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Type 1 Diabetes
Type 1: Blood Sugar All Over the Place Really Need Help Adjusting Levels
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<blockquote data-quote="RuthW" data-source="post: 1196703" data-attributes="member: 148713"><p>That is only two days' records so it is hard to judge well, but it may not be as bad as you feel right now. Your problem is clearly starting the day with a very high reading. Very high blood sugars complicate things because in themselves they increase insulin resistance and mess up your ratios. But once you get your blood sugar into a reasonable zone, your ratios seem to be working better.</p><p></p><p>One of the other most noticeable things (to me) is how timing of meals and injections is probably messing you up or at least your interpretation of what's happening. First of all, you took Levemir in the morning on the first day. Do you take it before bed or in the evening too? Or only once a day? If your Levemir has run out well before the morning, that would explain why you start every day on the wrong foot, so to speak. It looks like you should be taking a split dose, evening and morning. If you are in fact taking an evening one, then it looks like it is too low.</p><p></p><p>Also, you ate very late the first day. That makes it difficult to track whether your ratios are right or not in the evening. But the second day, apparently, you had no dinner at all! There are the coffees with sugar, and there are a couple of times you take two injections with the second one inside the action time of the first - that tends to make it harder to interpret!</p><p></p><p>Azure is right. I think you need to work out your basal rate first- especially over night. i think everything else will be easier to interpret after that. But when working out ratios, you need to make sure you are leaving four hours between shots of fast-acting insulin, or it is not really possible to interpret results.</p><p></p><p>My results get crazy when i don't do the boring old 'three meals a day' routine. If i get up late, I might only do two meals a day with a carb free snack at some point. Otherwise, the bouncy-bouncy graph line is sure to happen!</p><p></p><p>Edited to add: see the thread about longevity for Type 1s. It has some interesting info about the factors that contribute to longevity, and avoiding carbs is not one of them.</p></blockquote><p></p>
[QUOTE="RuthW, post: 1196703, member: 148713"] That is only two days' records so it is hard to judge well, but it may not be as bad as you feel right now. Your problem is clearly starting the day with a very high reading. Very high blood sugars complicate things because in themselves they increase insulin resistance and mess up your ratios. But once you get your blood sugar into a reasonable zone, your ratios seem to be working better. One of the other most noticeable things (to me) is how timing of meals and injections is probably messing you up or at least your interpretation of what's happening. First of all, you took Levemir in the morning on the first day. Do you take it before bed or in the evening too? Or only once a day? If your Levemir has run out well before the morning, that would explain why you start every day on the wrong foot, so to speak. It looks like you should be taking a split dose, evening and morning. If you are in fact taking an evening one, then it looks like it is too low. Also, you ate very late the first day. That makes it difficult to track whether your ratios are right or not in the evening. But the second day, apparently, you had no dinner at all! There are the coffees with sugar, and there are a couple of times you take two injections with the second one inside the action time of the first - that tends to make it harder to interpret! Azure is right. I think you need to work out your basal rate first- especially over night. i think everything else will be easier to interpret after that. But when working out ratios, you need to make sure you are leaving four hours between shots of fast-acting insulin, or it is not really possible to interpret results. My results get crazy when i don't do the boring old 'three meals a day' routine. If i get up late, I might only do two meals a day with a carb free snack at some point. Otherwise, the bouncy-bouncy graph line is sure to happen! Edited to add: see the thread about longevity for Type 1s. It has some interesting info about the factors that contribute to longevity, and avoiding carbs is not one of them. [/QUOTE]
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