too many hypos

Hi hot dog,

Which insulin regimen do you use?

Also, what are you using to correct hypos?

Hi, I too would be interested to know what insulin you're on.
Have you reported your probs to your doctor, if so what did he/she advise?
Jus

Stress.
When i get stressed, my levels get completely whacked.
I forget to eat, only have half a sandwhich etc, especially if i'm under pressure and busy.

If you are self employed make lunch a priority. Set apart at least 20 mins, unplug phone etc and have a good meal and a rest. Anyone who rings won't mind being spoken to 20 mins later, (oh, sorry, was on the telephone), and it'll make everything a lot easier.
It won't cure it, but i think it'll make it better.
Speak to your doctor as well, if your lifestyle has changed then your medication needs have too.
It may be that a pump is more convenient and better for you, but i wouldn't advise that unless you have an idea of why you're going so low.

Good luck,

Defnitely need to know more about your regime. Maybe the balance between your fast-acting and longer-acting insulin isn't right. Getting that right tends to even things out.

So, just who pulls you out of these 4 times daily hypos?

Wow, 4 hypos a day, that sucks a**e.

You need to eat! And do less insulin! I think just about covers it...

Are they always at the same times? Is there a pattern? I used to always get hypos at about 10.30, after getting up at 7 and rushing around taking kids to school, getting myself to work..by mid morning I would crash.

Finally the penny dropped and I had one extra weetabix and a couple of less units of insulin, and I was fine.

Maybe carry something in your pockets that you can snack on, muesli bar or something?

Set your phone alarm for regular intervals, test and eat/and or inject.

Good luck!

Hi hot dog,

Firstly, a single shot of Levemir will rarely give basal cover for a full 24 hours. A twice daily split dose usually works better. Currently, your Levemir is really only a dusk to dawn insulin, leaving your rapid insulin to do its best during the day - with erratic results.

Secondly, are you using an insulin/carb ratio for meals and adjusting it for exercise?
If not, then you might want to ask your doctor about going on a D.A.F.N.E (dose
adjustment for normal eating) course.

Regards,
timo.

I om on novorapid and levermir also, am thinking of changing to a split levermir dose - if I did 16 units of novorapid for breakfast I would have hypos as well, that sounds quite a lot but obviously each person is different.

This morning I have had a yoghurt and banana and only hd 6 units...an average for a meal is 10.

So maybe cut your breakfast dose?

I have 32 units of levermir at night about 9 pm, and wake at around 7 and my sugars are usually between 5 and 7 so am happy with that.

Maybe more levermir and less novorapid? The novorapid can be quite ar**y if you don't eat enough!

I agree, sounds like Levemir not lasting through and your Novorapid dose is unnaturally high to counteract the Levemir wearing off. You probably need to split Levemir and reduce the Novorapid. More even Levemir coverage should level things out all round.