With high sugar

Hello again boys,
A few weeks ago my partner changed their dose of Lantus (which puts it at night) and uploaded it to 22 because it was upper.In a few days, she was phenomenal, but she was so just at level, that she had the doubt of lowering two slowly to find himself more comfortable, more as her body has accustomed her since she just justified sometimes gave her the occasional descentThroughout the day.He consulted it with his head doctor, and recommended that he returned at 20. A few days spend and be somewhat high, until there all normal, or at least understandable to human knowledge, or as I say, with some apparent explanation, whatOf such a climb, as mysterious hunters we believe that it is because of the lack of Lantus again.

But these last two days until today, sometimes and inexplicably, there are continuous climbs that are milk, and we think that "investigating" can also be because these days of tasty heat and some pool hehehe, instead of loweringThat would be normal, it seems that this goes up.Is this normal?Any explanation?Can the killer heat that drowns us also influence, although it would have to be the other way around?Does the exercise also upload?

I dare to say that there are nights in which I have noticed it, as it can give it as a descent ... and suddenly in the morning, we have through the air.

Greetings and thanks from a fervent follower!

Hi Nenito!
Well, although they say that with the heat the need for insulin lowers, to my TB it seems that it has risen me.I don't know, every body is a world, who knows.:))
I am no longer with Lantus because I carry a bomb, but I remember that almost every week I had to modify the dose of Lantus because it was very variable.I did it without problem, my educator and my endocrine gave me free way for it because they saw that I did it in a responsible way.
The best thing you can do to adjust the Lantus is to check the value it has to get up, if it is high (more than 120), you will have to climb the dose, and if it is low to lower it.Once the lantus is adjusted, the other ups or down will have to adjust them with the rapid of the meals, the dose it needs may also vary.
Consult with your endocrine, and if you are afraid to touch the doses, you can do it of unity in unity, always waiting for a couple of days to see the result of the change.

Try 21 :)

I am a medical student in 5th year and although I am not a doctor, you will imagine that I read a lot, a lot and a lot about diabetes, more than most general doctors but obviously no more than the espcialists in what are a thousand years on the subject.
In the last time I have gotten into this for forums and groups and does not stop surprising me how people have different types of treatment, units that vary from 5 to 30 at meals, anything, as I realized that everythingIt is possible with this pathology.
Anyway, a topic that I saw a lot is that people when they have problems (hypo, hyper, sport, bad morning values, etc.) always puts hand to the lantus, glargine, or whatever, always to the slow analog.
I pass the book explanation to see that I base my arguments that for me the error is on the other side.While moving the value or schedule lantus can change certain measurements, it seems to me that the failure is in the bad carbohydrate count, or sometimes in the zero carbohydrate counting, it is fullAs then they hope to have normal values ​​!!!!!!!!!
The slow 24 -hour insulin of duration aims at metabolic purposes, moving ions, regulating hormone secretion, etc.It does not move the values ​​of the meals and will almost not influence the measurements close to these.
A normal pancreas without diabetes secretes approx 50% of the insulin one day during moments of the day to maintain a basal level of this that is needed for the functions I already said.The other 50% or even more is segregated by the excitation generated by the carbohydrates of the food when reaching the duodenum (first intestine portion), if you eat a sweet cake is segregated more than if you eat a little bread, I suppose it remainsclear.
It is very important to learn to simulate with our injections a normal pancreas, surely if a correct carbohydrate count is made and the fast insulin is injected about 15 minutes prior to food intake, the glycemia values ​​of any patient are regulated.
I hope to take this count in mind and learn how to use fast analogo correctly.I demanded that my doctor leave the NPH to use the system of a slow and ultra -shaped ananogue and it gives me excellent results, my last glycosylated hemoglobin was 6.1.
Greetings and any question will answer it with pleasure, I really enjoy writing on the subject.

Yes, of course, we all know each other, or so I think;) but we are also very clear that there are multiple factors that influence a blood glucose, including food of course.The carbohydrate counting helps and much, at least it serves as guidance but also I count at a meal, fats, proteins, if the carbohydrate is slow or fast action ..... that if only I count the amount ofHydrates is short in the bolus ..... I don't know if I have explained ..... In summary it is not so easy: Mrgreen:

Thanks to all boys for your help, and I would like more people to think and say in this post to know more varied opinions.What happens Nicoinme, that in this case the hydrates count is also taken into account, since there are nights that are not even ingested or very little, but for that the rapid is varied, however the basal, is according to which itHe has put the endocrine, and already changing the dose already proves anything, and of course he will not vary from time to time, because that must be stabilized, right?Prado, you are so right about the multiple factors ... I hope everything was all dependent on a good diet linked to those doses of insulin.But it is true that we are looking for the solution as soon as we see some strange phenomenon, we try at least, and we continue with it.

Nenito, insulin has to adapt to each one, if for bad luck we are glycemicamene variables, the tb insulin has to be variable.
I got to get 16 units of Lantus for weeks and I was perfectly, until I saw that the values ​​were raising me, and therefore I had to climb the dose little by little, and have 22 units of dose for another time ...

Finding a fixed dose and pretending that it is always the same can be a mistake, there will be people who work, and will be fortunate.But there are more variable TB people who need to vary their doses.For example, in women, many hormones intervene during the cycle and it is normal for insulin resistance to change depending on the stage in which they are.

Come on, insulin has to adapt to us, if we must not vary it, because great.But if you have to change the doses, then change as we can ...

Ainssss ... how easy it is to adjust the lantus or less and how difficult it is to adjust the rapids of the meals ...

I decided to leave perfection impossible a few years ago when I saw it was impossible.and that I shouldn't go crazy trying to impossible normmoglycemia.And I worry about always having good pre and an acceptable post.And above all, quality of life, because the more you become obsessed with control, the more quality of life you lose.You have to look for balance.

If Neihs, if in fact uploading that dose of Lantus has gone to better, that's why today!21 or 22?What I meant is that there are times when, although it eats well and without large doses of hydrates, and without sugar in the food ... the heights seem inevitable, but I am almost certain that with the 22 of Lantus it will gofor better.That is, looking for balance :);) And above all the quality of life, well -being ...

Ah!And I put the exercise on the table again, and that I upload with it :?:

How much reason is Gondrullo, perfection does not exist, with the new insulins it is easier to be able to imitate the healthy pancreas but get it is something else hehehehe ....
Get the basal dose I think is the least difficult and the less you have to vary because the better, I have been lucky enough to stay from the diagnosis with 12 units of Lantus first and now with the bomb I have the same basal 12 units but the betterSplit that it is one of the great advantages of the pump and then the bowling because as everyone on demand ... but well there are as many diabetes as diabetics and each one we are experts in ours: Mrgreen:

It is very important to learn to simulate with our injections a normal pancreas, surely if a correct carbohydrate count is made and the fast insulin is injected about 15 minutes prior to food intake, the glycemia values ​​of any patient are regulated.

IRONIC MODE ON
That, you put insulin 15 minutes before eating with 60 glycemia and having exercised during the previous 3 hours ... and above eating something with abundant fats or with very few hydrates.

IRONIC MODE OFF.

: shock ::-/: shock ::-/

">
It is very important to learn to simulate with our injections a normal pancreas, surely if a correct carbohydrate count is made and the fast insulin is injected about 15 minutes prior to food intake, the glycemia values ​​of any patient are regulated.

IRONIC MODE ON
That, you put insulin 15 minutes before eating with 60 glycemia and having exercised during the previous 3 hours ... and above eating something with abundant fats or with very few hydrates.

IRONIC MODE OFF.

: shock ::-/: shock ::-/

Obviously if you are with hypoglycemia before a meal you will eat it without insulin or at least you will regulate the dose, we assume that our doctors despite leaving us doubts to ask in the forums some things clarify us, that seems to me that I do notIt escapes none.The objective of the forums is for each one to share their experiences, I do not think that assaulting the comments and opinions of the rest must enter them.
By the way, I know that we are all different and we carry our disease in our own way, but they believe that it is true that everything has a reason in this body that touched us and the more we understand about it, the easier it is to bring a chronic disease our whole life.Do not hesitate to consult their doctors because of things, it is our right to know.
Please enough to bother me "Owash", continue on the different topics and attack all my answers, I do not understand what your problem is.In any case we can talk about messages, mail or whatever, but I don't think it is the proper mode.

I was in an ironic mode ...
It is that what you say is not true either.
Not only is a correct carbohydrate count.

To start because we know if Nenito has DM1 or DM2 and if it carries bolus-base, basal+sulfoniruleas, basal+mixed

Before the HC count I would ask Nenito if the injection areas vary and if the needle changes in each puncture.

Yes Owash, in this case it is insulin Lantus basal and apidra as fast, with change of needles three times a minimum day hehe according to meals, ayyy if it only depended on that, and look at this example: every day the same breakfast, inThe same place, the same amount of hydrates ... and there are days that at two hours well, from 130 to 150, to give an example, and there are days that however at two hours Piuuuuuuuu 375

Something there is in these cases in which you shoot at 375. It is striking if it is true that more or less breakfast always the same and with the same amount of fast insulin, I discard that you find yourself lifted with high glycemia because in that case thereThe explanation would be.It can also happen that the morning insulin is too much for a very moved morning and make a hypoglycemia that your own glucagon raises at such high levels.It sometimes happens to me with the sport, I start a football game with 100 and go out with 200 without having eaten anything in the middle.
With respect to the needles .... I change it at most once a day, that is, I give myself as 4 punctures with each one.I have not received major objections from my doctors and apart they are quite expensive to use 4 or 5 needles per day.Anyway, it should be better if they change constantly so if you can do it great.

Many people happen that they need more insulin in the morning than in the afternoon.
It is not a universal truth, but it is usually repeated.

It is very important to change the injection areas, and try not to prick 2 times in a row in the same area. I don't tell you anything if you always click on the same place.
The risk of lipodystrophies is very large.

Those spontaneous climb, you could try to look for the explanation in physical exercise, nervous rises .... I assume that the carbohydrate count is correct.
My endocrine, repeats me from time to time, that the action of catecholamines makes us raise blood glucose.

As for the needles of the feathers.
In Spain, the supply of insulin needles is free for all patients with public health system diabetes.
The Health Products Law forces consumers to use the health product according to manufacturer's specifications.
Needle manufacturers (BD, which is the majority) only guarantee the proper functioning of needles if only used for the only time

On this page:
You can see 2 photos, one of a unused needle and another with several uses.
After seeing those photos, do you really want to click more than once with the same needle?

I really want to prick many times with the same needle?No, I don't love anything, but I don't live in Spain and they don't give them free.I pay about 0.5 dollars for each.Anyway I have well -controlled diabetes, hopefully insulin, needles, etc.The truth is that there are enough things to buy in Uruguay if you are diabetic.

I really want to prick many times with the same needle?No, I don't love anything, but I don't live in Spain and they don't give them free.I pay about 0.5 dollars for each.Anyway I have well -controlled diabetes, hopefully insulin, needles, etc.The truth is that there are enough things to buy in Uruguay if you are diabetic.

He responded to Nenito, not you.

Nenito, I in the mornings varied a lot too.
At seasons I am with 1 unit/ration, and other seasons because I need to increase progressively, 1'2, 1'5 ... for example I am now with 2'1unities/ration.In the forum I have already told my problem several times in the morning, the difference in insulin sensitivity.
At the beginning of having the bomb, I had put in the morning 1U/ration, and I was doing well, with post of 120, 130 ... etc, but sudden, I found two days in a row with 375mg/dl at 2h breakfast (I agree in figures with you, hehe, I wrote it on the route if you want to take a look), conclusion -& GT;Go up the dose at breakfast until you do well.With the pump it is much easier but with feathers you can make an approximate calculation.I suppose that at some point the sensitivity will come down again, because with the feathers I already happened to me and it seemed some cyclical, like this when I find low values, I will lower the dose.And the rest of the day I have no problem at all and I am with 1u/r or sometimes 1'1u/r.
I told the endocrine, and he told me that it was the Alba effect, at that time, so I have more secretion of hormones and more insulin resistance.Although it seems that it is normal for this alba effect to be between 4-6 in the morning, but 2h always happens to me after getting up.
Even if I don't have breakfast, I can get up with 90, not take anything, and at 2 hours have 180, without doing anything special.

Regarding the reuse of needles, luckily in Spain they give them free, and as Owash says, they should not be reused.BD has a drawing in all needles and in the boxes of a 2 surrounded and crossed out which means that they should not be reused.
But I understand that if in other countries they are not cost, they are reused, as far as possible of course ...

Nicoinme, I think what you are talking about in one of your post is from the Somogyi effect, the alleged rebound in a hypoglycemia case.I am a bit excéptic for, I do not think it is so normal or so accused.Moreover, in the case you comment, playing sports, I think it is rather than certain types of effort, more glucose of the muscles is released without the need for an earlier hypoglycemia and if there is not enough insulin because hyperglycemia occurs.
In these cases, I believe that each one has to try to differentiate well what kind of sports we produce hypoglycemia and what kind of hyper sports, and so we can act accordingly.