Or is the Libre being lulled into relax mode as well ? enjoy the hols !!Yesterday we arrived in Keswick for a weeks hols. It is grey, but we should manage a walk later. I am chilled, have eaten lots of lovely food, and drank gin and red wine last night. My Libre is also chilled too. The most amazing straight line for the last 12 hours. Is this the key to a happy Libre? Or is it just lulling me into a false sense of security!
In other words, we're humans.
Flipping heck... I've finally settled down after discovering what happens if I give an extra unit of basal in the morning. At least, I think that's what happened - the pen was being awkward. I'm sure I heard 11 clicks rather than the usual 10 this morning as I injected, even if I'm pretty certain I counted the usual 10 units before I started.
So, I had a bit more breakfast, a unit less of Novorapid, walked a little less - and arrived at work on a 3.5! Got that back up to a more sensible number, and remained up, however, I've been on the lower side all day. Luckily a less active day than the previous two!
Arrive home early, being it's Friday and I leave work a bit earlier, to a 4.1 so I shoved food in the oven ( veggie sausage and jacket potato with some salad as quick and easy) so I can go for a walk later in the evening rather than before eating which was Plan A-ish. Just spent the hour after the walk coaxing things back up from a 3.7.
Then to add to all that lot of entertainment I discover the trains I need for Sunday are all disrupted by not one, but two sets of Rail Replacement Buses, thus making it totally impossible to get to where I need to on time. That's every single train journey I've planned for this year messed up by either engineering works or disputes. At least the reason for the second set of RRB is more unusual - a derailed freight train! I am so thankful I no longer used that route for commuting.
Morning all
Managed to stay in range most of the time whilst away with 28 9-10year olds. MM and Spike helped me divert many potential highs and lows
Exhaustion caught up with me when I got back and I accidentally gave a big dose of quick acting rather than my evening basal dose.
Scary low. As I have no hypo awareness (at the moment) I only realised once I hit 2.3 and was dropping quickly with IOB. By this point had the shakes and was getting very emotional. Thank god for my husband who was close by and kept testing and supplying me with food.
Woke on 8.1- happy with that as I was worried I had over over treated my low.
Today is for resting, sleeping, lazing around and maybe attempting to bake a low carb/keto cake.
I do pre bolus. In the past that has been about 10 mins or so before meals, now doing at least 20-30 minutes before meals but makes little difference.
Yesterday we arrived in Keswick for a weeks hols. It is grey, but we should manage a walk later. I am chilled, have eaten lots of lovely food, and drank gin and red wine last night. My Libre is also chilled too. The most amazing straight line for the last 12 hours. Is this the key to a happy Libre? Or is it just lulling me into a false sense of security!
Morning everyone,
This being human and having type one diabetes, is all a bit too exciting for me sometimes.
My trial and error game, when I'm trying to fix the midnight hypos isn't going too well. Tonight I'm going to try the last of the four options, lower novorapid for evening meal, and same levemir, I bet that will be the option that works best, though obviously, only under perfect conditions, that rarely exist.
On pre-bolusing @smc4761 I tend to split my meals a bit. For example in an evening, when all other conditions are fulfilled, I pre-bolus, eat the first course after about 20 minutes, which is usually meat of some description, and a lot of veg, and then wait a bit, until the novorapid is saying "is that all?" and then throw in a mango, about half an hour or so later. That seems to work reasonably well, as a way of avoiding a spike. But of course I live on my own, so I can do whatever I want, whereas with other people that might not be so easy.
I’ve tried to get online access to my records and test results but can still only book appts and order repeat prescriptions. However I’ve managed to get access to my results by signing up to ’Diabetesmyway’ which has just been introduced to Somerset.So been yo-yoing between 4 and 6 so far today. Sounds good until you realise I'm trying to drive places so mainlining glucotabs as needed.
Popped into drs to try and finally sort out my online access - I can now book an appointment with the doc but not the nurse, order medication but not see any history or results. Receptionist said "results will just be numbers so don't mean anything to you" I asked to see practice manager but apparently she is on holiday for a fortnight.
Asked to book my flu vaccine as they sent me a letter about it, only to be told they have limited stock and can I try in a few weeks?
If I remember correctly, you're using libre?
There's a thing called, "waiting for the bend". Inject, keep an eye on levels, when they start dropping, that's a good clue that the insulin has started working, so there's a fairer chance you won't get a spike.
Stephen Ponder's book Sugar Surfing discusses it.
It can be done with libre. The graph is made up of 15 min averages, so can be difficult to spot the bend, but it'll do a new reading every minute which makes it easier to see with a lot of scans.
Getting one of the transmitters, blucon or miaomiao, makes it a lot easier as you see another blue dot every 5 mins, so the graph is more "live" than the averaged libre one.
I don't do it all the time - life is too unpredictable for that - but I spent some time playing around with it in the early days and got a clearer idea of how long I needed for a range of meal types.
Something I quite often do late afternoon, around 4pm, when I'll be heading back home for tea about an hour later, and I think maybe my basal isn't pulling it's weight, or I've maybe had a slow digesting food like beans at lunch and the novo for that is wearing out, is I take, say, 2u. That'll take care of the tail end of lunch and also means it'll be at peak effect by teatime. Prebolus by about 20 mins for tea, so I'll have both that dose and the earlier smaller one working in tandem, and it can work out with a downward curve and rise instead of a spike.
Pic below shows it working well, 2u at about half four is bringing me down going into a 25 min 9u prebolus for 75g tea at about 18:20, drops to 4 before a rise to 6.
It's easy to overdo it, though, lost track of the number of times I've gone mildly hypo while waiting for the food to kick in. Still worth experimenting with, though.
Thanks Scott for taking the time post. Willing to try anything and this looks to be an interesting approach. You are right I have the Libre, but just that.
It all well and good going to diabetic clinic and listening to DSN and doctors; however you guys on here have the day to day experience of type 1 and what its like and I find that invaluable
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