Thank you everyone for your help!
I spoke to the diabetes educator. She wants me to take 5 units novorapid in the morning and 4 units novorapid for lunch. Left dinner novorapid (normal amount is 2.5u) and lantus (13 units) the same. I did ask if I should eat less but was told never to cut down what I eat but to increase insulin instead.
I'll see how this goes and then look at whether lantus needs to be changed.
kgm0612 here is a list of what I usually eat:
BREAKFAST: Crumpet toast w/diet jam (32 grams carbs) OR toast w/marmite (26 grams carbs) OR mini cereal packets (20.9 carbs + 150mL milk 7.2 carbs)
SNACK: Either 1 1/2 plain biscuits (7.5 carbs) or 2 plain biscuits (10 carbs)
LUNCH: Sandwich which either marmite and cheese or cheese only (I use the light/diet cheese that has less than 1g carbs). Sometimes sauce sandwich (?? carbs in sauce).
SANCK: Same as morning snack, sometimes have a banana which I hadn't been weighing or working out carbs until recently or weight watcher carrot cake (13 carbs - they're quite small)
DINNER: Either chicken and vegetables - carrot, brocoli, potato (I weight the potato now to 138g for 29.3 carbs) OR stir fry w/rice (it's lower GI rice, again I weigh the rice to 25g for 19.2 carbs) OR fettuccine - weight it also 150g // 42.7 carbs OR seafood dinner which I wont do anymore - very low carb but see a slow increase for 4-5 hours.
Haven't done a whole heap of exercise lately. But will definitely start again, especially as the weather gets warmer!
ngueld: I'm guilty of not checking when I feel low and then treating.
I hadn't thought of the honeymoon ending. I was still very much honeymooning at my last appointment in August (my TDD was 18-20 units) these last 6 days it's been between 25.5-31 units (still less the 1 unit/kilogram). That part always confuses me (the honeymoon and how long it will last). I was caught early and my endo thought maybe the honeymoon could last even anpther 6 months...
Now that would be nice.
Cheryl - you've given me some really good advice. I always eat a meal even if I'm high and feel sick - but would stick to something I can hold down, chicken soup & toast. I've always been under the impression you have to eat if you're going to take novorapid. I don't do that all the time (take novo with a meal) just most of the time when I take novorapid I eat something. Haven't been checking overnight unless I wake up so I'll start doing that too.
Silly question, can you test basals when you're on lantus?
Thanks marked - thought you'd all understand. That's how it can sometimes be - like I make changes, it works for a little while and then all of a sudden stops working.
I thought that's why I was feeling low when I wasn't - b/c I've had more high numbers than normal or low numbers. Same with lows, I had gastro last month I nearly every test was 4's or high 3's. I got over it, tested one morning at 3.8 but felt 'normal'. How I feel with highs or lows seems to change easily. I can see how eating the same thing every day will help, I'll give that a go too! RobiJo, that is so nice you still keep in contact with your paediatric DE.
I never weighed any food until last week. I just started weighing as I'm going on a pump Nov 5th. The DE and dietician expect you to be proficient at carb counting.
I haven't checked lantus dose lately, no. Carb ratio, this is only an estimate breakfast is approx 1:8, lunch approx 1:9 and dinner I go with 1:15. It's probably not correct (dinner) all I know is that I am way more sensitive to insulin at night compared to morning and afternoon. The correction rate I have no idea. I'm guessing when I start pumping these figures will be a lot more accurate.
Thanks everyone for all the advice. It has really helped and given me a starting point to get my numbers back to what they have been!!
