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Message: <blockquote data-quote="Snodger" data-source="post: 222454" data-attributes="member: 27045">Don't panic. Your insulin is working - your blood sugars have started to drop, even though they haven't dropped that much. You were above 20 and it dropped to 17.  You probably just need a bigger dose. Everyone's different, but just to give you an example, I'm on about 16 Lantus and I would probably take about 2 units of humalog for every 10g of carbs I'm eating (it changes a bit during the day but that's the general idea). So for lunch today I ate some soup and bread, came to about 40g altogether and I had 8 units of humalog. If I took 10 lantus and 4 humalog I'd be on the same blood sugars as you are right now, because it just wouldn't be a big enough a dose for me. She should have explained about carb counting, because your humalog dose must match the amount of carbs you are eating. If you have the strength (mentally and physically) I would insist that someone is made available to explain this as soon as possible. BUT it sounds as if you are fed up and quite understandably so. And it's the weekend and they aren't likely to be able to offer you help before then. If I were in your position I'd increase the Lantus dose to try and get the overall levels down a bit and get rid of the ketones. Both types of insulin will help with getting rid of ketones. But if you (understandably) don't feel comfortable doing that then I think smidge is absolutely right, go to A&E if you are still getting ketones and ask them for help. An important question - has anyone explained to you about hypos (hypoglycaemia - very low blood sugar?)</blockquote>

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