Hi @bigboi, if you're carb counting and using basal/bolus, why are you only injecting twice a day? Are you on set amounts of Novorapid?using lantus and nova rapid from using two injections a day
I think i can say im now confident in using lantus and nova rapid from using two injections a day. My carb counting seems to be right for the most part, the dsn and i are still testing getting my background better, it does seem that my levels have evened out but they stay level at around 12 - 14, does anyone else have this issue? Sounds like i need more background insulin? I am at 24 and told not to put it up to see how things run first...
Sorry i mean i used to do 2 injections a day.. Before moving on to thisHi @bigboi, if you're carb counting and using basal/bolus, why are you only injecting twice a day? Are you on set amounts of Novorapid?
Hi, it is mostly lunch - tea - sometimes bed, before morning is my good point now, before it was my worst point, now its the good sideWhen exactly do you get the 12-14s? Is it all the time, just after meals, in the morning, etc?
I do correction doses all day (carefully timed) and it sometimes lowers it to what i want.. But now always :/
Ive actually done that kind of things, i skipped lunch, tried low carb, ate less, etc and tbh it still seems level .. It doesnt change too much example it doesnt go over fifteen and wont go under 10, and in the mornings i am single figures from 6+ usuallyPersonally, I'd do a basal test to see if my basal was keeping my sugars level, (nothing to eat or no injecting for 4 hours and then test every hour). If that was good I would then look at increasing my bolus, insulin to carb ratio. A lot of hassle and testing I'm afraid but worth it to fine tune. To get a rough idea, if you don't eat or bolus 4 hrs before bed, how do your sugars compare when you go to bed and get up?
Sound like the background needs more??If you're having to correct so much, it does suggest something is a bit 'out' somewhere.
Umm more accurate example, before bed yesterday 10.5, hour or two later 8.9, woke up 6.6Personally, I'd do a basal test to see if my basal was keeping my sugars level, (nothing to eat or no injecting for 4 hours and then test every hour). If that was good I would then look at increasing my bolus, insulin to carb ratio. A lot of hassle and testing I'm afraid but worth it to fine tune. To get a rough idea, if you don't eat or bolus 4 hrs before bed, how do your sugars compare when you go to bed and get up?
Isnt 1.5 per 10g carbs high amount already?If you're dropping by over 4 mmol/l a night without injecting 4 hours before bed, I wouldn't increase the basal as it shouldn't drop by more than 2. I would look at your carb/insulin ratio.
Very interesting thanks for thatI find that I also need to inject for protein,,.especially for a meal of eggs and bacon...I know there are a few people here that do. Found the following link to a thread discussing this which you may find of interest
http://www.diabetes.co.uk/forum/threads/insulin-sensitivity-on-a-low-carb-diet.34164/
It's that old 'everybody's different' thing again, personally I'm roughly 1 per 10g, my older brother is 2 per 10g.Isnt 1.5 per 10g carbs high amount already
Sound like the background needs more??
Very interesting thanks for that
That makes sence thanks ! I take my background insulin around 6pm.. Which is when my numbers start to get better, so i see what you meanNot necessarily. It could be your meal ratios are wrong, for example. Lots of people have different ratios for different meals, so it may be that those need looking at.
You said you were on Lantus. When do you inject that? Could it be that your Lantus works well overnight but is dropping off during the day, causing highs?
There are lots of things to check out, including simple things like double-checking your carb counting is ok for particular meals.
If you and your DSN feel your basal insulin may be the issue, you could ask about trying a different one.
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