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newly diagnosed on insulin

hi i was diagnosed with having type 1 3 weeks ago after getting an infection after a routine operation, i take nova rapid 3 times a day before each meal and lantus before bed, i am a bit worried and feel a bit silly to phone any one not that i know who i would phone but i took the lantus injection before my evening meal by mistake and im not sure what to do i would really appreciate your advice leanne

Hi Leanne, sorry it's a bit late but if you ever need advice urgently, and your worried then you should ring NHS direct, so they can help, I feel awful that I missed your post and you were left worrying as I remember how I felt when first diagnosed and things went wrong, like when I went through a big vein, all the blood scared me as I didn't know if I'd injected into the vein or just went through it . Anyway I hope you stick around, and ask anything you need to know, if people know the answers, and can help they will, all the best

I'm sorry I missed that one too, Leanne. I hope you're ok. Please keep in touch and we'll do better next time! All the best, fergus

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Help Needed Please

Hi, Im a first time user so hope Im doing this ok!!!! My son, aged 18, has type 1, was diagnosed completely out of the blue when he was 15, huge shock to all of us when he was admitted as a matter of emergency to hospital with a sugar level of 37!!! Anyway basiaclly he was amazing from day one, coped far better than anyone couldve imagined and for two years controlled his levels pretty well, generally keeping around 7/8/9 max as he never liked the feeling of being around 5/6. All that changed about a year ago, I can only analyse it by saying that I believe he has completely lost his confidence in himself, is constantly scared and never drops his level under about 12. This I could cope with but just recently, having booked a holiday abroad with his friends, within an hour of them about to leave for the airport, he pulled out in tears saying he just couldnt cope with being away from home. Since then his levels have soared even higher ( even hitting 30 at one point last week!!! ), he came abroad with us for a week but only with a lot of talking n reassurance from myself and his father. He started his first job in London last week and promises me that he will now look at lowering his levels but Im not convinced. Not a day goes by when I dont have a few tears for him and I have to say I am so scared for him and wot these high levels are doing to him. Obviously I hide all my thoughts from him and try to be as positive as I can, tho last night I did try some hard talking to try and get thro and Ive said maybe just up his insulin one level at a time, gradually. I really dont know wot to do or where to turn ( I cant talk to his dad coz he just cries so he doesnt even know that things are as bad as they are ) I just need to know if anyone else has been thro this and if anyone has any suggestions. Thank you and sorry if I havent come across well or done this in the correct format. Liz

Sounds like some confience building is needed, before serious damage happens. Try looking at DiabetesUK services for young people. they have holidays and get-togethers. Most of the youngsters using this will be younger than your son. It might give him a boost to see much younger kids coping.

Thank you for your really quick reply, unfortunately my son is bit of a loner, rite from a baby he has never done parties or group things so I just dont think Ill get him there. He had a brilliant nurse but unfortunately also she has moved on altho we did call her the night if the holiday he didnt go on but really there was nothing anyone of us could say. Thank you tho and I will try and mention this to him.

Aww I am sorry you and your son have all these worries, but coping with a chronic illness, finishing school, starting a new job, moving away from home, look at it when its written down in front of you, its quite a lot to handle isnt it? Ask him what it is that is bothering him most, is it the change of circumstances, is it the diabetes, try and find out what his biggest problem is, so ok he wont go and join a group or something, what about teenage counselling, one to one counselling I mean, you say he started a job in London, there are a few 'not-for-profit' organisations that provide counselling for stressed out teens suffering from anxiety, depression, shyness, etc, maybe he wants to find out a bit more about these services. Ask him what he thinks could be useful for him, praise him for what he has achieved so far, being diagnosed at 15 and coping with it all so very well until fairly recently, its a hell of an achievement I think, I know I wouldnt have handled it well at all. And think about it, he was too scared to go on a holiday with his friends and with you as a family, but he did have the courage to go for a job interview, AND he landed a job as well, WELL DONE. So focus on the things that he has done so really well, tell him that he has shown strength in dealing with this and that, so now he has reached another hurdle and that he can overcome this one as well, just needs to look around for a solution that he is happy with, and normally there are choices, and if he does pick the wrong one, nothing is lost, he can try his other options, this way he wont feel cornered which would result in even more pressure. Let me know if you want more details about counselling services available or anything you just want to ask. Maybe he can join this forum or at least become an observer here and pick up some good ideas here and there? All the best Karen

Well that just made me cry!!!!! Thank you so much for such a long reply, it was very touching. Yes I think the counselling may be a good idea so any extra guidance on this would be really appreciated. Again you really touched my heart so thank you.

Oh stop it you have me crying too! You will find that everyone in this forum is really helpful and understanding, a great deal of empathy because we have all been there at one time or another and probably have to face more of it as we go along and need to lean on others to help pull us through and it is nothing to be ashamed of. We cant all be happy and cheerful all the time, we are not circus clowns are we?! So you say your son is in London? Can you tell me where, I mean east, north, south, west, or you can send a PM and tell me which borough he is in and I will see what services are available close or fairly close to where he works/lives? Love Karen x

Hi we are in Brentwood, Essex and my son has just started work in Charing Cross. Thanks again for all your help.

Hi quickyliz12, I'm really sorry to hear of your son's predicament. I have type 1 diabetes also and although I was diagnosed aged 18, it was still a very difficult time for me. I think diagnosis at 15 would be tougher still, with the enormous stresses and uncertainties that come with being an adolescent male. I'm speculating of course, but does he have particular concerns about hypoglycemia – or very low blood sugar? That might explain his 'comfort zone' at blood sugar levels which were a little too high at first and are now very high. Has he had particularly bad hypo experiences, or perhaps very few hypo's but a lot of anxiety about them? He may feel 'safer' at high blood sugar levels, but he's a bright lad and knows perfectly well what the long term risks are. The illusion of teenage immortality quickly wears off at the first sign of kidney or eye damage. I ignored my diabetes for many years until things eventually caught up with me. I wish I could reassure him that it is perfectly possible to maintain normal, stable blood sugar levels that would free him from the worry of hypoglycemia and long term complications. I've done it, and many others here have done it too. You obviously love him dearly, but I think he might benefit a great deal from joining the forum himself. He can simply look at the postings and discussions which are usually pretty informative and often a lot of fun too. He'd be very welcome. All the best, fergus

Hi Fergus, thank you so much for your reply. Yes his main concern is having a hypo n not recovering from it, he had a couple of bad ones a year or so ago n I think it all stems from those, he wasnt hospitalised with them but they were quite scary. I agree that it would be good for him to read these messages and will judge the right time when we can sit down quietly together. Its immensly comforting to read all the posts n I only wish Id found you sooner. He says that not a minute of a day goes by without him worrying about his diabetes, I just wish with all my heart that I could take that worry away n maybe coming on this website will begin to reassure him that other people with diabetes do go about their lives without that constant cloud over their heads. His family, house n girlfriend are his comfort zone ( not to mention the ever reliable Weetabix which goes everywhere with him ) and he worries every time he is not in that zone ( I was amazed he accepted n actually started his new job this week n was so proud that he found the strength to do so )Thank you again for your words, they really did help.

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Can Anyone tell me Please

ok here goes, typing this whilst ofline checking to see if it works, IT ,WORKS time is 1-20am, couldnt sleep, Can Anyone tell me Please (dx type 2 may 15th) what these levels mean CHOL 6.2… HDL 1.78…. LDL 1.8…. TRIG 1.3 I was given these figures when i asked nurse at dx 15th May but i dont know what to make of them, and dont know what to compare them with, all i know is what i was told that my my cholesterole, should be 4 or less. It was suggested to me by the DR to take Simvastatin to lower the CHOL, which i was reluctant to take, i dont really know why, other than not wanting to take more pills, the Nurse said i should take them as well,…I decided i wasnt going to take it. I have been having tests to see if i have Angina,I had an ECG, then an E C G Exercise, on 25th June, when i was told by the Heart Nurse that i should take the Statin,….so i have been taking it, I have also had, an Echocardiogram without an injection 14th July and another one, with an injection, last Fri, i had results of that on Wed,and was told i am ok, that they will keep a check on me, and give me a pumpspray to use if i get chest pain, or for the pains i get in my back occasionaly. I was told, my chol level is down to 3.2…and due to taking the Statin, still not happy with having to take it, wondering if i really need to I Also, had a result last Mon from a B T.. I had for Haemoglobin AIC that is 6.2…..again i dont know what it means, Would appreciate feedback , as ever, Thanks

This is what is called your "lipid profile", and these look like very good figures to me! What they mean is the following: CHOL – Total cholesterol HDL – High Density Lipoprotein ("good cholesterol"), should be > 1.55 mmol/l. LDL – Low Density Lipoprotein ("bad cholesterol"), should be < 3.3 mmol/l and ideally < 2.6. TRIG – Triglycerides should be < 1.69 mmol/l. NB these target figures are taken from those published by the American Heart Association. Your total cholesterol (6.2 mmol/l) is high, but that on its own isn't a problem (it is, in fact, a pretty meaningless figure). Your HDL is 1.78 mmol/l, which is good. The ratio of HDL to total cholesterol (6.2 ÷ 1.78) is 3.48, and so long as it is under about 4.9 that is OK. Your LDL cholesterol is 1.8 mmol/l, and so is really good. The most important of these figures are the triglycerides which, at 1.3 mmol/l are in the normal range. You really want to worry if this figure is ever over 5.65 mmol/l. If these figures are from before you started taking the statins then, that seriously begs the question of why you are taking them! The cholesterol level is high, but all of the meaningful parts of your lipid profile are great.

An HbA1c value of 6.2% isn't as good as your lipid profile. I have written a detailed description of HbA1c on another thread, but essentially this tells you how high your average blood glucose has been over the last three months. Medics are very keen on this, because it tells them how well the diabetes is under control, and is a very good indicator of how likely diabetic complications are. Your 6.2% means that your average BG has been something like 7.5-9 mmol/l in this time (which is really quite high). Many medics consider diabetes to be under control if the HbA1c is less than 7%. However, a non-diabetic has an HbA1c of typically about 5% and there is quite a lot of evidence to suggest that your best chance of avoiding complications with diabetes is to get your HbA1c as close to that as possible (certainly under 6%).

Thank you, Diabeticgeek, for the feed back, i am reading loads of stuff, and trying to get my head around it all, having these figures, gives me something to compare, and have been having a look at your thread too, "detailed description of HbA1c£ , cant say i understand it all yet, but i'm trying too

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stopping smoking with diabetes

I have diabetes type 2 and am on metfomin and gliclazide, I was told by my doctor to give up smoking as this would help my diabetes. I was diagnosed at 48 I am now 52, managed with diet alone for a while but I am a sod for chocolate and savouries and I just can't help it so that went out the window. I gave up smoking on Feb 2nd so it's been six months now since I stopped. I am so bad tempered and I still want a fag so badly but haven't faltered. I have gained almost 2 stone and now my gp is going on at me for being so overweight as I am up to 15 stone now and only 5ft 2 and hate myself for being like a barrel and my count goes from being 5-7 for months and then shoots up again in the teens, I think it's due to my eating chocolate and stuff on occasion and when I do I stuff my face with it and then get so upset for doing it. I have two youngs sons ages 13 and 11 and when my count is high I am so nasty to them, I am like the devil, I am a single mum you see and its not easy, I also have two grown up kids with kids of their own and they have their own worries but they come to me with any worries as you would do to your mum. I suppose I am just a moaning hag but I really feel alone, all of my family apart from my kids are in London and Essex and I am in Wales and apart from that I am very scared at the thought of having diabetes and I am so afraid of gaining even more weight and making it so bad that I have to go on isulin. Is there anyone out there who can offer any advice to me please as I feel I will end up weighing 20 stone soon and I am told that gliclazide makes you put on weight too, is that right? :cry:

It is true that Gliclazide can influence weight gain, The real cuplrit is the amout of Carbohydrate you consume particularly as a T2 as this affects your BS levels. Personally i have never smoked so cant offer you any real advice on the subject. I am T2 and like you did get near the 20st mark. Finding this site and reading the Carbs threads convinced me to reduce my carb intake. Result -23lb since march. Giving up smoking and change of diet might be a tough one to crack so allow yourself the right to stumble now and again but be determined to do it all the same Good luck Dave P

Hello and welcome to the forum and congratulations on giving up smoking, well done!!! I know that this is not an easy thing to do and cravings last for quite some time, but now you have gone this far it is not worth going back to smoking is it, so try and just take it one day at a time and be proud of your achievements. It sounds very much that you are a very strong, determined person and that you are being too hard on yourself. Give yourself credit for what you have achieved so far, being diabetic, giving up smoking, a single parent, geeezus I would just cave in I think, you certainly have a lot going on there and coping with most of it all on your own too. You must try and do nice and good things for yourself too, you have deprived yourself of cigarettes, so treat yourself in other ways instead, do something nice for yourself as a reward for YOU for a change, I bet you havent done anything like that for ages, always being there for others, huh? Talk about your diabetes with your children, tell them that you really dont want to be so grumpy with them but that sometimes you just feel overwhelmed and so alone and also scared, your children will understand and do their bit to support you, thats what families are all about isnt it, the children will learn from this, become more considerate and learn that its ok to lean on others for a bit of support now and then. Try and cut out junk food and sweets and savouries as much as you can, dont do anything drastic with your diet, just see how you can make some improvements here and there, read here in the forum what people do in regards to their diet, do you have a meter and test strips, do you test regularly at all? If you change your diet then do it s-l-o-w-l-y, or else you will say 'well stuff this for a lark, I gave up smoking, yeah, now I am supposed to give up the food that I enjoy, I have no pleasures left' – so slowly start replacing these not so good snacks with healthier options, a few nuts (though not too many) and maybe some low carb fruits or a nice yogurt, sugar free, (you can sweeten it or add a bit of fruit and sprinkle with cinnamon) instead and see how that goes, and take it from there. If you go low carb, again do it slowly, cutting them out overnight is a bit of a shock to the system, mentally actually, and do get hold of Dr Bernstein's book, Diabetes Solution, your library should have a copy or would order it for you. If you are stuck in a bit of a rut see if there are any activities out there in your local area that may be of interest to you,a short college course, exercise class, anything really and meet new people, either make it time for you, we all need some 'me' time or as a family, do new things, that can help too in taking your mind off things like smoking and comfort eating. And just dont feel alone in all of this, come here to the forum and ask questions and talk about your feelings and fears and when things are good too, share it with us, we are all there for each other. All the best Karen x

Thanks guys for your replies, it did make me feel better cos you know how I feel and when the dreaded diabetic clinic visit comes around I am getting told off cos my overall count is high again! I do have a metre and test myself around twice a week and it has been great, between 4 and 6 but lately its been going between 11 and 17 which is not good I know but, that's down to my eating the wrong things to try and stop my craving for a cigarette but now I feel more positive after reading these replies so once again, thank you. Joy

I know i will be rapped for this but i have done all i have been asked but smoking is a no no. There is no way i will stop, i have tried twice and gone back smoking more i just dont think i could and not go back to it. Doctor has said he has tablets but if there the ones i think they are there as bad as smoking for killing people.

Congratulations on the smoking Campervan – I know that this is a hideously difficult thing to do, but it is probably the single most important thing that you can do for your health – so keep it up, for your own sake and for your families. It sounds like you mostly have the diabetes under control too. A BG that is mostly in the 4-6 range is really good, and the occasional glitch doesn't matter too much just so long as they are occasional. Far better have a day or two with a high BG than go back to the weed. As others have said, get hold of the Bernstein book and try his system. Not only is it likely to help you control the diabetes, but a lower carb diet will probably make it easier to loose weight. When I started doing this I lost a lot of weight without even trying. In fact, I didn't realize how much weight I had lost until I went to a University graduation ceremony in my best tailor-made suit. It was absolutely falling off me – I must have looked pretty bizarre trying to hold my trousers up underneath my gown I'm certainly not going to rap you, and I really doubt that anyone will on here. It is your body, and you have every right to do what you like with it. Some people play dangerous sports, some diabetics smoke and some manage to get away with it – I hope you stay lucky! The important thing is that people make their own informed decisions about such things. Everyone knows the health risks associated with smoking, so there is no point in preaching. What some people don't fully appreciate is that diabetic smokers get hit by this doubly hard – smoking makes the control of diabetes more difficult (not impossible, but more difficult) and it also makes a lot of the nastier complications more likely. So that is worth pointing out for the benefit of people trying to or considering quiting.

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concerned

don't quite know whats happening. i've been sat working and my glucose levels have dropped from 15.6 to 10.6 in the space of about 25 minutes. (they have been hovering about 15 for a couple of days now as a base measure. eg when i get up in the morning i'm delighted to see i'm 15) I have been checking it this afternoon as i feel lightheaded and woozy. the nurse mentioned my body my think it's hypo as it's been having high sugar so long? I don't want to raise my level!! but i'm confused about what to do. I've contacted the clinic and left a voicemail. just waiting. Has anyone got any short term advice? I'm really confused.

Your body has got so used to high levels that dropping down feels like a hypo.Hypo's are generally under 4 BTW.You will feel better in a few days when your Blood Sugars drop further and your body gets used to the lower levels.

well thats ok, Thank you. sorry just freaked me out thats all. I've got to drive home at half past five so it had better quit it soon

Anyone any suggestion on that?

Although you want to keep a careful eye on things, this is probably good news. Even 10.6 is still quite high – a non-diabetic usually has a BG of 4.5-6.5, occasionally briefly straying to 7 or 8 after eating. It is quite common once you have got used to very high BG levels that you feel symptoms when they change. This might include the sort of light-headedness that you describe, and you might also get problems with your eyes (such as blurring of vision). This is the change in BG rather than the BG itself, and the symptoms will go away once you get used to these much lower levels. That said, now you are on insulin, you need to be careful about hypos. Keep an eye on your BG, and if it falls below 4, or if you get any symptoms of a hypo then you want to do something about it (the symptoms being dizziness, sweating, headache, trembling, heart palpitations and intense hunger). If this occurs then you need to eat something quickly. The best things to eat are quickly absorbed glucose (such as a few gulps of lucozade, or the glucose tablets you can get from pharmacies).

DVLA states that one shouldn't drive at a blood sugar level lower than 5mmol/l. The hypo sensation is just your body's attempt to ask for more sugar since it has become accustomed to abnormally high levels. You need to go cold turkey I think so that it doesn't send you warning signals until you get nearer 4mmol/l. Your ability to drive won't be compromised until you get below that sort of level. Take it easy though! All the best, fergus

OK, I have only just seen that. I got out of sync with the posts (students keep dropping in to my office, while I have a half-finished reply – most thoughtless of them!). Since this almost certainly isn't an actual hypo it probably isn't going to get suddenly worse (keep monitoring your blood, though, just to make sure, and absolutely don't drive if it goes below 5). However, regardless of your BG, if you don't feel safe to drive then don't drive! Better abandon the car for the night and get a taxi home than risk wrapping it around a tree – that won't do anything for your health problems!

i made my husband drive home last night. He is still learning though so i'm not sure if it was safer!!!! i got a 9.9 when i got home, well chuffed. although feeling rotton, still it's a sign something is happening, which has to be good! Thanks for your help., i was panicing a bit.

T2 – on MF not insulin. When I was maintaining levels of 7-12, I would feel rough if my levels dropped below about 5.5. Now I'm maintaining 5-8, I don't have that problem. I presume that is the body trying to maintain the status quo & calling for sugar it doesn't need, but is used to.

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Painkillers?

Hello, right, as you are aware i don't know what type i am yet. but i take novorapid 10ml with every meal now and Lantus 10ml before bed, (first night tonight, quite excited to see if there is a drop in the morning!!!) Thing is Painkillers? i have read all the stuff and it says ibuprofn is a no no but every painkiller i pick up seems to say that it's a bad idea to take with insulin. it is just the manufactors covering themselves or is there really an issue. Banging headache at the minute and need some relief! help?

What do you need the painkillers for?

banging headache. Think it is all the rushing around seeing the docs and getting to work. Plus the glorious sunshine over here today, would love to just go jump in the sea and cool down.

Paracetamol.Have you discussed the use of painkillers with your GP/nurse? I'm sure there are some you can use with insulin.What say the insulin users on here?

fab, thanks, just wary at the moment as it's all a bit new. still want to go for a dip though. it's all i can see out my window at work, Douglas bay, sunshine, it's torture!!! thanks for your help!

I am type 1 on insulin and take paracetomol and ibuprophen ,i've never had any problems, but if your unsure then ask at surgery.

lol yeah 10 units. DUH. i get really confused with all this. Good thing is i appear to be stable today at around 15 even after eating my lovely salad! I'm actually made up. happy days! usually my reading head on over 20 after i've eaten lunch but not today!!! OH i'm so excited!

I use all painkillers, ibuprofen, paracetamol, codeine without any problems

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longhaul flying

i am going to australia in september stopping over in singapore for 2 nights.I take metformin 1 in the morning 1 at lunch 2 at evening meal and 2amaryl in the morning please tell me how to cope with time changes i am quite well controlled at the moment.

Hi Barge, I did a similar trip a few years ago (Singapore then NZ) whilst on metformin and amaryl. Singapore is 7 hours ahead and western Australia is 9 hours ahead. What I did was to take my normal meds on the departure day. At Singapore I had my usual morning meds with breakfast, so they were 7 hours late, then the remainder of the meds with meals at the normal intervals. Again when you continue to Australia, there would only be a further 2 hour delay in taking each of the meds. The important thing is to ensure that the meds are always taken in conjunction with breakfast, lunch and evening meal, not simply at pre-set time intervals. This is particularly important with the Amaryl as this forces the pancreas to produce insulin. If this is not done at the same time as a meal then it will make your blood sugar drop drastically, resulting in a hypo.

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Insulin and IVF Treatments

I'm currently on glicilazide tablets but soon will be trying for a baby. My last pregnancies where naturally conceived and I was on Lantus slow release and Nova Rapid. However, this time I will be having IVF treatment and wanted to know if it was ok to go back on the above meds with IVF treatment. I have been trying to find out but unfortunately there is no one at the my diabetic centre nor does my GP know.

Shoegal, I'm not 100% sure, but I would think you'd be better on the insulin than the tablets. Since insulin is a naturally occuring hormone, it wouldn't cause a baby – or your chances of trying to conceive – any harm, I wouldn't think. Whereas the gliclazide is NOT natural and could cause harm.

You probably shouldn't take gliclazide while you are pregnant, or if there is any likelihood of you getting pregnant. Pregnancy is listed as a contraindication for gliclazide, although based upon a quick Google Scholar search this seems to be because it isn't known to be safe rather than because it is known to be dangerous. However, I believe the usual practice is to switch to insulin during pregnancy and that seems to be a sensible precaution.

It is very unlikely that you would be kept on gliclazide after you become pregnant. Normally you would be put on insulin. As anything less than normal blood sugars raises the risk of miscarriages and fetal abnormalities it is important to get normal blood sugar control to maximise your chance of success. I expect that you will be put on insulin by the diabetes team prior to an ivf attempt. Your GP could refer you to the diabetic clinic for specialist support once you are accepted on the ivf waiting list. It could take 6 months to get your diabetes control completely tip top. You could end up at a "tertiary centre" and not just the local diabetic clinic as the management of diabetic pregnancies is becoming more of a specialised team approach. Lois Jovanovich's centre in Santa Barbara specialises in this. She has a lecture at presentdiabetes.com which you can view. This could give you an idea of what state of the art blood sugar management involves. (Not that this is available on the NHS!)

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Symptoms of Diabetes

Hi, I have all the signs & symptoms of diabetes, plus suffer from symptoms of high & low blood sugar, often the low is quite serious & on past two routine blood tests my blood sugar has been high, but on a follow up test of bloods have been told its normal. Have not been offered further tests…Am I pre-diabetic or something else? Thanks….Oscar

You need to nag at your healthcare team

Ask them for a "Glucose Tolerance Test". This is by far the most sensitive method for diagnosing diabetes, and very useful in borderline cases (which is what I presume you are). Some PCTs seem to be reluctant to do these any more, so, tell your GP that you are worried and hassle until get one. I really don't understand why there is this resistance to the old GTT – it is a very useful and really simple test (at a pinch you could do a version of it yourself).

Hi, thanks for the advice….my Docs are not very forthcoming when one asks for something! What's the DIY test at a pinch ?!! & how do I assess the results please? Oscar

OK, first you need to get hold of a glucose meter. You can buy these for about £10-15 from a high street chemist, or less on eBay. Some manufacturers will send you one for free if you ask them (they make their money out of the consumables – but the meter will come with enough in the box for a GTT). When you get your meter then read the booklet that comes with it and learn how to use it. Make sure that it is set to display results using the British standard (mmol/l) rather than the American one (mg/dl) – otherwise confusion will ensue (if you see any figures in the hundreds, then it is set to the American standard). Once you are happy with this, then follow the Instructions for a DIY GTT that I posted on another thread. Do remember that a GTT should really be done using blood drawn from a vein rather than a fingerprick, and that a lab analysis will be much more accurate than a home meter. So treat the results with a bit of caution, especially if they are borderline. However, this should give you a fairly good indication. If in doubt about interpreting the results then post again here.

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hypers

hi all type 1 basal/bolus i feel very very silly but i had my tea very late this evening didnt eat till ten which is the usuall time i have my slow acting insulin like an idiot i took my night time insulin and not my meal insulin obviously i now feel terrible due to high blood sugars. i have looked on every webpage i can find for diabeties and there is nothing about what to do if you have a hyper or miss a dose of insulin. was wondering if anyone on here had any tips (beside the obvious of not forgeting to take the insulin in the first place ).any ideas tried or not would be very welcome

I take my long acting insulin at night too , and sometimes I eat late so I do both injections at the same time, it makes no difference. If you took less of your long lasting I would just do another to make it up to the usual dose and inject the fast acting at the dose you would have done ,normally with your meal, it dosen't matter too much that you had it after your meal ,it is better than not taking it at all. This is the second post with this similar problem in the last week. Do you have different colour pens for the long and short acting insulins? I've got a blue one for long acting and a red one for short, so red means danger ,it's the fast acting. just don't mix them up the other way round or you will hypo in the night. Anyway don't beat youself up over it, with four children to run round after it's not surprising you have brain lapses, I often go scatty and Iv'e only got 3. hope you feel better soon. Take care

thanks for this advice at least now i know for the future if it happens again, which knowing me it more than likely will lol

for me it would depend how long after eating i realised that i had missed my bolus, if it was within 90 minutes i would just take the meal bolus, if it was longer then i'd do a correction. i would always do either, or, not both at the same time