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<blockquote data-quote="mymate" data-source="post: 888504" data-attributes="member: 31290"><p>Thank you all for your replies. I did, in fact, seek a second opinion yesterday from the surgery's diabetic specialist doctor who after stating that everyone is different and understanding what the diabetic nurse was doing said that in his opinion. "if it ain't broke don't try and fix it". I do test pre and post meals but have a lag on the effectiveness after meals, i.e. it will take three hours or a little longer for my bloods to return to a normal level. This has always been the case since I was first put onto insulin and I assumed that this was just "my body" but can now see that this may be helped by increasing the dosage of insulatard. I have never conducted or been shown how to do a basal test save for my own experimentation. My only tests are carried out first thing on waking, before and after every meal and last thing before bed. I have never heard of, let alone, been on a dafne course and am beginning to feel that I have rather accepted what the doctor/nurse have requested of me rather than try to understand for myself. I have repeatedly over a number of years told them that my sugars remain high well after a meal but suffer a large drop off after approximately four hours and, therefore, I would not be able to increase dosages of Novorapid to tackle this. It appears my background level may be too high and it is this that is causing the peaks. Asking if there was anything I could do about this I have continually hit a brick wall and save for a suggestion to change the make of insulin for a short while nothing has been suggested to tackle this as yet. Is it, perhaps, feasible to take Insulard (reduced dosage) at night and another at about midday to following day? Would this help. So many questions and so little advise from my surgery.. Sorry to go on</p></blockquote><p></p>
[QUOTE="mymate, post: 888504, member: 31290"] Thank you all for your replies. I did, in fact, seek a second opinion yesterday from the surgery's diabetic specialist doctor who after stating that everyone is different and understanding what the diabetic nurse was doing said that in his opinion. "if it ain't broke don't try and fix it". I do test pre and post meals but have a lag on the effectiveness after meals, i.e. it will take three hours or a little longer for my bloods to return to a normal level. This has always been the case since I was first put onto insulin and I assumed that this was just "my body" but can now see that this may be helped by increasing the dosage of insulatard. I have never conducted or been shown how to do a basal test save for my own experimentation. My only tests are carried out first thing on waking, before and after every meal and last thing before bed. I have never heard of, let alone, been on a dafne course and am beginning to feel that I have rather accepted what the doctor/nurse have requested of me rather than try to understand for myself. I have repeatedly over a number of years told them that my sugars remain high well after a meal but suffer a large drop off after approximately four hours and, therefore, I would not be able to increase dosages of Novorapid to tackle this. It appears my background level may be too high and it is this that is causing the peaks. Asking if there was anything I could do about this I have continually hit a brick wall and save for a suggestion to change the make of insulin for a short while nothing has been suggested to tackle this as yet. Is it, perhaps, feasible to take Insulard (reduced dosage) at night and another at about midday to following day? Would this help. So many questions and so little advise from my surgery.. Sorry to go on [/QUOTE]
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