So after a few weeks of really fine-tuned BGs, (80's) they are now constantly in the low 100's. Nothing seems to bring it down.
For example, last night BG was 128. I took 4U Novolog to cover, and my usual 4U levemir for basal. But the morning reading was 110. So what happened?
a) I'm not getting enough basal
b) One (or both) of the insulin pens are old and not effective enough
c) BG was still going up from evening snack (I don't think so.. it was a few hours later when I measured)
d) Maybe BG really did go down overnight, but went up in AM bec of Dawn Phenomenon
I'm still pretty new at this. There are SO MANY unknowns!
i don't understand about going downwards. please explain. thanks
A lot of the folks on TuD have a (CGM) or continuous glucose monitor. It is a sensor that attaches and you can basically get your blood sugar at any time by looking at a monitor that you keep with you. The sensor tests your interstitial fluid not your blood so it can be a bit off, but it can tell you your trend is going up or going down or just staying steady which is what we all attempt to do. Problem is we don't have a functioning pancreas so we have to do the best we can. You can google "Dexcom 7" to give you the full run down on one of the CGM's available.
If your BG is not where you'd want it to be and you are going to eat, you can bolus and wait to eat. In my experience maybe just wait like 15-20 minutes and then eat as if you wait too long, like Molly points out, it can get hair raising the other way with potential to run low. Particularly in the AM, waiting can be a good solution.
Acid, is this the case you mean?: Let's say the BG is higher than I would like it to be before a meal, and I am about to eat. I would take the amount of insulin that is appropriate for the meal + an additional amount to cover the high BG. You're saying in this case to wait longer, or less than usual? (15-20 minutes is how long I usually wait after taking Novolog before a meal).
Negg, I'm not sure when you were diagnosed and am assuming it's been pretty recent. Until you know you know how you react to specific foods and get more familiar with your dawn phenomenon (if you have it) and other patterns. I wouldn't mess around with waiting. Lathump seems to have been dealing with this longer. Also my CGM gives me more information that just testing, (although it's not perfect!)so I feel like I can experiment a little more. I am wondering though about your 4 unit correction before bed. How much does one unit bring down your BG? This amount likely should've dropped you way too much.
Acid, I read this comment you wrote somewhere else -- "Before...I had the notion that the amount of insulin and food should sort of be in the ballpark but didn't ever consider counting carbs.... I just winged it and cleaned up the messes with more insulin...These days I ... am more organized and feel a lot better..."
Maybe I need some help with this carb-counting business.
I am eating very low carbs - proteins and good vegetables. Its a quarter of a chicken, or a can of tunafish or 2 eggs. That's it for the protein. Some lettuce, cucumbers, a piece of tomato, maybe some zuchini or other cooked vegs. The way I figure it, I need 1-2 units of novolog per meal, maximum. That leaves very little leeway. I even got a pen that gives 1/2 units, but I can't seem to get this right. Annoyingly, on different days and at different times of the day, that same 1-2 units do a different job on the same meal. So what in the world should I be counting to make this more exact?
If you are going very low carb, you probably need to dose for your protein as well. I don't low carb so I can't help you but there is a TAG (total available glucose) group here where people should be able to point you in the right direction.
The biggest factor for me is stress. :) I can go from mid 90's to over 180 without any change in diet or exercise routine. My readings can also go high if I am getting sick as well. I get different readings from different injection sites too. Its just one of those things. :)