Need advise

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avanella DAFNE Graduate
Singapore General Hospital
9 posts

I just graduates DAFNE from Singapore.
My BG is very high in the evening. Please advise and share your opinion.

Breakfast (9am) : 11 mmol/l
CP : 32.9g | QA : 4 +1

Lunch (1pm) : 4.4 mmol/l
CP : 47.6g | QA : 5 +1

Dinner (8pm) : 25 mmol/l
CP: | QA :

natalie fitch 5 posts

What is your meal ratio at lunchtime?you could try increasing your lunchtime ratio

natalie fitch 5 posts

What is your meal ratio at lunchtime?you could try increasing your lunchtime ratio

Warwick DAFNE Graduate
Diabetes Australia-Vic, Melbourne, Victoria
389 posts

Hi Avanella,

Are you able to record your BGs in the DAFNE online diary and share it with this forum? It will make it easier to help you.

Thanks,
Warwick.

avanella DAFNE Graduate
Singapore General Hospital
9 posts
Mon
12/05
Time 07:45 10:38 14:35 20:42 22:35
CP 3.5 - 7 5 -
BG 14.6 - 6.6 4.6 -
QA 4+2 - 10 5 -
BI - 8 - - 7
Ratio (QA:CP) 1:1 - 1.5:1 1:1 1:1
QA Site Stomach Stomach - Stomach Stomach
BI Site
Type BFAST BI BED DINNR BED
Ketones - - - - -
Tue
13/05
Time 00:30 01:38 10:30 14:30 18:35 21:19 22:40 [01:38] 100 ml of milk =>4.8g carbs
CP - - 5 5.5 1 8 -
BG 7.7 - 5.7 3.5 7.9 14.7 -
QA - - 5 5 - 12 -
BI - - 8 - - - 7
Ratio (QA:CP) 1:1 1:1 1:1 1:1 1:1 1.5:1 1:1
QA Site - - Stomach Stomach - Stomach -
BI Site
Type BED BED BFAST LUNCH SNACK DINNR BI
Ketones - - - - - - -
Wed
14/05
Time 01:21 07:50 11:35 15:08 22:11 [07:50] 27 carbs
[15:08] 85.2 grams of carbs
[22:11] 62.3 grams of carbs
CP - 2.5 - 8.5 6
BG 9.0 7.1 - 4.5 5.5
QA - 3 - 13 6
BI - - 8 - 7
Ratio (QA:CP) 1:1 1:1 1:1 1.5:1 1:1
QA Site - Stomach Stomach Stomach Stomach
BI Site
Type BED BFAST BI LUNCH DINNR
Ketones - - - - -

HI All,

Yes, SInce monday i records in online diary.

Garry DAFNE Graduate
North Lincolnshire
328 posts

Welcome Smile and well done avanella.
We will try and assist with the information supplied so far.
You can show your BI injection sites too. This gives you the opportunity to review your distribution of injection sites for both QA and BI to plan how you can efficiently move them about in an effort to help good insulin dose absorbtion.
Keep the results coming.
Regards
Garry

Warwick DAFNE Graduate
Diabetes Australia-Vic, Melbourne, Victoria
389 posts

Hi Avenella,

That looks pretty good so far. With only one evening where the BGs have gone high so far, I wouldn't want to advise you to change anything just yet. If you get a few higher readings each evening before bed, then it looks like the dose to change will be your evening QA dose with dinner. Your BI doses seem to be good, although three days of data probably isn't enough just yetto say one way or another.

Keep it up and post your diary again in a couple of days, and we should be able to help more.

Thanks,
Warwick.

avanella DAFNE Graduate
Singapore General Hospital
9 posts
Thu
15/05
Time 07:50 12:04 16:19 21:40 22:40 [07:50] 36 grams of carbohydrates
[12:04] Forgot to jab at 10am... 2 hrs late
[21:40] 62.4 grams of carbohydrate
CP 3.5 - 8 6 -
BG 4.8 - 4.6 13.8 -
QA 4 - 12 6+3 -
BI - 8 - - 7
Ratio (QA:CP) 1:1 1:1 1.5:1 1:1 1:1
QA Site Stomach - Stomach Stomach Stomach
BI Site
Type BFAST BI LUNCH DINNR BI
Ketones - - - - -
Fri
16/05
Time 00:30 07:50 12:02 16:30 21:05 [00:30] 6.8grams + 4.8 grams of carbs
[07:50] 28.1 grams of carbohydrates
[16:30] 56 grams of carbohydrate
[21:05] 39.7 grams of carbohydrate
CP 1 3 2 6 4
BG 3.8 9.8 13.4 - 7.9
QA 1 3+1 3+1 5 4
BI - - - - -
Ratio (QA:CP) 1:1 1:1 1.5:1 1:1 1:1
QA Site - Stomach Stomach Stomach Stomach
BI Site
Type BED BFAST LUNCH SNACK DINNR
Ketones - - - - -
Sat
17/05
Time 00:40 10:40 15:20 15:41 [00:40] 9.8 grams of carbohydrate
[10:40] 47.3 grams of carbohydrate
[15:41] Forgot that ratio was 1.5:1 during lunch
CP 1 5 2 4.5
BG 4.8 4.5 2.7 4.7
QA 1 5 - 5
BI - 8 - -
Ratio (QA:CP) 1:1 1:1 1:1 1.5:1
QA Site - Stomach - -
BI Site
Type BED BFAST HYCHK LUNCH
Ketones - - - -
Sun
18/05
Time 00:30 01:00 09:40 14:23 22:20 [00:30] Drank 100 ml of milk and ate a slice of bread with thin spread of peanut butter
[01:00] Ate 3 soft jellies. 25 g. Earlier, after breakfast, did household chores. Mopping and cleaning.
[09:40] 45 grams of carbohydrate.
[14:23] Ate at pizza hut
[22:20] 75.4 grams of carbohydrate
CP 1 2 5 6 7.5
BG 3.3 2.9 16.6 10.7 9.6
QA 1 - 5+2 9 8
BI - - 8 - 7
Ratio (QA:CP) 1:1 - 1:1 1.5:1 1:1
QA Site - - Stomach Stomach Stomach
BI Site
Type BED HYPO BFAST LUNCH DINNR
Ketones - - - - -
Mon
19/05
Time 00:17 07:35 14:29 19:20 19:50 23:30 [00:17] 200 ml grams of milk. 9.6 g.
[14:29] 73.7 grams of carbs
[19:20] BG was LO
[19:50] 68.5 grams carbs
[23:30] 47.8 grams of carbs
CP - 2 8 3.5 7 5
BG 6.2 6.6 9.9 - 8.2 4.6
QA - 2 12 - 7 4
BI - - - - - -
Ratio (QA:CP) 1:1 1:1 1.5:1 1:1 1:1 1:1
QA Site - Stomach - - Stomach -
BI Site
Type BED BFAST LUNCH HYPO DINNR BED
Ketones - - - - - -
Tue
20/05
Time 10:00 13:35 14:56 15:02 20:30 23:30 23:55 [10:00] 97.1 grams carbs
[13:35] Ate 4 soft jellies
[14:56] 43.2 grams carbs
[15:02] 43.2 g of carbs
[20:30] 105 grams of carbs
[23:55] 20.5 grams
CP 9.5 2 4 4.5 10.5 - 2
BG 7.8 2.4 6.5 6.5 7.7 - -
QA 9 - 6 6 11 - -
BI 8 - - - - 7 -
Ratio (QA:CP) 1:1 1:1 1.5:1 1.5:1 1:1 1:1 1:1
QA Site Stomach - Stomach Stomach Stomach - -
BI Site
Type BFAST HYPO LUNCH LUNCH DINNR BI BED
Ketones - - - - - - -
Wed
21/05
Time 00:00 10:00 15:28 20:40 [00:00] 14.6 grams carbs
[10:00] 33.5 grams of carbs
[20:40] 77.3 grams carbs
CP 2 4 4.5 8
BG 5.1 10.3 5.4 5.9
QA 2 4 6 8
BI - 7 - -
Ratio (QA:CP) 1:1 1:1 1.5:1 1:1
QA Site Stomach - Stomach Stomach
BI Site
Type BED BFAST LUNCH DINNR
Ketones - - - -
Thu
22/05
Time 00:25 14:46 21:00 [00:25] 26.2 grams carbs
[14:46] 101.2 grams of carbs. The actual QA shld be 15 but reduced to 12. Reduced due to the fear of hypo later
[21:00] 109.6 grams of carbs
CP 3 10 11
BG 4.2 9.6 4.2
QA 3 12 11
BI - - -
Ratio (QA:CP) 1:1 1.5:1 1:1
QA Site - Stomach Stomach
BI Site
Type BED LUNCH DINNR
Ketones - - -
Fri
23/05
Time 01:30 10:00 16:00 21:30 [01:30] 17.2 grams -10 grams
[10:00] 9.6 grams carbs
[16:00] 88.1 grams of carbs
[21:30] 44.4 grams of carbs
CP 1 1 9 4.5
BG 6.1 5.4 4.2 11.6
QA 1 1 13 5+1
BI - - - -
Ratio (QA:CP) 1:1 1:1 1.5:1 1:1
QA Site Stomach Stomach Stomach Stomach
BI Site
Type BED BFAST LUNCH DINNR
Ketones - - - -
Sat
24/05
Time 11:30 15:20 19:55 [11:30] 38.9 grams of carbs
[15:20] 77.6 grams carbs
[19:55] 59.4 grams of carbs
CP 4 8 6
BG 7.1 12.3 8.6
QA 4 8+2 6+1
BI 8 - -
Ratio (QA:CP) 1:1 1:1 1:1
QA Site Stomach Stomach Stomach
BI Site
Type BFAST LUNCH DINNR
Ketones - - -
Sun
25/05
Time 12:00 14:50 20:04 22:00 [12:00] 60.7 grams of carbs
[14:50] 42.1 grams of carbs
[20:04] 49.6 grams of carbs
CP 6 4 5 -
BG 5.4 5.8 6.3 -
QA 6 4 5+1 7
BI - - - -
Ratio (QA:CP) 1:1 1:1 1:1 1:1
QA Site Stomach Stomach Stomach Stomach
BI Site
Type BFAST LUNCH DINNR BI
Ketones - - - -

Hi All,

Now my BG is better compare to last time. Please advise how to make the BG idle.

Warwick DAFNE Graduate
Diabetes Australia-Vic, Melbourne, Victoria
389 posts

Hey Avanella,

Your BGs look pretty good, especially since last Monday.

To be honest, I can't tell whether your BI is correct or not. To be able to tell, I'd need you to do the following.

1) Eat nothing after dinner until breakfast the next morning.
2) Take a bed-time reading at least three hours after dinner.

The problem at the moment is that the bed-time reading is often not recorded, and when it is, you are having carbs and QA with it which makes it impossible to tell whether your BI is accurate or not.

Is it possible to do what I have asked? I'd want to see three nights' readings, but they don't have to be on consecutive days. So for example, over the next week, if you followed the above on Thursday, Saturday and Tuesday nights, then I should be able to tell.

It would also be helpful if you didn't change your BI unless you really need to over the next week.

Thanks,
Warwick.