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new insulin regime

Two Different Dietitians & My Changed Insulin Regime

By HealthNo Comments

Tonight I’m confused. Confused and demotivated.

Three weeks ago I had a really productive appointment with a Dietitian. We talked through my diet, insulin intake and carb counting. She was realistic and we set realistic and achievable goals. The plan was:

  • Increase my Lantus insulin.
  • Achieve a before breakfast BM of 4-7 mmols.
  • Novorapid insulin at a 1:5 ratio (1 unit for every 5g of carbs)
  • If BM High correction dose 1 unit to reduce BM by 2 mmols.
  • Take Novorapid insulin 20 minutes before meal – as it takes 20-30 mins to begin to take action.

Over the past three weeks I’ve increased Lantus units, see my changed insulin regime here:

my-changed-insulin-regime-october-18

My Changed Insulin Regime

Fast forward to today and I saw a different Dietitian. The new plan, at least I think it is:

  • Check all pre-meals BM using my finger pricking TEE2 Meter. The Dietitian didn’t think my FreeStyle Libre was accurate enough.
  • Measure food using a cup/spoon and scales to come up with standard sizes and the the number of grams. The Dietitian didn’t seem happy with my use of Carbs and Cals App.
  • Lose weight. Eat 40-50% less Carbs per day. Exercise (I’ve heard this from my Diabetic Consultant, Diabetic Specialist Nurse and now two Dietitians).
  • Replace Carbs with Veg. She recommended that I have 2 portions of fruit and 3 of veg before my evening meal.

The Dietitian today was very tell-y and some of the plan I felt was unrealistic. But every time I tried to raise this she just repeated what she’d said previously.

I left feeling confused, not listened to and utterly and completely demotivated.

Write soon,

Antony

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My New Insulin Regime 2 – Slowly Getting There

By Health, LifeNo Comments

I’m still trying to get my new insulin regime sorted. I need to increase the dose of my long acting insulin (Lantus) and get the Insulin to Carbs ratio right at tea time.

Recently I’ve got so tired of high blood sugars and felt like I’m not getting anywhere. When I feel this way, I remind myself to just take another step forward, keep going and keep trying. I will get there. Here’s my new self-adjusted insulin regime:

my-new-insulin-regime-2-August-2018

My New Insulin Regime 2

I will write a more substantial blog post soon.

Antony

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My New Insulin Regime

By Health, LifeNo Comments

I had an an appointment with my Diabetic Specialist Nurse at the start of this week. She looked over my blood sugars and insulin since January. The upshot is that I’ve not been taking enough long acting insulin (Lantus) and been taking too much rapid acting insulin (Novorapid).

I have huge morning peaks that look like mountains on my Freestyle Libre Reader (read more about the Freestyle Libre here). Possibly the dawn phenomenon?

I’m counting my carbs using the Carbs & Cals App. But I’m awaiting an appointment with a Dietitian to get some advice, help and support around my Insulin to Carbs Ratios. In the meantime my Diabetic Specialist Nurse started me on a new insulin regime.

It’s been tweaked a few times by Diabetic Specialist Nurses based on BM readings before meals and two hours after meals. At one point my BM reached 26.6 mmol/L, I had been told that I’m not allowed to bolus any rapid acting insulin, so I went on a two hour walk to bring it down.

This week I’ve been cranky, not slept well and even had some significant cognitive fatigue all caused by high blood sugars.

Here is my new/current insulin regime:

my-new-insulin-regime-1-August-2018

My New Insulin Regime.

Let’s hope this latest tweak leads to lower blood sugars and eliminates the morning peaks.

Blog soon,

Antony

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