New hypoglycemia today (38) without symptoms, why?

Salvador said:
Good morning, I will continue with the study, ...

@aaandres is not that I have some ideas, it is that to suffered more than 7 strong hypoglycemia in 5 days, my mother has been a type 1 diabetics for more than 10 years, the problems have been changing 18 units since 10 months ago 18 units 18 unitsTomorrow and 10 night diet of 1500 kilocalorias and novorapid 2-4-2,

Test is done again at 11: 15 and the result of the glucometer is placed in 133, it seems that it is fine, however yesterday it gave it a hypoglycemia at 12:00, I decide to wait and check again at 12:00.It arrives 12:00, I test again with glucometer Result gives in 90, I am a little, I decide to take a bar of bar with a medium over sugar.It arrives at 13 and28, glucose is measured and the result is 109, decides to eat 4 rations is put 4 novorapid units (calculated, heavy millimitrically, at the heart) 15:30 Test is done again, the result is 67, it is taken 150mlof milk with less than half sugar over.

The amounts of food and dosing of insulin were: 152g of chickpeas, 20g of bread, Sandia 96g, peachton 55g, lettuce 134g, for all this is injected 4 from novorapid, (less novorapid from which it corresponds, in reality it would be 5,But 4 is injected to compensate for the one of Levemir,) do you think that well quantities/insulina novorapid is done?From my fucking view, glucose has been lowered again by the excess of the 16 of Levemir injected in the morning.

Salvador, in broad strokes we can tell you that it has plenty slow and when the slow one is adjusted you may have to raise something quick but to find the exact doses is your issue.In addition, you do not have the same sensitivity in the morning as at night ... nor is it the same to eat a dish of stewed potatoes, than of lentils (taking into account that both had the same rations), which is not the same to eatand throw your nap to be at home doing things or take a walk.I understand that you are distressed, but let yourself be advised ...
It is impossible for someone to tell you the pattern ...

Why did they change Levemir if everything went well?

@mimbek thank you very much for your words as well as to all the forgings that are helping me.The insulin change was simply because its endocrine told it that it is better as it is (this insulin is better, to pogate from tomorrow Levemir 18 and night Levemir 10).As comment in previous post, my mother has suffered many falls and the most serious breakage of 3 ribs with pneumotorax.The decision is mine of lowering the insulin paying 2 units less every 3 days of the Levemir in the morning and one unity less of a levere at night.The calculations made by me, according to weight, age, maximum peak of Levemir, reread the instructions of the insulins, and endless things, I get that normal would be 10/12 units Levemir tomorrow and 7 at night, making theConnovorac corrections right at meals (according to its endocrine, you could puncture when you wanted toThe 20h when Cene is performed again if the result is 150 inject one to correct and leave it in 100 and add a unit for each ration) this example that I just exposed I have on the sheet that the endocrine was given to my mother.And now I think: if you get 1 novorapid unit at 7pm your sugar stays at 120 (the rapid acts like 2 hours in the body, so it tends to go down in that period) and at 8pm when you are going to have dinnerThe sugar in 150 has to correction of a unit more add the units by portions ..... I understand that the sugar is being corrected twice in less than an hour and if we add to that the Levemir then ................ Hypoglycemia every day at all hours ...

It looks like it is left over, but for each change it is better to wait 2 days from the previous one ...

Remembering that in the previous control in the one of 15:30 the result was 67 and taking a ration and a half of carbohydrates it is decided to repeat new control at 17:30 giving a result of 80, so it is decided to take fromNew a ration (it is not worth the one that goes down again) at 8:00 p.m.Carbohydrates in principle 3) And try that at 00:00 at night its glycemic index is in 120/150 for the whole night until 08:00 tomorrow.

Salvador said:
The amounts of food and dosing of insulin were: 152g of chickpeas, 20g of bread, Sandia 96g, 55g peach, lettuce 134g, for all this is injected 4 of novorapid,.
152g of chickpeas: if the weights already cooked, it would be 3 portions (in raw they would be 7.5)
20g of bread: 1 ration (I understand that normal white bread, not biscots or similar)
55g peach: 1/2 ration if it is natural, 1 ration if it is canned
96g of watermelon: 1/2 ration
134g of lettuce: it does not reach 1/2 ration, I would not tell.

Therefore, as little, there have been 5 rations, no 4 as indicated.Review it because there may also be a problem out there ... although in this case it is more, no less, so it seems that your mother needs little novorapid to compensate for the intakes.
As we have told you several times and you will have read another thousand, there is no fixed insulin guideline depending on the person-age.Each person reacts to insulin.You can even be very sensitive to the Levemir and little to the novorapid.Hence there are concepts such as the "sensitivity index."
You have acquired information that is not quite true: for example you say that the novorapid acts 2h in the body.It isn't true.It depends on the person, but in general it acts 3 hours.In the case of my son it takes almost 1 hour to act (in the morning even more), and it has a maximum and abrupt effect between the 2 hours and 3h to have injected.But as you say, if you inject Novorapid and then you do it again in less than 3 hours, you should effectively take into account that residual insulin of the previous time, that at two hours I would tell you that it is more than half of the injected.

No one knows your mother's response better than herself and those who take care of her.From the outside it seems clear that there is plenty of Levemir, which is quite sensitive to the novorapid and that there may be a problem in the counting of rations.

The one in 170 does not ea an alarming value to correct.I would wait at dinner time, and depending on how this would correct or not ... Of course it is better to be in 100 Q in 170 but we will not always be perfect... We would not have diabetes.

Achieved.JJJJJ this is its control, finally in more than 7 days it reaches dinner in 100 and not in 40 or 250.

At 8:00 p.m., new glymic control is carried out as a result of 117

At 10:00 pm the glycemic control for dinner is carried out again, giving a result of 100, 3 novorapid units are injected with a total of 3.75 rations.

Salvador, I'm very happy that you get it.Do not go to bed with less than 120/140 if you can do a control at 3 ka tomorrow to see if it passes the night without hypos.

@Regina thanks, so we are doing

We continue with the control of August 30, remembering that at 22.00 he has a glycemic idice of 100, 3 novorapid units are injected for 4.25 portions (yesterday I confused me by putting 3.75, forgive)

New control: 00:00, Glycemic Index 52 Alarm, takes an 8mg sugar envelope dissolved in water and 3.5 Maria cookies.

New blood glucose control at 02:00, result 99, calculate that the sugar envelope already did the effect and the cookies will be doing it.

August 31 Summary

Time --- Glycemia --- Rations --- Levemir --- Novorapid

08:00 ---- 263 ---- 2 ---- 16 ---- 2

11:15 ---- 329 ---- 0 ------ 0 ---- 4

12:00 ---- 90 ---- 1 ------ 0 ----- 0 Excess Levemir ???

13:28 ---- 109 ---- 5 ------ 0 ----- 4

15:30 ---- 67 ---- 1 ------ 0 --- 0

17:30 ---- 80 ---- 1 ------- 0 ---- 0

20:00 ---- 117 ----- 0 ------ 6 ---- 0 Excess Levemir ???

22:00 ---- 100 ---- 4,25 ------ 0 ---- 3

00.00 ---- 52 ----- 2 ------- 0 ---- 0

02:00 ----- 99 ----- 0 -------- 0 ---- 0
-----------------------------------------------------------
Total 121 16.65 22 13

Does it influence that the Levemir is administered at 8:00 p.m. and the Novorapid at 22:00?

August 1:

GLUCEMY CONTROL A at 08:00, Result 148, (Biennn) Take 2 portions, 14 Levemir and 2 Novorapid units are injected

You already have the dose of the night

@Regina Why do you tell me that the dose of the night has already been controbled ???You affirm or ask

@Regina Why do you tell me that the dose of the night has already been controbled ???You affirm or ask

Strong hypoglycemia

August 1 summary I don't understand anything

Time- glycemics index- Levemir-Novorapid

08.00--148 ---------------- 2 ------- 14 ------ 2

12: 00--247 ----------------- 0 ------- 0 ------- 3

13: 30--42 --------------- 1 --------- 0 ------- 0 sugar 8g

13: 45--34 --------------- 1 -------- 0 ------- 0 Sugar 8g

14:00 ------------------- 4 -------- 0 ------- 0

16: 00--195 --------------- 0 -------- 0 ------- 0

18: 00--248 --------------- 0 -------- 0 ------- 0

20:00 ------------------- 0 -------- 6 ------- 0

21:00 ..................... Dinner ......................................................

What would be the cause of hypoglycemia ???

That you have put Novarapid with 247 to correct and maybe they had to have been only 2, to me with that figure if I wear 3 units, as I neglect at the hour and a half-2 hours it gives me a loss of care!!!I would have put myself 2. and also keep that the morning Levemir is already acting.
How much did the breakfast post (at 10:00)?Maybe the novarapid has been short, it is important to make the posts to control the novorapid