Quote:
Since I have come back from holiday I have had to increase my insulin dosage from 32/35mmol ish to 45/50mmol ish AND also I cannot eat much otherwise it sends my blood sugar up to in the worst cases 15.
I am on Mixtard30 but I also find myself needing to supplement myself with some Actrapid to manage it at different points in the day.
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It sounds to me like you've hit 'The Wall'. This happens to people who are on Mixtard insulins or the older isophane basal insulins. Eventually it gets to the point that you simply can't take any more insulin than you already are because you just max out the effectiveness of the insulin and you get caught out by peaks and troughs.
You already say you're having trouble with maintaining your BG and having to suppliment your Mixtard with Actrapid. If you're doing that a lot then you really should move onto Multiple Daily Injections (MDI). This way, when you eat you won't get BG spikes in the same way you do with Mixtard. In fact, you probably won't see your BG go much above 8 on MDI AND you'll have fewer hypos.
The bottom line is that you simply can't get good control with Mixtard. Frankly if you get an A1C below 9 on that stuff you deserve a medal, but really your A1C shouldn't be higher than 7 at the very most - really you should be looking at something between 5-6.5.
Talk to your care team about upgrading to MDI - you'll be amazed at the fact you can eat what you want, when you want.
