Replies to This Discussion

Permalink Reply by jasonb on February 22, 2012 at 5:32am

thanks Kelly. I think I will try that tonight. Should I not eat dinner so I have a fasting number? I think I will order that book. Seems like everyone talks highly of it.

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Permalink Reply by jrtpup on February 22, 2012 at 5:47am

It's a must-have book IMO. You said elsewhere that you're new to pumping and can't get your daytime numbers in the 100s. Do you mean all day, or just when you wake up? Are you working with a CDE or pump trainer?

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Permalink Reply by jasonb on February 22, 2012 at 5:58am

My daytimes are perfect. It looks like its anywhere from 3:30 am to about 5 am where my sugars go into the low 200's. I am working with a trainer and I am planning on trying a cgm for 3 days to see where DP starts. When my blood sugar goes up above 200 it wakes me up. Seems to be around 4:30 ish every day. I miss Lantus and a good nights sleep.

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Permalink Reply by Kelly Collins on February 22, 2012 at 6:36am

I would say do what you normally do for dinner, he suggests while you are basal testing, don't do any corrections til you go over 250 so you see what happens. Whether you go to bed at 100 or 130 doesn't matter so much as you see what happens to your readings over time.

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Permalink Reply by jasonb on February 22, 2012 at 6:40am

Thanks for the advice Kelly.

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Permalink Reply by earthling on February 22, 2012 at 11:28am

Yeah - Like Acidrock says you have to wake up and check a bunch. Drink water or something to wake every couple hours... Then tweak the rate up a couple hours before you're seeing the rise. My basal now goes 12am - .3; 3am - .325; 6am - .350; 8am - .6.... just an example. I get mine right, then it shifts on me so I keep having to boost a little here or drop it a little there... apparently due to freaking menopause! Grrrrr - but it can be done. And once you get yours right, it'll probably stay there.

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Permalink Reply by Crystal Adams on February 24, 2012 at 10:01am

I highly recommend a CGM for this. I got one and it has helped me see the trends of what happens over night. After wearing it for just two weeks I was able to identify the time my dawn phenomenon kicked in (for me around 4:30am) and I have been able to tightly adjust my basals so i fluctuate only 20-30 pts from bedtime to fasting numbers. I use to fluctuate 70-90 pts! They are expensive, but some insurances will cover it. It took me a year of going back and forth with BCBS to get it covered, and ultimately they did. Good luck!

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Permalink Reply by Buckley83 on February 22, 2012 at 4:47am

1) Retinopathy
2) Kidney Failure
3) Passing it on to my children (when I have them)
4) The UK is slowly moving towards a USA style of healthcare, which means disparity in quality of care based on income, increased cost and a reduction in service quality.. Profit over healthcare. ££££
5) Night time hypos, dead in bed..
6) Erectile Dysfunction! Been diabetic since 12, would still like to be able ot have a decent sex life when I am older.
7) Being old and not being able to manage my treatment anymore..
8) Having a hypo whilst on my motorbike and stacking it into on coming traffic and killing myself and injuring someone else.

I obviously try to minimise the risks, I test before during and after I take my bike out. I take ALA vit d, I test 14 times a day, I excercise and so on..

It really is a devil of a disease though, slow and steady..

I am complication free at the moment and my last HbA1c was 6.2, but I am sure diabetes will bite me in the bite in years to come, either financially or in terms of complications.

Happy Wednesday Ha.

:)

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Permalink Reply by palomino on February 22, 2012 at 4:58am

I'm terrified of the complications and having a hypoglycemic episode at night which could put me into a coma..

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Permalink Reply by acidrock23 on February 22, 2012 at 5:03am

perhaps a bit OT but I have always classified "coma" as hyperglycemia, leading to shutdown and death (e.g. Jerry Garcia...:-() vs. hypos which are sort of different. Over the years, a lot of night hypos I had seem to have self-corrected, waking up w/ sweaty sheets @ 200+? Not "good" by any means but well, here I am?
.

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Permalink Reply by jrtpup on February 22, 2012 at 5:49am

My ringtone comes from the same album :)

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Permalink Reply by poppaj on February 22, 2012 at 8:41am

What scares me the most? The fact that anything can change your sugar/insulin dependency levels. I hurt my shoulder not to long ago, and my diabetes changed from needing 20 units of novolin to about 15 with meals. In other words I crashed a few times before I adjusted. Now I know, things like scraping your knee, anxiety, lack of sleep and many other "normal things" can change you either up or down. Definitely test.

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