Morning hypo

3 posts, 2 contributors

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Alex Dewar DAFNE Graduate
Glasgow
2 posts
Tue
29/05
Time 17:47 19:19 23:16
CP 3.5 2 -
BG 4.1 - -
QA 3.5-0.5 2 -
BI - - 18
Ratio (QA:CP) 1:1 1:1 1:1
QA Site - - Left Thigh
BI Site - - -
Type DINNR AFDIN BED
Ketones - - -
Wed
30/05
Time 08:57 12:10 18:41 21:22 23:21 [08:57] Exercise
CP 2 9 6 4.5 2.5
BG 10.8 13.1 6.8 7.9 -
QA 3 9+2 6 4.5 2.5
BI - - - - 18
Ratio (QA:CP) 1.5:1 1:1 1:1 1:1 1:1
QA Site Left Arm Left Arm - - Left Thigh
BI Site - - - - -
Type BFAST LUNCH AFDIN SNACK BED
Ketones - - - - -
Thu
31/05
Time 08:36 13:56 17:28 22:55
CP 2 3 3 4.5
BG 16.8 4.2 15.8 23.0
QA 3+3.5 3 3+3 4.5+4
BI - - - -
Ratio (QA:CP) 1.5:1 1:1 1:1 1:1
QA Site Left Arm Stomach Right Arm -
BI Site - - - -
Type BFAST LUNCH SNACK BED
Ketones - - - -
Fri
01/06
Time 10:04 13:08 18:23 18:58 19:39 22:45 23:50
CP 3.5 5 2 - 20 - -
BG 14.2 11.3 3.8 5.2 - - 20.3
QA 5+2.5 5+1.5 2 - 20 - 3.5
BI - - - - - 19 -
Ratio (QA:CP) 1.5:1 1:1 1:1 1:1 1:1 1:1 1:1
QA Site Left Arm Stomach - - Right Arm Left Thigh Right Arm
BI Site - - - - - - -
Type BFAST LUNCH HYPO DINNR DINNR BED BED
Ketones - - - - - - -
Sat
02/06
Time 09:15 13:40 22:35
CP 4.5 3 -
BG 14.0 10.4 -
QA 7+2 3 -
BI - - 18
Ratio (QA:CP) 1.5:1 1:1 1:1
QA Site Left Arm - -
BI Site - - -
Type BFAST AFLUN BED
Ketones - - -
Sun
03/06
Time 12:34 16:06 19:47 20:41 22:17 22:25 [22:25] Forgot to take QA
CP - 4.5 2 1 - 4
BG 14.8 8.1 5.6 - - -
QA - 4.5 2 - - -
BI - - - - 18 -
Ratio (QA:CP) 1:1 1:1 1:1 1:1 1:1 1:1
QA Site - - Right Arm - Right Thigh -
BI Site - - - - - -
Type FAST LUNCH AFDIN SNACK BED SNACK
Ketones - - - - - -
Mon
04/06
Time 11:18 13:37 19:18 22:01 22:50
CP 3.6 5 8 - 2
BG 11.4 3.6 8.2 - -
QA 5.5+2 5-1 8 - 2
BI - - - 18 -
Ratio (QA:CP) 1.5:1 1:1 1:1 1:1 1:1
QA Site - - Right Arm Left Thigh Right Arm
BI Site - - - - -
Type AFBF LUNCH DINNR BED BED
Ketones - - - - -
Tue
05/06
Time 11:23 11:30 11:36 13:22 18:30 19:20 21:21 22:00 23:14 [18:30] Didn't realise cp value at the time
[22:00] Reduced BI
CP 3 - - 4 2 8.5 2 - 4.5
BG 3.4 3.8 4.6 14.4 - 7.8 3.2 - 5.9
QA - - - 4+2.5 - 8.5 - - 4.5-1
BI - - - - - - - 16 -
Ratio (QA:CP) 1.5:1 1:1 1:1 1:1 1:1 1:1 1:1 1:1 1:1
QA Site - - - Stomach - Right Arm - Right Thigh Stomach
BI Site - - - - - - - - -
Type BFAST HYPO HYPO LUNCH DINNR DINNR HYPO BED BED
Ketones - - - - - - - - -
Wed
06/06
Time 02:45 13:06 16:37 19:20 21:51 23:57
CP - - - 4.5 - -
BG 6.9 7.5 7.3 15.1 - 14.6
QA - - - 4.5+2 - -
BI - - - - 14 -
Ratio (QA:CP) 1.5:1 1.5:1 1.5:1 1:1 1:1 1:1
QA Site - - - Right Arm - -
BI Site - - - - - -
Type BFAST BFAST BFAST DINNR BED BED
Ketones - - - - - -
Thu
07/06
Time 08:03 14:13 19:37
CP 3.5 4.5 7
BG 15.6 10.3 15.2
QA 5+2.5 4.5 7
BI - - -
Ratio (QA:CP) 1.5:1 1:1 1:1
QA Site - Stomach Right Arm
BI Site - - -
Type BFAST LUNCH DINNR
Ketones - - -

Hi,

Yesterday morning I had quite a bad hypo. I don't have the BG at the time, but I required assistance. It happened around 8am. After that my readings were around 6, until the evening which is shown above. Unfortunately the previous days I did not check my BG before bed so I don't know how much it dropped overnight. Last night I lowered my BI from 16 to 14 - I was 14.6 last night and 15.6 this morning, so more or less steady. As you can see, I had also reduced BI the day before, as I was 3.4 in the morning. I am pretty confident that the CPs were accurate on Tues as I measured them all. I took a -1 correction when I had something to eat at bedtime.

So I was wondering do you think it is the BI that caused it, and is there anything else I should adjust?

As a side note, I was on holiday until Thu 31st, and I was at an event on Sat 2nd, so I couldn't measure CPs accurately and hence my levels weren't very good.

margaret kyle DAFNE HCP
Glasgow
3 posts

Alex,
I think it is all related to your BI. Notably on the night you didnt match 4CPS with QA, your BG was only 11.4 on wakening. I expect you have been having frequent low/tight BG and that is why it dropped so low yesterday. You have done the right thing by reducing BI - I know you are still above target today but remember that is normal post hypo - resist correcting today if you can.
I wont go on about the importance of monitoring but you really need to ensure you are doing so especially pre bed...
Im sure your carb counting is fine and I dont think ratios are a problem. Lantus stays in your system for a longer period of time so even though you have reduced it over the past 2 days, you may not see the benefits for another couple of days. Please stay in touch if any firther issues. Are you away yet?

Alex Dewar DAFNE Graduate
Glasgow
2 posts

Yes I will keep a this amount for the next few days, and I will make sure to check before bed. I'm leaving tomorrow morning. I will have a regular schedule which should make things a bit easier, although the food might be a bit of a challenge to calculate.