Will I ever get control

[James1968]

Been up from about 06:30 this morning,BS taken at 08:15 after two pieces of toast(brown seeded) about 0745, reading on 19.1 ***, insulin taken at 08:20 so will see what happens

Thanks Jim

 

[DavidGrahamJones]

after two pieces of toast(brown seeded) about 0745, reading on 19.1 ***

That's pretty close to what I'd get after 2 slices of bread, toasted or otherwise. I don't take insulin so the only answer for me personally is avoid anything with carbohydrate in it. It might as well be sugar.
Just out of interest, how does a type II calculate how much insulin to take? Especially if you don't necessarily know how much insulin the pancreas produces (without a c-pep) or how much insulin resistance there is (it can change).

 

[James1968]

That's pretty close to what I'd get after 2 slices of bread, toasted or otherwise. I don't take insulin so the only answer for me personally is avoid anything with carbohydrate in it. It might as well be sugar.
Just out of interest, how does a type II calculate how much insulin to take? Especially if you don't necessarily know how much insulin the pancreas produces (without a c-pep) or how much insulin resistance there is (it can change).

Just been insulin from Thursday afternoon so still call the DSN to see what she says
Just tested again an 18.5
So fed up of feeling like **** all the time and it’s worse since I started insulin

 

[Fairygodmother]

Try ditching, or reducing, carbohydrate for a few days?
Take care when taking insulin! At the moment of posting your BG was far too high for comfort. As a T1 I test before eating and don’t eat until I have a BG that’s below 6. I also have a ratio of insulin:carbohydrate that tells me approximately how much insulin I’ll need to inject prior to food.
I hope your DSN can give you clear guidelines.
Have you had a c-peptide test?
How long ago were you diagnosed?
I hope it’s sorted for you soon, it’s an awful physical feeling when BG is too high. If your DSN hasn’t helped, and it can be hard for a DSN to ask for all the tests and kit, ask to be referred to a Consultant?

 

[DCUKMod]

@James1968 - As I understand it, you were prescribed a mixed insulin, so a bit of long and a bit of short acting mixed together?

On that basis, and bearing in mind you were prescribed it liuterally just before Christmas, I imagine the prescriber would be a bit cautios with the amounts suggested as starters. That maybe coupled with holiday eating (different foods, and maybe a different sort of mix of foods) has meant the guestimate is a bit off.

I'm guessing the dosing will get better with time, although it could take a while.

I'm an imaginer when it comes to understanding things. Yes, I read all the papers, but then build an image in my head of what it all means.

In it's most simple of forms, for me, T2s not taking insulin (or other hypoglycaemia inducing drugs), when we eat a carbohydrate, it's like pushing the accelorator in ther car. It boosts the blood sugars (as a the car analogy would boost the car speed). When we stop eating, the speed (blood sugars) goes up, and is maintained by momentun, until, over time,the speed drops back again, until we do the same.

For T2s, taking insulin the same thing happens with the accelorator, but then the injected insulin applies the brakes, to reduce the speed (bring the blood sugars down).

Many would say that sprt of driving is going to lead to a bumpy ride (and I'd likely join them in that), until the proportions are right.

Today, you're not in the best place to mess around with insulin dises, but what you could moderate would be the fuel you are eating.

I know I have read elsewhere that you didn't. for whatever reason, get along with the rediuced carb diets, but if you were able to do that to moderate those numbers a bit, it's likely you could begin to feel better. Then you could work with your nurse to better match your food and insulin to the levels you feel more comfortable with.

I know that is waaaaaaaaaaaaaaaaaaaay over-simplied, but it's the way I would probably look at things in your shoes.

You didn't arrive at your very uncomfortable state overnight, so it's probably a bit unrealistic to think it'd all be better quickly either.

Just my thoughts.

 

[Diakat]

It will get better, but will take time. You are also a bit unlucky in timing with no nurses around to help. I expect your nurse will up doses soon or even change insulin type.

 

[James1968]

Try ditching, or reducing, carbohydrate for a few days?
Take care when taking insulin! At the moment of posting your BG was far too high for comfort. As a T1 I test before eating and don’t eat until I have a BG that’s below 6. I also have a ratio of insulin:carbohydrate that tells me approximately how much insulin I’ll need to inject prior to food.
I hope your DSN can give you clear guidelines.
Have you had a c-peptide test?
How long ago were you diagnosed?
I hope it’s sorted for you soon, it’s an awful physical feeling when BG is too high. If your DSN hasn’t helped, and it can be hard for a DSN to ask for all the tests and kit, ask to be referred to a Consultant?

They are doing a c peptide test just waiting on results
I was diagnosed 2 years ago type 2 but asked on Monday what type? Need to wait for all the results

 

[James1968]

It will get better, but will take time. You are also a bit unlucky in timing with no nurses around to help. I expect your nurse will up doses soon or even change insulin type.

Yes she has put them up on Monday and I have to call her on Friday to see what she will do