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04-20-2006, 08:41 AM
| | Junior Member
I am a: Type 1 | | Join Date: Mar 2006 Location: England
Posts: 68
| | | Another insulin (etc) query!
Two weeks since I started on MDI. For the last 3 days Ive been taking Insultard 20 units at 10pm. Going to bed with BG at about 7-8. Wake up at about 6-7 (or sometimes higher) Have breakfast (2 slices of granary toast usually) and then 2 hours later testing and BG is around 11-12.
Could it be that Im taking too little/too much Insultard or could it be the NovoRapid? After this things settle down during the day, with usually levels below 6 pre-meals, and 8 2 hours post.
Need some advice from the experts! |
04-20-2006, 08:50 AM
| | Senior Member
I am a: Type 2 | | Join Date: Feb 2006 Location: Virginia
Posts: 1,351
| | Quote: |
Originally Posted by Sarmar7 could it be the NovoRapid? | You don't say how many carbs in the toast and how much Novorapid you are taking, but the first guess would be that you aren't covering your breakfast. |
04-20-2006, 09:27 AM
| | Junior Member
I am a: Type 1 | | Join Date: Mar 2006 Location: England
Posts: 68
| | | Sorry!! Im taking 5 units with about 45 grams of carbs. I think this should cover it. It seems to have done the last couple of weeks, and Im very boring at breakfast and eat the same everyday!! |
04-20-2006, 09:31 AM
| | Senior Member
I am a: Type 2 | | Join Date: Feb 2006 Location: Virginia
Posts: 1,351
| | Quote: |
Originally Posted by Sarmar7 Sorry!! Im taking 5 units with about 45 grams of carbs. I think this should cover it. It seems to have done the last couple of weeks, and Im very boring at breakfast and eat the same everyday!! | That's a 1 to 9 ratio. What's your ratio at other meals? Some members have reported that they need a high ratio at breakfast.
If you have permission from your doctor to vary dosage, why don't you try uping it, just a little. |
04-20-2006, 10:01 AM
| | Junior Member
I am a: Type 1 | | Join Date: Mar 2006 Location: England
Posts: 68
| | | 1 to 12 at other meals. They have given me permission to vary so I will try it. I have found that Ive needed to up my lunch and evening doses too. |
04-20-2006, 11:46 AM
|  | Senior Member
I am a: Type 1.5 | | Join Date: Sep 2003 Location: Hogwarts, Hobbiton, the Galactic Milieu &Ks when I have to be here
Posts: 4,299
| | Quote:
That's a 1 to 9 ratio. What's your ratio at other meals? Some members have reported that they need a high ratio at breakfast.
If you have permission from your doctor to vary dosage, why don't you try uping it, just a little.
| I'm one of those,
Breakfast is 1:6 (if I have regular coffee)
all meals without regular coffee 1:15
__________________
"I am wounded," he said, "wounded, and it will never heal."
Frodo to Samwise
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04-20-2006, 12:46 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Aug 2004 Location: Sacramento, CA
Posts: 1,213
| | | Have you tried skipping our breakfast meal, and testing throughout the morning?
If you skip breakfast, and you stay pretty stable, then it sounds like a morning bolus issue. If you go high without eating anything, then you may want to evaluate the Insultard dosage/timing/etc.
Just a thought.
__________________
My wife keeps telling me I never listen to her.... or something like that! |
04-20-2006, 01:13 PM
| | Member
I am a: Type 1.5 | | Join Date: Feb 2006 Location: Canada
Posts: 140
| | | I would raise your fast acting insulin dosage a bit, or, try eating some protein with your breakfast.
__________________
-Rea
1.5 taking Levemir, and Humalog
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04-20-2006, 01:17 PM
| | Junior Member
I am a: Type 1 | | Join Date: Mar 2006 Location: England
Posts: 68
| | | Ill try that on Saturday. Think I need my breakfast when Im working tomorrow!
It might also explain things with the ratio's too.
Ill be back for advice if thats OK! |
04-20-2006, 02:02 PM
| | Ex-moderator
I am a: Type 1 | | Join Date: May 2003 Location: دولة الإمارات العربية المتحدة, دبيّ
Posts: 3,055
| | | Sounds to me like you're probably not getting enough bolus insulin to cover your breakfast and what is probably a case of dawn phenomenon. |
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