BACKGROUND INSULIN

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LucB27
Cardiff and Vale MHB DAFNE Centre
3 posts
Thu
08/03
Time 06:45 07:45 08:45 09:45 11:00 11:30 12:00 14:20 17:20 18:20 21:40 [06:45] Fasting breakfast to check my BG is correct
[07:45] Fasting breakfast to check my BG is correct
[08:45] Fasting breakfast to check my BG is correct
[09:45] Fasting breakfast to check my BG is correct
[11:00] Fasting breakfast to check my BG is correct
[11:30] Fasting breakfast to check my BG is correct
CP - - - - - - 10 - - 25 15
BG 5.5 5.9 6.7 5.7 5.2 4.9 - 7.6 5.8 7.5 4.8
QA - - - - - - 1 - - 2.5 -
BI 11 - - - - - - - - - -
Ratio (QA:CP) - - - - - - 1:10 - - 1:10 -
QA Site - - - - - - Stomach - - Stomach -
BI Site Left Thigh - - - - - - - - - -
Type BFAST BFAST BFAST BFAST BFAST BFAST LUNCH BFAST BEFEX DINNR BED
Ketones - - - - - - - - - - -
Fri
09/03
Time 06:30 06:35 08:30 08:50 09:35 12:00 14:15 18:30 18:50 22:00 [06:35] took extra with breakfast because week before i was going high after it
[18:50] 18.50 had tandoori mixed grill from indian, all meat some mint sauce
CP 15 5 15 - 5 10 - 15 10 -
BG 3.7 4.8 3.9 5.9 - 4.2 5.9 3.7 6.8 6.1
QA - 2 - - - 1 - - 1 -
BI - 11 - - - - - - - 1.5
Ratio (QA:CP) - 1:10 - - - 1:10 - - 1:10 -
QA Site - Stomach - - - Stomach - - Stomach -
BI Site - Right Thigh - - - - - - - Left Thigh
Type OTHER BFAST OTHER OTHER OTHER LUNCH OTHER DINNR BFAST BED
Ketones - - - - - - - - - -
Sat
10/03
Time 07:00 07:30 12:00 22:00 [12:00] lunch was scrambed egg and 2 bacon
CP 15 5-10 - -
BG 2.9 4.8 6.3 6.6
QA - 1 1 -
BI - 11 - 1.5
Ratio (QA:CP) - 1:10 1:10 -
QA Site - Stomach Stomach -
BI Site - Right Thigh - -
Type BFAST BFAST LUNCH BED
Ketones - - - -
Sun
11/03
Time 07:20 07:55 10:00 11:15 11:50 13:00 14:20 16:40 18:00 20:30 22:00 [13:00] i did over estimate my lunch -garlic mushrooms in sauce, turkey, stuffing balls so i know thats why i went hypo
[18:00] scrambed egg for tea
[22:00] ive gone down to 0.5 before bed as i was having hypos from 1.5
CP 10 25 - 10 - - 10 5 - 25 -
BG 2.9 5.3 5.7 3.9 6.5 - 3.4 6.7 7.8 4.3 6.9
QA - 2.5 - - - 4 - - 1.5 - -
BI - 11 - - - - - - - - 0.5
Ratio (QA:CP) - 1:10 - - - 1:10 - - - - -
QA Site - Stomach - - - Stomach - - Stomach - -
BI Site - Right Thigh - - - - - - - - -
Type BFAST BFAST OTHER OTHER LUNCH LUNCH AFLUN SNACK DINNR OTHER BFAST
Ketones - - - - - - - - - - -
Mon
12/03
Time 03:00 06:45 07:45 09:00 09:45 10:50 [06:45] Fasting breakfast to check my BG is correct gone down to 10.5 as i think im going hypo pre meals on 11
[07:45] Fasting breakfast to check my BG is correct
[09:00] Fasting breakfast to check my BG is correct
[09:45] Fasting breakfast to check my BG is correct
[10:50] Fasting breakfast to check my BG is correct
CP - - - - - -
BG 5.8 7.2 7.2 8.4 8.4 7.2
QA - - - - - -
BI - 10.5 - - - -
Ratio (QA:CP) - - - - - -
QA Site - - - - - -
BI Site - Right Thigh - - - -
Type NIGHT BFAST OTHER OTHER OTHER OTHER
Ketones - - - - - -

Hi, ive attched my diary entires so its easier for you to see.I done a fasting morning on the 8th march. I was on 11BG in the morning and 1.5BG before bed, I found i was going low in the morning alot and also pre meals i was going low. so ive now changed my BG before bed to 0.5 and morning to 10.5. im doing a fasting morning today for you to see. i dont like how high my levels are today they have jumped up alot from 3am, i know its the DP but i dont like being on these levels. if i up it to 1BG before bed im worried that will make me go low. just really want some help and advice.

so fasting morning on 11BG was 5.5,5.9,6.7,5.7,5.2,4.9
fasting on 10.5 BG was 7.2,7.2,8.4,8.4,7.2, 7.8

also need to sort out BG before bed

torana DAFNE Graduate
Royal North Shore Hospital, St Leonards, NSW
18 posts

Hi LucB27, I was sifting through your BG results and my first thought was yours results are very close to the bone and to achieve low blood sugars for 24 hours with a very small margin of error is extremely difficult without going low. Sometimes taking drugs and medications the effects can be highly variable due to exercise, diet, sickness etc. This is the case with insulin. Also, there is also a huge amount of the fear factor with diabetes and many of us worry about the long term side effects from being too high for too long and hence we try to perfect the outcomes to our peril. I can only speak from my experiences on insulin for nearly 50 years. One suggestion would be to see what happens if you increase your blood sugars at the nighttime to about 8 to 9mmol/l so there is a bit of a safety net if there’s a drop at night. I believe that DAFNE has a base level of around 7 before bedtime for safety. I test my BG about 9.30pm and might make a slight adjustment with a half a piece of toast. Being a school teacher I can also have an early dinner at approximately 5pm so there is a large enough time lapse to ascertain trends.

LucB27
Cardiff and Vale MHB DAFNE Centre
3 posts

torana said:
Hi LucB27, I was sifting through your BG results and my first thought was yours results are very close to the bone and to achieve low blood sugars for 24 hours with a very small margin of error is extremely difficult without going low. Sometimes taking drugs and medications the effects can be highly variable due to exercise, diet, sickness etc. This is the case with insulin. Also, there is also a huge amount of the fear factor with diabetes and many of us worry about the long term side effects from being too high for too long and hence we try to perfect the outcomes to our peril. I can only speak from my experiences on insulin for nearly 50 years. One suggestion would be to see what happens if you increase your blood sugars at the nighttime to about 8 to 9mmol/l so there is a bit of a safety net if there’s a drop at night. I believe that DAFNE has a base level of around 7 before bedtime for safety. I test my BG about 9.30pm and might make a slight adjustment with a half a piece of toast. Being a school teacher I can also have an early dinner at approximately 5pm so there is a large enough time lapse to ascertain trends.



Hi thanks for your reply. at the moment now im on 0 lantus at bedtime and im still coming down, i really dont understand it. Im also trying the whole LCHF diet but im struggling to get that right aswell at meal times its hard to judge how much quick acting to take.so last week i was getting SO many hypos so i definetly want to stop that. i just dont understand how i can go hypo at like 6am with no lantus in me.

torana DAFNE Graduate
Royal North Shore Hospital, St Leonards, NSW
18 posts

Hi LucB27, I have looked over your data again and it is confounding that without background insulin your BG will fall throughout the night. It can be challenging getting so many hypos, being on a LCHF diet and then having to top up all the time with carbs. It seems that on a 1:1 ratio in the morning your BG drops before lunch. It may be worthwhile to have an extra portion at breakfast to minimise this low. It could be trial and error and even half a portion may get you over the hump. My good friend is on the keto diet and has seen a doctor in Sydney who specialises in the LCHF. He has a very popular practice as diabetes and weight loss is no doubt extremely difficult on insulin. He also went to a conference which is on the web called low carb downunder. A number of the LCHF doctors attended this conference. There should be also doctors in general practices England who follow this regime either for keto or LCHF diets. Pick the amount of carbs you want to eat throughout the day and then ask the doctor to follow up, mentor or assist you to achieve your goals.

LucB27
Cardiff and Vale MHB DAFNE Centre
3 posts
Thu
15/03
Time 01:46 01:58 05:39 06:01 07:00 09:40 12:00 13:22 14:00 19:00 21:30 [12:00] Tuna mayo egg salad (lettace and cucumber)
CP 10 - 10 - 10 - - 20 - 10 -
BG 2.8 4.2 3.0 4.8 6.7 5.0 4.4 2.7 5.4 6.0 6.3
QA - - - - - - 2 - - - -
BI - - - - 10.5 - - - - - -
Ratio (QA:CP) - - - - - - - - - - -
QA Site - - - - - - Stomach - - Stomach -
BI Site - - - - - - - - - - -
Type NIGHT NIGHT NIGHT BFAST BFAST OTHER LUNCH OTHER OTHER DINNR BED
Ketones - - - - - - - - - - -
Fri
16/03
Time 05:50 06:10 07:45 09:00 09:33 12:15 14:00 18:20 21:20 [12:15] chicken, salad with ceaser sauce, didnt take insulin to see how it affected me
[18:20] took 1 to correct
CP 10 - 25 10 - - - 0.5 -
BG 2.7 4.7 6.3 3.3 5.6 4.8 6.7 7.9 5.7
QA - - 2.5 - - - 0.5 1.5 -
BI - - 10.05 - - - - - -
Ratio (QA:CP) - - - - - - - - -
QA Site - - Stomach - - - - Stomach -
BI Site - - Left Thigh - - - - - -
Type BFAST OTHER BFAST HYPO OTHER LUNCH OTHER DINNR BED
Ketones - - - - - - - - -
Sat
17/03
Time 07:22 09:00 12:50 15:00 16:20 19:00 [12:50] 3 egg omlette and bacon
[16:20] steak, brocalli, peas, mushrooms
CP 0.5 - - 0.5 - -
BG 4.3 8.7 5.8 4.4 7.6 9.7
QA - 1 2 - 2 1
BI 10.5 - - - - -
Ratio (QA:CP) - - - - - -
QA Site Stomach - - - - -
BI Site Left Thigh - - - - -
Type BFAST OTHER LUNCH SNACK DINNR OTHER
Ketones - - - - - -
Mon
19/03
Time 08:00 09:43 11:30 12:45 15:00 18:00 19:20 22:00 [11:30] HIIT EXERCISE
[12:45] Lettace, cuc, egg cheese
[18:00] chicken and bacon ceaser salad. counted for protein
CP 0.5 - - - - - 10 -
BG 5.3 7.4 6.2 8.4 8.6 7.7 3.1 7.3
QA - 0.5 - 0.5 0.5 2 - 1
BI 10.5 - - - - - - -
Ratio (QA:CP) - - - - - - - -
QA Site - - - - - - - -
BI Site - - - - - - - -
Type BFAST OTHER BEFEX LUNCH OTHER DINNR HYPO BED
Ketones - - - - - - - -
Tue
20/03
Time 06:35 09:10 12:00 14:00 16:50 17:00 18:20 22:00 [12:00] chicken salad
[16:50] HIIT EXERCISE
[17:00] chicken, brocalli, peas, caggabe, sausage meat
[18:20] pork steaks, cabbage, bacon
CP 0.5 - - - - - - -
BG 4.6 6.1 6.3 8.0 6.0 6.9 7.0 4.9
QA 0.5 - 10 1 - 3.5 1 -
BI 10.5 - - - - - - -
Ratio (QA:CP) - - - - - - - -
QA Site - - - - - - - -
BI Site - - - - - - - -
Type BFAST OTHER LUNCH OTHER AFEX DINNR DINNR BED
Ketones - - - - - - - -
Wed
21/03
Time 01:50 02:10 06:40 11:50 13:00 14:00 15:00 16:00 18:20 22:00 [06:40] egg muffins x2 for breakfast
[11:50] no carb lunch to test background- little bit of cheese and cucumber
CP 10 - - - - - - - 10 -
BG 2.7 4.8 6.3 7.5 8.3 9.2 9.1 7.5 3.3 5.6
QA - - - - - - - - - -
BI - - 10.5 - - - - - - -
Ratio (QA:CP) - - - - - - - - - -
QA Site - - - - - - - - - -
BI Site - - - - - - - - - -
Type HYPO NIGHT BFAST DINNR OTHER OTHER OTHER OTHER BFAST BED
Ketones - - - - - - - - - -

Hi, ive uploaded more results over the last week. thing is i cant take any lantus before bed as im already hypoing. everyone seems to have success with there levels with LCHF but i dont seem to be, my levels are all over the place. i dont want to lose weight either but if my levels sometimes go high off just salads etc i dont want to eat carbs Sad

on the 21/03 i done no carb lunch but i dont know how to stop the highs after lunch then i drop back down, i seem to shoot up to 9s