Hi
I am a type 2 insulin controlled diabetic and have been for about three years now. I take Insulatard at night and Novorapid three times a day before meals. Recently my GP who I have known for about 30 years decided to retire leaving me with a nominated replacement and the care of a diabetic nurse. About three weeks ago I went for my annual check up with an HBA1C of 44% which I was told although very good control was dangerously close to the limit and potential of suffering from a hypo. I have not had a hypo yet since being diagnosed and began to worry about what the diabetic nurse was telling me. In essence she has said that because I take 10 units of Insulatard at night and 32 units of Novorapid with each meal, the dosage is very, very high and in order to reduce this I should take more Insulatard and less Novorapid. This made sense to me. Over the course of three weeks however I have had to increase the dose of Insulatard to 35 units each night in order to achieve a lowish blood reading in the morning, anywhere between 5.5 and 8.0. The quantity of Novorapid has been reduced to between 15 and 20 units with each meal and, dependent on what I eat, sometimes I do not have to inject at a particular meal at all, carbs allowing. I would say that the evening blood glucose is now massively higher than it was previously at anywhere between 10 and 15. However, having called her yesterday she still insists that I am taking too much insulin. Is this possible given that my bloods are still comparatively high compared to how they were prior to receiving her advice? I have suggested that I take the Insulatard in the morning so that at least it remains active during the course of the day rather than merely during the sleeping hours. Is this correct. I have a suspicion that perhaps I should seek a second opinion as my regime that has happily existed for a number of years has now been thrown into doubt. Any advice, help or experience will be gratefully received.
I am a type 2 insulin controlled diabetic and have been for about three years now. I take Insulatard at night and Novorapid three times a day before meals. Recently my GP who I have known for about 30 years decided to retire leaving me with a nominated replacement and the care of a diabetic nurse. About three weeks ago I went for my annual check up with an HBA1C of 44% which I was told although very good control was dangerously close to the limit and potential of suffering from a hypo. I have not had a hypo yet since being diagnosed and began to worry about what the diabetic nurse was telling me. In essence she has said that because I take 10 units of Insulatard at night and 32 units of Novorapid with each meal, the dosage is very, very high and in order to reduce this I should take more Insulatard and less Novorapid. This made sense to me. Over the course of three weeks however I have had to increase the dose of Insulatard to 35 units each night in order to achieve a lowish blood reading in the morning, anywhere between 5.5 and 8.0. The quantity of Novorapid has been reduced to between 15 and 20 units with each meal and, dependent on what I eat, sometimes I do not have to inject at a particular meal at all, carbs allowing. I would say that the evening blood glucose is now massively higher than it was previously at anywhere between 10 and 15. However, having called her yesterday she still insists that I am taking too much insulin. Is this possible given that my bloods are still comparatively high compared to how they were prior to receiving her advice? I have suggested that I take the Insulatard in the morning so that at least it remains active during the course of the day rather than merely during the sleeping hours. Is this correct. I have a suspicion that perhaps I should seek a second opinion as my regime that has happily existed for a number of years has now been thrown into doubt. Any advice, help or experience will be gratefully received.