Hi all,
Long time reader and first time poster - always found reading the topics on here very helpful, so thought I would pitch my own quandary and see if anyone can throw any light on it!
I am a type one on MDI - Humalog and Levemir (split dose). I feel like I have got my ratios almost correct (ignoring curious anomalies), but there is a regular occurrence which I don't understand and can't seem to come up with a solution to. I will post ratios and basal doses below the question.
I am usually fine and controlled in the mornings up until lunch, and my levels are acceptable 2 hours post lunch (6 - 8, which I am perfectly comfortable with). From this point, however, my levels will often rise, sometimes to as much as 14 or 15 before supper, with absolutely no carbs taken onboard. I have tried everything I can think of for this - especially increasing my morning Levemir, as you can see from my doses below, the morning far outweighs the pre - bed dose! I have even shifted it later in the morning than I have been doing it before in the hope it would last later in the day. The only problem with this being, I now have an almost instantaneous BG drop after my morning Levemir, which is more pronounced the more I increase it - I have to compensate with a mid morning snack, something I don't always want to have to do.
If this afternoon increase happened every day like clockwork then I could combat it, I'm sure - with a dose of QA in the afternoon, or trying to exercise around that time etc, but it doesn't - it happens a lot, but not every day.
Any ideas or thoughts would be appreciated!
Thanks
Breakfast 1u Humalog : 8.5g Carb
Morning Levemir 11am (22u)
Lunch 1u Humalog : 15g Carb
Dinner 1u Humalog : 10g Carb
Bedtime Levemir 11pm (10u)
Long time reader and first time poster - always found reading the topics on here very helpful, so thought I would pitch my own quandary and see if anyone can throw any light on it!
I am a type one on MDI - Humalog and Levemir (split dose). I feel like I have got my ratios almost correct (ignoring curious anomalies), but there is a regular occurrence which I don't understand and can't seem to come up with a solution to. I will post ratios and basal doses below the question.
I am usually fine and controlled in the mornings up until lunch, and my levels are acceptable 2 hours post lunch (6 - 8, which I am perfectly comfortable with). From this point, however, my levels will often rise, sometimes to as much as 14 or 15 before supper, with absolutely no carbs taken onboard. I have tried everything I can think of for this - especially increasing my morning Levemir, as you can see from my doses below, the morning far outweighs the pre - bed dose! I have even shifted it later in the morning than I have been doing it before in the hope it would last later in the day. The only problem with this being, I now have an almost instantaneous BG drop after my morning Levemir, which is more pronounced the more I increase it - I have to compensate with a mid morning snack, something I don't always want to have to do.
If this afternoon increase happened every day like clockwork then I could combat it, I'm sure - with a dose of QA in the afternoon, or trying to exercise around that time etc, but it doesn't - it happens a lot, but not every day.
Any ideas or thoughts would be appreciated!
Thanks
Breakfast 1u Humalog : 8.5g Carb
Morning Levemir 11am (22u)
Lunch 1u Humalog : 15g Carb
Dinner 1u Humalog : 10g Carb
Bedtime Levemir 11pm (10u)