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Re: [IPk] Unexpected lows - Elizabeth


I read your post, and breathed a sigh of relief.

I have been having high numbers in the morning and have been struggling to 
find the cause.....
what you said about your intake the day before has given me a little pointer 
in the right direction.

I have felt at times that I am going crazy with Diabetes. I habeen on a pump 
since Sept 05, and my Hba1c has gone UP.
My problem is mainly my morning BS, and I think things just go haywire 

I have also been beating myself up trying to sort it out, and was heartned 
when I read in your post that you had been tracking things for a year - I 
don't feel such a failure.
My consultant was not impressed that my Hba1c had gone UP to 9.0 from 8 and 
he said I should try harder !!! I have lost 2 stones in the last 18mths and 
do my level best and have been spaking to my DSN's but find that the current 
one I am seeing does not know a hell of a lot about pumps etc.

It has got to the point where I am dreading seeing him in August - as he 
expects my Hba1c to come down by then - yeah right - only if I starve !!

Although she points me in the right direction I then have to research myself 
(DP etc etc).
I am also getting very very tired, am currently being investigated for 

Rant over, just very fed up


----- Original Message ----- 
From: "Elizabeth O'Shea" <email @ redacted>
To: <email @ redacted>
Sent: Friday, June 16, 2006 1:02 PM
Subject: RE: [IPk] Unexpected lows

> Allis asked <snip>Over the last few days I've noticed that my insulin
> requirements have been getting less...After 30 years of diabetes I can't
> work out why this is happening</snip>
> Well, a number of things can be happening.
> Are you perhaps less stressed than usual?
> Are you doing more invisible exercise? For example, cleaning the house is
> exercise (especially hoovering), but people don't think of it that way. 
> Long
> stretches of gentle gardening, perhaps?
> I'm not sure if you're male or female. Could you be starting or finishing 
> a
> period or entering the menopause?
> If your total daily insulin dose has dropped since MDI, you'll be getting
> more value for a bolus. So if your basal needs seem to be dropping after
> lunch, it could actually be that you're getting more value for a meal 
> bolus
> and you actually need to take less insulin for the meal but keep the basal
> the same.
> Finally, one of the benefits and hassles of pumping is we can discover
> exactly how complex our diabetes actually is. For example, I was having
> problems with morning BGs. They seemed completely unpredictable. 
> Eventually,
> after about a year of tracking results, I worked out that my overnight
> insulin needs vary depending on how much insulin I've used the previous 
> day.
> So, if I use 35 units in a day, I currently need 17.4 as my total daily
> dose. If I use 30 units, I need 17 units as my total daily dose. The
> fluctuation of .4 happens when I sleep. And if, say, I exercise a lot in a
> day but still use 35 units because I also eat a lot, I need to be really
> careful around 4-6am, when I'm likely to drop. I haven't worked out a 
> tweak
> for this, so after a day like that I'll go down to the 17 units and set my
> alarm for a test around 4am.
> Does anyone have any other suggestions?
> elizabeth
> .
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