T1 diabetes - bumps, births, babies & beyond!

[RueDeWakening]

New thread, form an orderly queue here please >>>

:o

oh no spotty how awful. Hopefully though you can throw of the infections and be better in time for Christmas. Here's a link for sick day rules but I wouldn't want to recommend large doses as I've never used 'sick day rules' and I wouldn't want you swinging too low.
www.diabetes-support.org.uk/info/?page_id=141

Test for ketones though with a 20.8 and keep up the fluids.

VJONES welcome. Have sent you a couple of messages before but think I keep missing you on other posts!! Congratulations on the fantastic news!! See if you can find my pm in your inbox.
I think they do the early scan just to check that your dates are correct and you're not further along than you think..... (They might not be able to see much so early on so they may want to do an internal scan - so be prepared for that. I know some people have said no they'd rather not have that and just waited a few more weeks for a scan)

Hope everyone is looking forward to Christmas!!!!!!!

Thank you Nia that link is great. Ketones level 1.2 I have no idea what that means

Is it the glucomen meter spotty the ketone strips for mine say 1.5 and up is red to see or speak to doctor 0.5-1.5 is yellow im a bit like that when im unwell I can take a correction and continue to rise even if I dont eat you must be feeling miserable. My dd is unwell she has bronchiolitis and the stress of worrying if she wil be ok and whether she will need to go to hospital is pushing my bg up a bit

Thanks hoping. Poor you I hope your dd is soon on the mend. We're never ill but there seems to be so much going round.

And yes it is the glucomen such a good way to test them

Thanks spotty its such a worry hope your better soon too.

• = 1.5 (1500) ++ = 4 (4000) +++ = 8 (8000) ++++ = 16 (16000)

I think the + 's are like the urine sticks. So 1.2 would be the first shade the ketostix goes. Not too bad could be a lot worse like that horrible shade of burgandy the strips turn when you're majorly high

Level down to 6.4 and ketones 1.0. Temp is down too but was yesterday and then started going up again in the afternoon. Now should I see a doctor?

spotty if youve had ketones constantly for a long time I probably would though if your not eating your body produces them as well doesn't it? Im currently sat at open access at my gps with dd as she threw up most of what little she has taken in past 24 hour's and only had 2 wet nappies not sure if they will think im crazy since she has been diagnosed already but for my peace of mind.

I've made an appt. I'm sure my temp will go up again later plus they might be able to hurry an appt with my consultant who, apart from when I was in hospital, I haven't seen since I was pregnant

Always best to get it checked out especially with a baby

Apparently I'm very strict because I like my first morning reading below 6 and after meal below 8

Drs were good, just a virus they think, but phoned the diabetic nurse (new so I haven't met her) to check what she thought.

spotty you may have to ask gp to refer you again as mine had to and it took 12 weeks to get an appt!!

dd is still in hospital back on oxygen and has a nasogastric tube

Surgery diabetic nurse phoned today to check on me and said she would chase up the appt and if they can't get me one soon I will see her in jan. She's also the post natal etc nurse and I love her

Back from works Xmas do four glasses of wine later

MERRY CHRISTMAS ALL.

Hope everyone had a wonderful festive season and sugars haven't been too out of control.

I hope your daughter made it home in time for Christmas hopingforno2

How are you coping with the ketones now Spotty?

In your last post you wrote "surgery nurse....." you know you're a diabetic when you read it as 'sugary nurse'. Took me a while to read it properly.

Nia xx

Hope you had a wonderful Christmas too nia and everyone else. My dd got home on 23rd thankfully

Hi ladies ok I really need some help. My bg nos from 6pm onwards are driving me round the bend last night is typical for last week or so. I had a late lunch so dinner was also a tad later than normal however I checked at 17.30 my was 4.5 2 hours later its 12.1!! So I take a correction as well as the insulin to cover dinner by bedtime my bg is 5.1 however at 3am its 9.6 so I take a correction but having had a long lie and only just woken up its 11.2 do I up long acting? Admittedly healthy eating is not happening however the rises are often more than 3 hours after a meal! Sorry its a bit ranty im just so p**d off being diabetic is feeling like a curse right now.

hopingforno2

what treatment regime are you on? pump or mdi??

In my case the more I eat, the longer digestion and therefore the later the bg rise.

Whilst the insulin is active in my system things are ok but as soon as that wears off (around 3 hours later) I see a rise.
This doesn't really happen at other times of the year when I'm eating more healthily and more regularly. Just seems to happen when I overindulge or when I'm eating snacks on top of meals. I think I have pretty slow digestion anyway so the more I put in the worse I make things.

I've whacked my background rate up to 150% 3 days ago (which is quite drastic) but it seems to be working and I haven't had a hypo yet. 25th-27th sugars were 9-15mmol/l 28th-30th I've been back below 8mmol'l 'ish even after meals.

In your case though it seems a bit difficult because at times you are having nice low readings (4.5 and 5.1) so increased background may push those into hypos?

It's a toss up between upping the background or testing and correcting more frequently. Bit hard overnight though.

Are you able to get hold of your DSN for advice?

Thanks for replying nia im mdi though have been thinking for a while that a pump may work better for me with my overnight rising bg but I dont think I would qualify as my last hba1c(6.1) I was told was low though I am on waiting list for dafne which I understand is 1 of the requirements.

your probably right an increase in background may make me hypo. Im trying a different tack tonight having spent all day with very very little carbs to get my bg back down I was 3.5 at 22.50 so have just had to have jelly babies and also had a no carb snack to see if it makes any difference my only other theory is the night increase are actually hypos followed by liver dump then dawn phenomenon on top? Thing is it seems that if I dont have my meals 'on time' I have a rise in bg which would suggest background isnt righr??

I would say increase your long acting. I've increased mine by 6 units already and my level is about 7 when I wake up now. I also need a ridiculous amount of insulin to cover meals now too, I find.

i used to have terrible dp on mdi (to give an idea, i now have basal rates ranging from 0.7u per hour to 3.2 @ 35 weeks pregnant; pre pregnancy the 24 hour profile was the same but about 1/3 of what it currently is).

i found that if i increased my basal enough to be flat overnight (ie my midnight zero iob test was 4-5 & i woke in same place) daytime was a constant feeding frenzy with very little bolus insulin required. i also tried supplementing lantus with a medium acting insulin but im afraid the only way i maintained decent control was a 4 am alarm and a good slog of novorapid.

you actually dont need to have poor control to get a pump (and in my opinion is a total waste of nhs money to give to someone who hasnt got the basic level of intelligence required to get ok control let alone use a pump to fine tune their needs); my hba1c was never above 6.5 on mdi but i was able to clearly demonstrate that i achieved this only by waking myself frequently to test and inject.

it does sound like your basal is off, but dont underestimate how slow your digestion can be later in pregnancy (esp if your pigging constantly of fatty roasts like me lol); im doing combo boluses (ie some now spread rest over a few hours) frequently; so splittin may be an option.

have to be honest and say in late pregnancy i find carb ratios to be only a starting point: useful if im eating something of known and moderate carb content (eg toast or chocolate bar) but most things is more about an educated guess. i try to overestimate rather than under as much easier to raise bg with snack than correct when im so insulin resistant.

hope this helps.

Yes, I overestimate insulin too - I'm only 6 weeks but am pretty insulin resistant already. And, like you, I find I need extra Novorapid in the early hours to make sure my waking level is low enough. However, I may try increasing my Lantus even more to see if this does the job instead.

luckily i pump now so dont need to but i still test several times overnight....easiest way to keep it low and level!

you will probably find things shift in the other direction in a few weeks, but maybe not, pregnancy affects us all differently!

VJONES were you insulin resistant at all before pregnancy?

I always thought sensitivity increased in the 1st trimester. Goes to show how everyone is different - especially during pregnancy.

Hi ladies! It has been a long, long time since I posted!

All well here. DS is 9 months old - can you believe it? I go back to work in 2 months. Still bf'ing and control still less tight than pre-baby but confident of getting it under control when I'm back to work and have a little more space/time during the day! It isn't terrible just slightly neglected. Not sure my next hba1c will be 5.4% like last time!

Anyway, how is everyone? Hoping, spotty, Diec, rue?

I also see we have some new members, so hello!

I don't really know if I was insulin resistant. I think I probably was, as I was having quite large doses, and have had diabetes since I was one. Got my first pregnancy diabetes consultant appt next week. What can I expect?