slightly longer needles 6mm rather than 4mm saw a massive improvement. </p><p>If you don’t have a nurse yet I would get onto your GP on Monday, mention you are having to correct with Novorapid often, I have a bit of a horror story at the beginning as well, but once on the right track I saw a diabetic nurse every fortnight at the beginning which she said should have happened straight away. If you have no luck with the GP maybe the endo could assist with this? As you are under weight perhaps see if you too could get a nutritionist specialising in diabetes? Mine really studied my Libre output, food and exercise diary and insulin dose recording, she spotted a complex pattern that I hadn’t realised. </p><p>In the meantime I think you are doing a great job, keep recording everything but don’t be surprised at differences even if you have eaten the same thing, with Type 1 other factors effect your blood glucose to varying degrees. Keep us posted</p></blockquote><p></p>
[QUOTE="Hertfordshiremum, post: 2404883, member: 507802"] Hi Jeremy I think you could do with a diabetic nurse to help you with this, have you been assigned someone? Do you have a number you can call other than the GP or endo? I have an email for my nurse and a number for their Hertfordshire diabetes central office where I can leave a message for her or the on duty diabetic nurse will call me back. I wouldn’t like to advise you on doses but if you are regularly having to correct it doesn’t sound right yet. I see why you have lowered the basal if you were often waking up with a hypo or almost hypo. It is important to avoid a nighttime hypo. I think you have had such a rough ride you could do with the correct help this time around. In my experience endocrinologists are more concerned with the bigger picture and getting the insulin right seems to be the diabetic nurses specialism. Might be different with you though. The problem is your body won’t always react in a consistent way, keeping a detailed diary which you obviously are is the way forward. But there are so many factors that effect the results, if you had the same meal but at different times of the day you will most likely get different results afterwards, the weather plays a part as well, too hot and you absorb any carbs in your system quicker and therefore go high much more quickly, too cold and you can drop by quite a bit. If you have been busy at work or exercised more that day, if your body has kicked out a small amount of insulin on it’s own... Just to check when you inject are you holding the pen in and counting to 10 slowly? Also for me slightly longer needles 6mm rather than 4mm saw a massive improvement. If you don’t have a nurse yet I would get onto your GP on Monday, mention you are having to correct with Novorapid often, I have a bit of a horror story at the beginning as well, but once on the right track I saw a diabetic nurse every fortnight at the beginning which she said should have happened straight away. If you have no luck with the GP maybe the endo could assist with this? As you are under weight perhaps see if you too could get a nutritionist specialising in diabetes? Mine really studied my Libre output, food and exercise diary and insulin dose recording, she spotted a complex pattern that I hadn’t realised. In the meantime I think you are doing a great job, keep recording everything but don’t be surprised at differences even if you have eaten the same thing, with Type 1 other factors effect your blood glucose to varying degrees. Keep us posted [/QUOTE]
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