I have recently been struck with one of the good old diabetic side effects - thrush! Yay. This sparked a period of extremely high scrutinising of the BG levels and a diary of food, exercise and carb intake. For a couple of weeks I have had to increase insulin by 25% - 50% depending on time of day and the most obvious change to my normal pattern was that it was taking 4-5hrs for my BG levels to return to normal as opposed to 2-3hrs. This was without any snacks in-between meals as well.
So, I had a good old review of everything and came up with 4 candidates for the increased levels.
1. Nature taking it's course.
2. Lipohypertrophy - something I have recently become concerned with as in 6 years I have only ever injected around the front of my stomach.
3. Lack of aerobic exercise - drastically reduced since October through various injuries.
4. Thrush and the use of hydrocortisone and clotrimazole.
I stopped with the creams on Friday and also started to inject in fresh areas over the weekend. My testing was lax over the weekend as it can often be but yesterday and today I have seen a marked improvement in insulin efficiency to the point where I had two official hypo's - a 3.7 yesterday and a 2.9 today, which is the lowest I've been in 6 years. The silver lining is my hypo awareness is still good at 3.7 and excellent at 2.9! I knew it sooner but a dead line at work led to it going lower.
So, I am ruling out nature as my experience in the past is that I can suddenly need a little more insulin for no other apparent reason than nature, it doesn't tend to fluctuate however. Aerobic exercise can go as well as that has remained constant during this period.
So, 2 or 4. Unfortunately, I didn't think to keep injecting where I was until I was off the cream for a week or so to tell the difference.
Any one had similar experience of these two?
So, I had a good old review of everything and came up with 4 candidates for the increased levels.
1. Nature taking it's course.
2. Lipohypertrophy - something I have recently become concerned with as in 6 years I have only ever injected around the front of my stomach.
3. Lack of aerobic exercise - drastically reduced since October through various injuries.
4. Thrush and the use of hydrocortisone and clotrimazole.
I stopped with the creams on Friday and also started to inject in fresh areas over the weekend. My testing was lax over the weekend as it can often be but yesterday and today I have seen a marked improvement in insulin efficiency to the point where I had two official hypo's - a 3.7 yesterday and a 2.9 today, which is the lowest I've been in 6 years. The silver lining is my hypo awareness is still good at 3.7 and excellent at 2.9! I knew it sooner but a dead line at work led to it going lower.
So, I am ruling out nature as my experience in the past is that I can suddenly need a little more insulin for no other apparent reason than nature, it doesn't tend to fluctuate however. Aerobic exercise can go as well as that has remained constant during this period.
So, 2 or 4. Unfortunately, I didn't think to keep injecting where I was until I was off the cream for a week or so to tell the difference.
Any one had similar experience of these two?
Bloods very much better now - 5.4 last night before bed (with pasta spike to come) and 4.6 this morning.