Very concerned after doctor visit...

Your profile says you're a T1 - I doubt very much you'll be kept just on Bolus.

The DN's can be far more experienced than GPs regarding Diabetes as they get specialised training on it. So the DN will guide you on changes/adjustments and the Basal (I actually don't know why she didn't add that in too, sorry, I'm new myself).

Basal is for background insulin, it basically trickles throughout the day and night as does the insulin our Pancreas make in non Diabetics. Obviously in T1 (and in some cases T2) the insulin production becomes deficient (T1) or defective (T2) so the Basal or background insulin basically is there as a safety net because during the day and night if you don't eat the body will dump glucose held in reserve in the liver so the basal keeps that steady.

As an example. I had a morning reading of 9.7 - I only took my Basal and had no breakfast and 2 hours later I was at 9.3.

Are you on small dosages of the Novo? You say your range is 4 -10 are you getting any hypo feelings when your glucose level comes down? Are you dropping quickly and have a large reduction in glucose after a meal? If not, don't be too worried for now and keep testing your sugar and especially if you feel weird or ill and as soon as anything happens that does cause you worry or you feel ill just call NHS24.

You will have many questions as I do! I'm also unsure about adjustments for the gym etc but I'm not going to be working out for a week yet as I've got a chest cold anyway and it's the time of year to forget about the gym :lol:

I'm sure a more experienced T1 will be along to elaborate much better than me.

Welcome artyfarty30,
I am a type1 and have been for 36yrs and i am now 42yrs old. I am on novararip 3 times a day and Lantus solar star ( which is Bolus) i take this as i go to bed, this also helps tthrough the next day as it is a slow release insulin. I am surprised they didn't start you on both insulins in the beginning.
Are you doing your own blood testing as it sounds as though your doing well.
Talk to your DNS on tuesday or even leave them a message and they can call you when they are in.
If you find your sugars dropping below 4 then obviously you need glucose and some carbs, if this keeps happening lower the Novararip by a unit at a time, but others seek medical help as we can only go by our own experience.
If you need help please contact on this sight as one of us moderators will be looking around.
Take care
Tracey

You're going into Hypo territory under 4. Frequent testing will help you catch and correct. However the symptoms are there too in your case to help you realise that you need to do something. I assume you know how to correct a Hypo?

You must follow you DN's advice regarding reduction of dosage (or increase) I've been reduced down a bit as I was getting hypos a few hours later and felt I had to constantly eat.

Sugars quickly dropping down (or going up) isn't good in any case. The aim is for gradual improvements and to keep things stable. You're going to be Diabetic forever why are you desperate to get to an excellent level in a couple of weeks? Also you may very well be producing some of your own insulin so you will get odd readings here and there too. Did your DN explain the Honeymoon period (search here for info).

Everyone's different and I too am realising a newbie there's no one fix to suit all.

We're not qualified to give medical advice so please do use NHS24 or your local hospital out of hours GP service to guide you in the absence of your DN.

Good luck