lows all week
Hey there everyone.
Well, ok...maybe I'm just freaking out??
but I've been pretty low all week, like...under 90 all week.
I was diagnosed a little over a month ago.
So far the doc has me on 30units of Lantus everyday, which I just split into 20u in the morning
then 10u at bed.
then I take Novolog at my meals for carb intake.
I was using a sliding scale, but then switched to an I:C of 1 unit per 15g carb consumed
but, my numbers have been around 65-85 for like the last 3 days, pretty much every time I've checked my blood.
pre-meals, post meals, middle of the night...I cant seem to stay over 100 for the past few days.
would it be this change in my insulin thats doing it??
but the lows started about a day BEFORE i changed my insulin. like I said, am I just freaking out??
Maybe I should just wait a few more days and see if my numbers level out?
Dunno really, really I'm just a noob at diabetes, and I'm just a tad worried.
Replies to This Discussion
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Permalink Reply by Crystal on -
Have you gone through a "honey moon" stage already? Often times when people are newly diagnosed there is a period of time where their blood sugars run low. If not it is very possible it could be the new dose of insulin. I would call your doc and see what they suggest.It's not good to be consistently low.Hope you figure out what it is,good luck.
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Permalink Reply by FHS on -
Being consistently under 90 is not necessarily a bad thing. A BG anywhere between 70 to 90 fasting or before a meal is a really good thing. Personally, I don't even worry if my BG is down between 60 and 70 premeal or fasting.
After a meal is a bit more tricky. It really depends upon how long after the meal and how stable your BG of 85 to 90 post meal is. If you're crashing to 90 within an hour after a meal, it's a good bet that you're going to drop further, to below 70, and that's where the real danger is, not necessarily being at 85 or 90 postmeal.
So, keep track of where your BG is and at what time postmeal to try to establish your BG profile. You're doing the right thing in trying to tweak your carb and insulin intake to achieve good BGs. It takes time and work to dial in your doses.
You're doing fine!!
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Permalink Reply by mother4peace - Christine on -
Sounds like you could cut your basal insulin a little. You could make a call to your doc, tell him what's up and see if he recommends cutting it back. You could do it gradually so not to swing the other way. Or you could change your carb ratio to something like 1unit:17g or 1unit:18g. It wouldn't seem like it would make a difference, but it can add up and give you the little nudge that you need to make you just a little higher. Through the night, you might want to make sure you are having a little more protein with your snack before bedtime.
Have you been more active? Try keeping a log in these first months. You will be able to tell what changes you made to your meds, meal and activity that affect you the most.
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Permalink Reply by Johnny Crouton on -
I was thinking of doing just that, cutting down on the Lantus. The Doc at the hospital told me to take 30 units every morning, I was doing that, but 2 days ago I switched it up and started doing 20 units in the morning, and 10 units at night.
As far as snacks go, I havent really been eating snacks. I've been eating 3 meals a day on a some what set schedule. Breakfast usually at like 7-7:30. Lunch usually between 1:30-2. Dinner then usually at like 7:30-80.
I usually try not to eat anything after dinner. Every now and then I'll have a snack at night. but usually nothing between breakfast and lunch, or lunch and dinner.
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Permalink Reply by Hope on -
That' s interesting, when I took lantus I always just did one shot of it, as it is supposed to last for 24 hours. If you are staying above 65, seems like things may be okay. If you are concerned about lows, you could ask a doc/nurse about cutting back on the lantus a little. Start slow, like by 1 unit as you are probably pretty insulin sensitive right now.
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Permalink Reply by SF Pete on -
I did my Lantus (35u) in one shot at bed time. I found that Lantus with me gave a little peak between 6 and 8 hours. I was always low between 2 and 3 in the morning. I usually slept through it and woke up with a 250 to start my day.
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Permalink Reply by mother4peace - Christine on
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I have heard of split dosing and how it can have a longer effectiveness. But when I was on Lantus I had one dose at night so I can't give you much advice on that. I think you are doing right about being consistent with your meal times right now. That's on less variable until you get your dosing at a good level for you.
60-85 aren't terrible numbers. I try to live by the not below 70 rule so if I do slip a little it's still not too low. But your body might not be use to being that low. I remember in the beginning It made me feel really jumpy to be below 85. You also want it above 100 before bedtime. The only other thing I would mention regarding blood sugar levels is about driving, my endo has always said to check before you drive and be over 100.
There is a good book that I read upon recommendations from others here. It's called Think Like a Pancreas. Very good resource. You might be able to find it in the library. Hope you find a happy medium soon. It can be frustrating.
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Permalink Reply by DMurray on -
Hey John like crystal said you might be in the honeymoon stage like me , I been having a lot of lows until I tweaked my insulin ratios . Do freak out Just keep track of carbs and insulin ratios then adjust it you will be alright also check with your Endo.
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Permalink Reply by Sunshine on -
I would be ecstatic with those numbers! If you are worried, consult your doctor before you make big changes. 70 to 90 is generally considered very good, but maybe I am missing something.
As new as you are, please check with your doctor before you make changes, though. It isn't something to fool with.
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Permalink Reply by Johnny Crouton on
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:( I dont really have a Doc.
After I got outta the ICU, I got on some basic county coverage. Its kinda like a free clinic.
They are gunna cover my perscriptions, and if I wanna see a doc, I gotta make an appointment
and wait in line, see which ever doc is free..all that good stuff.
I dont really have access to an endo or any form of diabetes expert/doctor really
TuD is pretty much all I got for the moment.
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Permalink Reply by mother4peace - Christine on
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I am not exactly sure how the county coverage works but remember that Keith Olbermen on MSNBC has been involved in raising money for clinics. I think this is the National Association of Free Clinics.
http://www.freeclinics.us/
Don't know if this would help, but you might take a look and see.
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