Quote:
Originally Posted by Klynn3266
I've been diagnosed with Type 1.5 diabetes...where do I begin to control this? My doctor immediately started me on a NovaLog during the day and Lantus at night. Am I experiencing the "honeymoon" period right now? My body seems to respond well, almost too well, to the insulin. My glucose levels are really high and then after 3 units of insulin I'm low...really low 50's. I'll eat approx. 45 carbs and 30 minutes later...I'm better but then I start dropping again...70s. I assume my sugars have been so high for so long that my body doesn't handle a low very well. I dislike this feeling of lack of control...what a challenge this is and I'm just one week into it. If anyone has advice to share...please do, I really want to understand how to manage this. Thanks!
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It sounds as if your insulin doses just need some tweaking, which is quite common when one first goes on insulin.
Are you counting carbs and using an insulin to carb ratio for the Novolog? If so, your ratio may be off. I would particularly suspect this is the case if you keep going low within 1/2 hour to 1 1/2 hours after eating.
If you're waking up low, or having lows at other times that do not correlate to eating (like right before dinner after not having eaten for 4 or more hours), then it's possible your
Lantus dose is a bit too high.
You can easily tweak the doses yourself...just don't try to tweak both types of insulin at one time. Either tweak the
Lantus by reducing your dosage by 1-2 units and evaluating over the next several days (then tweaking again if necessary, and if you don't end up having too many highs), or tweak your novolog insulin to carb ratio...for example, if you're currently on 1 unit to 10g of carbs, try one unit to 9 g of carbs, evaluate over a few days and then further reduce (to 1:8) if necessary.
One of the ways to determine which dose needs tweaking is by fasting for part of a day. For example, don't eat breakfast one day, but test your bg every 2 hours until lunch. If you're not low during that time, then do the same thing, but skip lunch, testing every 2 hours until dinner, and so forth. This will tell you if the
Lantus dose is too high.
Perhaps someone else (Mark, Blondy, Cora?) can pop in here and advise as to which to test first?
But don't get discouraged...it can take several weeks to a couple of months before you get everything titrated well enough so that you don't have this problem. Once you do get things figured out, your blood sugar levels should be much smoother.
Ruth
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