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What’s going on?

K

Kevrey

Active Member
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Anybody help me and explain what’s going on with my BG.
For lunch I had a banana sandwich (two large wholemeal slices of homemade bread with a large banana, followed by an apple and a satsuma. Took 7 units of Trurapi at 13.15. BG went up to 11.8 at 14.30. Went for a walk at 15.15 with BG at 10.8. Got back went in the shower and at 16.00 my alarm is going off and I’m at 3.2, I’ve gone from 10.8 down to 3.2 in forty five minutes.
I also take 5 units of levemir about 9pm every night.
My blood glucose is like a roller coaster and never seems stable.
Any ideas would be appreciated.
Thanks
 
Are your readings from fingerprick or CGM? I cannot offer any advice - except you should probably talk to your diabetic specialist - but I am on a CGM and find that my reading do vary wildly, but for no apparent reason. I avoid all "visible" carbs (bread, potatoes, rice, pasta, sugar) and still my readings go up and down like a yo-yo, but not dangerously high or low. About a month ago I got my levels down to "in range" across all time zones, and 90% in range, then the following fortnight, with no change in diet, I was rarely in range, and down to 30% in range! I wondered if changing sensor made a difference, but am currently one week in to a new one, and my levels have now started to come down again - and again I have done nothing dietary (or exercise-wise!) to make this change. I have just decided to accept that we are all different, and unless I go hyper or hypo am not going to worry unduly! I am due a review soon, though, so will ask what is going on!
 
@Kevrey
I find it's always worth checking with a glucometer occasionally to make sure my sensor isn't "off". Did you have symptoms when your bg went down to 3.2mmol/L ?

Otherwise are you carb counting at all? And adjusting your insulin for your carbs? (As a T1 on insulin it's pretty essential but am guessing you still produce some of your own insulin and it may not be necessary for you.)

Trurapi has its maximum effect 1-3 hours after injection and I also find that going for a walk reduces my insulin resistance , so I suspect that that may have something to do with it.

www.nhs.uk

About rapid-acting insulin

NHS medicines information on rapid-acting insulin – what it's used for and key facts.
www.nhs.uk www.nhs.uk

Hopefully you carry some form of sugar/hypo treatment with you at all times so you can treat any unexpected hypos?
 
I do carb count, the problem seems to be if I take enough insulin to counter the carbs then it just seems to carry on and I go hypo. If I lower the insulin then I go high. I just seem incapable of having a stable bg. I have had all of the tests and I am still producing insulin so it seems my problem is insulin resistance which is much harder to sort as the reaction to insulin is not linear.
 
Kevrey said:
I do carb count, the problem seems to be if I take enough insulin to counter the carbs then it just seems to carry on and I go hypo. If I lower the insulin then I go high. I just seem incapable of having a stable bg. I have had all of the tests and I am still producing insulin so it seems my problem is insulin resistance which is much harder to sort as the reaction to insulin is not linear.
Click to expand...
This is what often happens to me if I choose higher carb meals. So for me it's much easier to mostly stick to fewer carbs and an according lower insulin dose.
 
I’m very new to fast acting insulin (4 weeks in) but I am finding what works for me with a higher carb meal is to take around 2/3 of what I think I’ll need. Then watch what happens and if blood sugar rises more Than I expect within a couple of hours I take the remaining third.

Might not work for you of course.
 
I am insulin + metformin. INSULIN at 6am onl. I used to get sudden drops to 3. Or 2. Levels via fingerprick
My doc had given me Levemir which is ending . Now trialling the level of Humulin. In a week I have had one 3,7 but it hadnt dropped so. far.
 
Kevrey said:
Anybody help me and explain what’s going on with my BG.
For lunch I had a banana sandwich (two large wholemeal slices of homemade bread with a large banana, followed by an apple and a satsuma. Took 7 units of Trurapi at 13.15. BG went up to 11.8 at 14.30. Went for a walk at 15.15 with BG at 10.8. Got back went in the shower and at 16.00 my alarm is going off and I’m at 3.2, I’ve gone from 10.8 down to 3.2 in forty five minutes.
I also take 5 units of levemir about 9pm every night.
My blood glucose is like a roller coaster and never seems stable.
Any ideas would be appreciated.
Thanks
Click to expand...
Hi
Old hack here of 50 years a type 1.
What was your level before you ate your banana butty (i'm from up north lol)?
What time did you take your insulin in relation to said butty?

I call myself the tinkerman as thats what i do but only because i have a libre and analysing the data is vital.
The first thing i did when i got my libre was to go walking to see what effect it has on me and i emphasize the word me.
Before meal time i know what my sugar level is i know how much activity and insulin is floating about my body and i inject accordingly.
Sometimes before my meal sometimes after sometimes i split my dose its all about knowing how your own body reacts and base my theory on just 3 things.......insulin, activity and carbs.

I'm not a Doctor but feel you need to spend more time analysing your data.
I take pride in achieving good control (last hba1c was 39 or 5.7) but then worry i have become smug! and don't mean to be.

I wish you well

Tony
 
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