New hypoglycemia today (38) without symptoms, why?

Well, said this afternoon again, new hypoglycemia, I stay in 38 according to gluconstora, its day has been this:

He gets up in 198 in 198, the insulin scheduled according to his endocrine 20 units are administered, breakfast coffee with milk and 3 Maria type cookies.

Glucose is measured at 11 in the morning (2 hours after breakfast) Glycemic IndeNovorapid (you are afraid of hypoglycemia today and falls) perfect ......

16:00 hours Oooooh! ... Blerachera symptoms, speak very slowly, acts very rare .... Try gluconomethar (2 hours after lunch) Glycemic Index 38 Puffffffffffff Pongo Glucagon or administer the glucosilated gel (Option 2,administer and take the gel).

4:30 p.m.Sacienda 200ml of milk 2 Maria type cookies, and for dinner this will be the menu and the dose of insulins, do you see a good dish and a good dose of insulin ???You can help me please.

For dinner: (Bread 20g 1 ration,) (Green Jewish 250g 1 ration,) (Natural Yogurt 125ml and 100g Total Sandia 1 Ration)

Serrano 3 Lochas ham and a grilled loin fillet (glymic -free free index and carbohydrates, nor does it up or down the sugar with this).

Total insulin to administer today: Levemir: 7 units (instead of the pattern that has to be 10)

Monorapid: 3 units

Do you see the calculation of C.H.carbon and insulin administration ???

And tomorrow morning instead of 18 or 20 as you have a shock of Levemir we will try 10 and monorapid for everyone we will try these units:
Breakfast 2 portions (2 units)

4 -portion lunch (4 units)

Dinner 4 portions (4 units)

Instead of the pattern he currently has for his endocrinology and we see that he does not stop having very strong hypoglycemia on a daily basis: instead of putting the monorapid pattern;Breakfast 2, food 3 and dinner 2 and Levemir 18/20 in tomorrow and 10 at night I think about what I am seeing that it is an insulin barbarity in a 52 -year -old woman who weighs 46k.

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I agree that you go down the slow doses, I am also clear that it is left over.

What I think would be good for him, is in a place to let him be less that they are 2 times a day (slow insulin at 2 or 3 hours ago a peak of maximum action) would be to get Lantus once a day, preferably in the morning.In such a way that the peak matches a snack at half morning, and not that it is hicc up at night.This would be good for you to tell the endocrine, but you must change it ... because the one who has now seems that they gave him the title in a thombola.

As for dinner, yogurt and watermelon are 2 rations instead of 1. yogurt is already at least 1 ration (look at the grams of HC it has) and the watermelon is another ration.The insulin and HC ratio is something that I cannot tell you, each person has a different sensitivity to insulin.Right now, making the changes are learned based on trial - error.

Summary today Saturday 30: Today my mother 198 rises in the glucometer, breakfast 100ml of milk and 100 coffee (a normal vessel) + 20g of bread with 2 fine slices of ham Serrano.16 units of Levemir and Novorapid 0 is applied, (you are afraid of suffering another hypoglycemia today) since we believe that it is still left over slow insulin (Levemir) two hours after breakfast I see in gluclomer 221, it goes out to walk 30 minutes and at 10: 30 (half an hour later I do glucometer test again) Result 147, it seems that under a lot in half an hour, he tells me that he will go out to make the purchase ect ect, I commit my mother that at 11:30 he consumes aCookie and a half Maria, (to try not to produce hypoglycemia today) to see if it reaches food at 13 and 30 in 150 in the glucometer, (I know it would be high but we are going little by little) if it arrived in 150 my intention would beThat he ate 4 rations with 4 Novorrapid units, I will tell you, if you see any failure for me please watch me.My intention would be that he usually arrived at dinner in 120/130 and that he woke up in the morning in 130/140, I think it would be the right thing

@Salvador we are diabetic, no machine hehe, with this I want to tell you that if he arrives at CN 150 0 160, he is fine, as long as I don't have hyperglycemia ... I was weighing the same time .. 46 kilos and a half 172, my endocrineHe told me that the priority was to click and eat what would like me even though the azukar got up ...
Do it calmly ... The insulin ratio may be lunch to be 1 insulin unit fast every two portions ... it happens to me at dinner ... q my ratios change

But what would be the glucose marlation with which I should get to dinner and in the awakening in the morning to know that insulin units are correct?I mean if at night 10 units of Levemir are injected and dawns with 40 Ipoglycemia I understand that it is left over and if in the morning 18 of Levemir is picha and the dinner is carried out the test and marks 70 I understand for how little I goReading that he is left over in the morning, that's why I say, what would be the scale to understand that the Islemir isulin is well guided?I also believe that the Levemir makes a beak at 4/6 hours, so it would have to eat 1 ration of hydrates so that it is not hypoglycemia right ???

Normalment La Levemir and Lantus are stable insulins that have no action peak.In a question of how much a levem inject, you have to see ... if for example, it has two days dawning with 70 and you inject 10 at night, go down to 8 .. the "normal" is to reach 110 or 120 in theBreakfast ... that if nothing happens to 160 ... and if it reaches 70 at dinner, that it reduces a ration and will reach 120 at dinner more or less

13:15 It plays test with glycometer pufffffffff 52 new hypoglycemia, decides to eat 1 ration of chickpeas, 1 bread ration, a pear ration and 70g of lettuce, not administer novorapid, my calculations are that it will reach two hours after havingEaten 225 or so, if so we will correct with a novorapid unit.

But he was 140 before, he left to make the purchase and ate something, because with 140 and walking it is normal to have hypoglycemia

@Vendorta I don't know, I don't explain it to me and that a Maria and a half cookie, I think I think it is excess of a levem, that's why I ask Tato and scares me, I think it will be whyThe 12 in the morning coincides with the peak of the Levemir, in other words, clicking the pattern of its endocrine at four hours it gives it a low of 100, and that is why the measure that I am taking with my mother is to reduce the units ofInsulin from 18 move to 16.

No, it is not normal to have hypoglycemia with 140 if it is ... unless a stage of the Camino de Santiago is done ... and yet I would have my doubts ....

I would start taking factors that influence sugar, I explain.The exercise is important, but the sugar goes down, so it does not do better in a few weeks until you regulate insulin.What is quite soon, that goes to bed minimum 3 hours after dinner and that goes to 140 approx.You have to try that glucose is stable with a margin of +- 20. Once you get up more or less 140 you can already lie more just to spend the night with better glycemia.I have never used a lesson, but if I was not wrong, the two doses are normally of the same amount of insulin, or very similar.Another way of knowing if insulin is well regulated, is that the rapid has to be more or less the same as the slow one that gets during the day ...

It is not the same, Levemir according to endocrinologist guideline are: Levemir.Tomorrow 18, Night 10, Novorapid: 2-3-2 I find a lotHis guideline should be Levemir 10 Tomorrow and 7 Night Novorapid 2-4-4 1800kk diet, if I do not confuse me I would be the same, we are already tired of the hypoglycemia and falls so strong that he has.That is why that decision is taken and we are gradually guidelled.

At 15:30 his glycemic index is 157, I choose to eat a ration of hydrates (coffee with milk) at 5:30 p.m. /18: 00 and try to reach dinner in 150, for dinner it will be a steak ofPanga (fish), 1 bread, 1 ration of vegetables and a yogurt (1.5 ration) total rations 3, would choose to put a novorapid 3 units and light 6 units.What do you think ???

I would say that it takes very few HC ...

Do you do the hydrates count well?I mean if you know the carbohydrate tables of food, weigh the food and make the corresponding three rules?

The quantities of Levemir are not high or low.They depend on each person.
In my firm the amounts of my son appear (I do not think it reaches 55kg), although now it gets 22 in the morning and 20 at night.

Summarizing today:
07: 30h 198 2HC 16L 0R
09: 30h 221 30min walking (normal climb at two hours after eating)
10: 30h 147 (Normal descent by the excessive Levemir peak + activity)
11: 30h 0.5HC
13: 15h 52 3HC 0R (clearly the Levemir is excessively and continues to lower the glucose level)
15: 30h 157 (climb due to the intake of 3 rations of hydrates without compensating with novorapid. Without the excess of the morning, I would surely have risen more)
17: 30H 1HC (you don't give glucose data. I am not sure that a coffee is a ration of HC. Only if you accompany it with 200gr of milk).

A priori I see nothing strange other than:
- Excess of leveming in the morning.Correct little by little, at most 2 in 2 rations in the morning and 1 in 1 at night.Levemir's corrections will not be noticed until the second day of correcting the guideline.
- Possible error in the counting of hydrates.Check this well.

The normal thing would be:
- Not being adjusted to a diet if there are no other reasons than diabetes.
- Not being adjusted to a strict schedule if basal insulin (slow) is well dosed.
- Apply Novorapid in each meal, except for the mid -mid -morning snack.
- The total amounts of Novorapid and Levemir do not have to coincide.

I continue with the process but very decompensated: at 22.00 Test with Glucometer 275
In the snack he takes 100ml of half -nacked milk and 3 maria cookies (no novorapid is injected)
Eat 2 rations and click 2 units of rapid

At 00:15 260 tests, I decide that 1 novorapid unit is injected

Salvador, if not injected
Råpida before meals and goes down only with the slow one, it is that it is too slow and little fast. There is the danger of hypos.
The slow one is well regulated when it keeps you stable glucose being all day on an empty stomach. That is what is designed.

Good morning, I will continue with the studio, the Levemir is already going down, I think we are going to get it.Well, I commented last night at 00:15 it had it in 260, and a monorapid unit was injected, as you were afraid of having a hypoglycemia, I made the Pruba again at 02:30 with a result of 263,
This morning at 7:45 tests and has it in 263 its glucose has been kept in the same figures from last night, 16 of Levemir and 3rd Novorapid is injected again and two hours later at 09:45New and has it in 329, we are afraid that at 11:30 Lepico de la Levemir and we will perform the test to see if he must eat a snack of rations.

From 160 q glycemia to keep stable is not an indicator, because from that figure it begins to be expelled through the urine