Help with lows and highs

rackel88 · #1 (**permalink**) 09-10-2007, 08:43 PM

Hey everyone!
I have a bit of a complex situation on my hands and i was wondering about other peoples experience with low blood sugars. I am 7 weeks pregnant and I have switched over to using insulin instead of regular medicaitons because my regular meds weren't approved for pregnancy. I am currently on 12 units of lantus in the morning and 8 units in the evening along with 3 units of humalog with my meals. I have found on a few occasions that I will be around 45 1hr after eating so I will eat 15g of carbs and then 2 hrs after first eating I will be around 55 and then suddenly 3 or more hours later I have shot up around 180 (very bad because my obgyn has told me not to be above 120 2 hrs after meals). I know with my last pregnancy I used humlin R and I had good control over my sugars. Could it be the difference in insulin or am I doing something wrong? Any advice on how to manage lows without going to high? Thanks for the help!

shockme · #2 (**permalink**) 09-10-2007, 08:49 PM

hi rackel88 and welcome to df! being that i've never been pregnant as a diabetic,i'll let some one else answer your questions...take care,trish

Alice · #3 (**permalink**) 09-10-2007, 08:54 PM

You mention 3 units of Humalog with your meals. Humalog is normally taken in a ratio-to-carbs amount which varies from person to person. For instance, I do pretty well with 1 unit of Humalog for every 15 carbs. Some do 1/10, 1/20, etc.

Or, are you eating exactly the same number of carbs each meal (very difficult to do...if you're used to the flexibility of Humalog)...to match the 3 units.

BlueSky · #4 (**permalink**) 09-10-2007, 11:24 PM

Quote:

Originally Posted by rackel88

.... I have found on a few occasions that I will be around 45 1hr after eating so I will eat 15g of carbs and then 2 hrs after first eating I will be around 55 and then suddenly 3 or more hours later I have shot up around 180 .... with my last pregnancy I used humlin R and I had good control over my sugars. Could it be the difference in insulin ....

Yes, Humalog is much quicker acting than Humulin R. Your blood glucose is dropping one hour after eating because of the concentrated peak action at around 1 hour. And your blood glucose is rising after 3 hours because most of the Humalog action is finished. Switching to Humulin R should improve your control. It's action is less intense but spread over a much longer period. You may find that you only need to do this in the morning, when you are probably more insulin resistant. Good luck!

kgm0612 · #5 (**permalink**) 09-11-2007, 06:40 AM

Just wanted to say.......HI & Welcome to the forum!

Karen

rackel88 · #6 (**permalink**) 09-11-2007, 02:23 PM

Quote:

Originally Posted by Alice

You mention 3 units of Humalog with your meals. Humalog is normally taken in a ratio-to-carbs amount which varies from person to person. For instance, I do pretty well with 1 unit of Humalog for every 15 carbs. Some do 1/10, 1/20, etc.

Or, are you eating exactly the same number of carbs each meal (very difficult to do...if you're used to the flexibility of Humalog)...to match the 3 units.

i didnt know that. i think i will try that.