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Type 1 Newbie (two months)

Ljsmith11176

Newbie
Messages
1
Hi everyone. I'm 28 and have just been diagnosed Type 1 (July 2020, no history) I use Novorapid with meals and use Tresiba every night. I've been experimenting a little for a few days to try and work out what's happening and what's best for me. For three days I took the Tresiba at 11pm, and woke at midday to find my blood at around 5(+/-0.2) I'd have a protein shake (around 20 carbs) and check after an hour or so, and I'd be at 6/7. It wouldn't drop again until close to my next meal. Yesterday I woke at 8am (still 11pm Tresiba) and my blood was 4.8. I had the shake and within an hour it was 12.5. I didn't do anything strenuous/out of the ordinary, so I can't understand why this happens. Any advice for someone still getting their head around everything? Thank you!
 
Hi @
Hi everyone. I'm 28 and have just been diagnosed Type 1 (July 2020, no history) I use Novorapid with meals and use Tresiba every night. I've been experimenting a little for a few days to try and work out what's happening and what's best for me. For three days I took the Tresiba at 11pm, and woke at midday to find my blood at around 5(+/-0.2) I'd have a protein shake (around 20 carbs) and check after an hour or so, and I'd be at 6/7. It wouldn't drop again until close to my next meal. Yesterday I woke at 8am (still 11pm Tresiba) and my blood was 4.8. I had the shake and within an hour it was 12.5. I didn't do anything strenuous/out of the ordinary, so I can't understand why this happens. Any advice for someone still getting their head around everything? Thank you!
Hi @Ljsmith11176 and welcome to the forum. I don't have any experience of Tresiba, but you could scroll right up this page and click on "Recent Posts". There is one there titled
Considering to switch from Levemir to Tresiba which might help for a start. I'm sure an experienced Tresiba user such as @Antje77 will help far more than I can. Good luck!
 
Hi everyone. I'm 28 and have just been diagnosed Type 1 (July 2020, no history) I use Novorapid with meals and use Tresiba every night. I've been experimenting a little for a few days to try and work out what's happening and what's best for me. For three days I took the Tresiba at 11pm, and woke at midday to find my blood at around 5(+/-0.2) I'd have a protein shake (around 20 carbs) and check after an hour or so, and I'd be at 6/7. It wouldn't drop again until close to my next meal. Yesterday I woke at 8am (still 11pm Tresiba) and my blood was 4.8. I had the shake and within an hour it was 12.5. I didn't do anything strenuous/out of the ordinary, so I can't understand why this happens. Any advice for someone still getting their head around everything? Thank you!

As a newbie you will still be on your honeymoon period.....pancreas still trying hard to produce insulin, which it does inconsistently. Your levels are going to be up and down for a while yet
 
As a newbie you will still be on your honeymoon period.....pancreas still trying hard to produce insulin, which it does inconsistently. Your levels are going to be up and down for a while yet

I absolutely agree with this. I think the issue can be that you are sent off as a newbie on insulin in the belief that you work out how much to take, take it and hey presto, your levels will be at 'this' level, as if it was a scientific equation. I know it is far too intricate for them to give very specific advice but I found what they did say very poor considering one day you're not diabetic and the very next day you are hearing about how you must use this 'pen' to stay alive and off you go with a cheery wave.
 
Thanks for the tag, @Grant_Vicat :)

Hi @Ljsmith11176 , and welcome to the forum!

I agree with the above, you're newly diagnosed, so your pancreas is likely to splutter out insulin in rather random ways. On top of this, you're trying to make sense of your numbers (very good!) and trying to find the logic in what you see, while being in the most chaotic stage of having T1.
It's perfectly expectable for things to not make sense regularly. I'll include a picture of things which can influence our blood glucose, and I'm sure there are more than those 42.

As for Tresiba, as far as I know it's the most stable background insulin, and it's very forgiving to injecting hours earlier or later than you usually do. For this reason I wouldn't expect the cause of your higher rise in your Tresiba, especially as your waking number was as good as the same. (Waking up between 4.8 and 5.2 is remarkably stable, not many T1's who manage this!)

The one thing you did differently was the timing of waking up and having breakfast.
Many of us find we need more insulin for the same amount of carbs earlier in the day, so it could be this. But it could also be you're brewing a cold, your pancreas is having an off day, lack of sleep seems a likely candidate as well, seeing as you woke up 4 hours earlier than the last couple of days
Could be anything really!

It is also a result you saw only once, you want to look for patterns and not act on one-offs. It's only after you find out you go high after breakfast every time you wake up early that you can conclude waking up early means you need more insulin for breakfast.

It takes a lot of time to get to know how to manage diabetes, testing often and keeping notes on meals, insulin, blood glucose, time and exercise can help a lot in spotting patterns, but you'll need to find a way which is acceptable to you.

It's perfectly fine if it takes time, and even when you think you got it, diabetes will do something unexpected regularly.
Your numbers are pretty awesome already!

42-Factors-that-affect-BG.png
 
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