Type 1 Diabetes

[mfcr06]

OK, this may be a bit difficult to follow (because I'm on a pump) but I will do my best to explain.

Basal rates (background insulin)

Midnight - 1.4u/hr
2am - 1.95 u/hr
4am - 2 u/hr
12.30pm - 2.5 u/hr
3pm - 1 u/hr
7.30pm - 1.9 u/hr

Bolus/corrections

3am - BSL - 5.6mmol
6am - BSL - 7.3mmol Breaksfast - 30g of carbs - 7.25u of Novorapid (5 units to cover cabs and 2.25 for to correct BSL). My target BSL is 5.5mmol.
8am - 6.1mmol
10am - 4.9mmol
12noon - 5.0mmol - 30g carb (5 units to cover carbs which was reduced to 4.75units by the pump to increase BSL to target to 5.5mmol)
2pm - 6.9mmol. No correction required as Novorapid still has 1hr left to work its magic.
4pm - 5.4mmol.

I dont always test every 2 hours, but I have been on medication (prednisone) for my asthma that really throws control out the window and I'd prefer to be on top of it.

Usually I test before I eat and then 2 hours after to make sure I have the insulin:carb ratio correct so I dont get too much of a rise post meals.

I am waiting for the results of my last HBA1C which I am hoping is below 6.2 this time.....

Dont get disheartened if your BSLs arent similar to the ones I have put here. It would be IMPOSSIBLE for you to get this tight control being on multiple daily injections and on actrapid and protophane.

I have actually shocked myself looking at this, pretty good even if I do say so myself. AND every day isnt like this, I can go hypo and hyper with the best of them......

[mfcr06]

Sorry, the above bsls are for TODAY. Not every day is like this. Work, stress, etc etc can have varying effects on bsls and no 2 days are exactly the same.

[musolissa]

Sorry I have not been on internet for a few days....

OK my BSL Fasing- 5.0-6.2 depending on food the previous day, 2 hr after meals between 5 and 7, usually around 6

I have Novorapid during the day
Breakfast- 0 or 6 depending if I have carbs in my breakfast (the premanent m/s means most of the time I cant eat carbs for breakfast)
Lunch 8
Dinner 12

Bed- protophane- 38 and I dont think its doing anything at all as I forgot 1 dose and my reading was exactly the same as with the protophane

I also have an issue that if I am asleep and I have a low I sleep through the lows, and I have low symptoms very early (i.e. 4.3) I had a reading of 4.3 and no one was able to understand me I was seeing black, shaking, hot, and flet like I was movinng in slow motion. The Endos have no idea why that happned with such a "normal" reading

As for the possibility of me having type 1- not very likely as I have PCOS and we know Im IR. I am insuline dpendent as I cant tolerate metformin in any form and I have a high fasting BSL no matter what I do. But I have an excellent Endo and Educator so once baby is born I think they will be looking into it all a lot more (I didnt have a great deal of time between finding out Im diabetic and then falling pregnant- just enough time to establish fasting BSL issues and metformin issues).

I was thinking of asking if I can change to another long acting insulin as I really dont think the protophane is doing anything and and I dont want to keep increasing the does just to keep them happy- high insulin load is not good for the baby when its born. I have another Endo appointment in just over a week- so I will check then I think

Carla- just keep pushing through. I also remember being told that something to do with pregnancy that we can get an unusually high fasting reading- something to do with the liver, it feels starved so it produced something that sends our morning readings high

[mfcr06]

I just got the results of my latest HBA1c today and I am stoked.

It was 6.3!!!!!!!

Even after the horror run I have had so far!!!!!!

I just needed to tell someone!!!!!

[melbel]

Thats so cool FI. I get my new pump and CGMS on Monday....rock on!!

[musolissa]

Congrats on the great reading mfcr

I had an interesting morning- my baby is measuring 4 weeks ahead according to a biometry scan I had today. He is in the 90th percentliefor his size.

I see the Endo and OB on Tuesday and I will be discussing this- I think it adds more weight to a medication review

What is CGMS?

[mfcr06]

Thanks Guys.

Mel - I would love to get one of those CGMS for a couple of days soo see what my control is "really" like over night, but I dont think you can get them on trial anywhere here.

Musolissa - Continuous Glucose Monitoring System. They are kind of like an insulin pump (as in attached to you all the time) but monitor your blood sugar levels constantly and doesnt give any insulin, just read bsls. They arent real time either (please correct me if I'm wrong Mel) it all has to be down loaded after the time you have it attached for.