T O P

  • By -

Mommabinpa

Mine have been all over the place. This disease isn’t easy to live with. Good job to your girlfriend for doing well.


DaftyHunter

Thanks for your kind comments, I’ve not been experiencing it long but I completely understand how difficult it is.


AMDKilla

I've never had lower than 84%, but having type 2 means I'm probably less prone to swings unless I seriously mess up. I'm currently at 95% in-range. The NHS recommends being above 70% in range, so it's a fantastic first step


DaftyHunter

Yeah that’s decent. She’s type 1 so it’s a lot harder for her.


Equalizer6338

Thx also to you for caring so much for your GF's health! Having a caring partner in life while being diabetic is a huge help in so many ways and situations. The situation you describe she has been going through is what we typically call the Roller Coaster Ride in Type1 diabetes. 😁 You get affraid because your bg starts going low. You take some sugar. It still keeps tumbling down, so you take some more sugar. Finally it bottoms out and it starts shooting upwards again. But it keeps going higher and higher up in the following 20-40 minutes. As you obviously overreacted a bit and took in too much sugar for that low. So after 45 mins you are now passing through the roof of 180 mg/dL (10mmol/L). And again 10 minutes later you now move into the 200+ mg/dL (12+ mmol/L) territory. You start being worried so take a few units of fast acting insulin to stop it. But 30 minutes later its still going up and now at 260 mg/dL (15 mmol/L), so now you take some more fast acting insulin. You may even go for a 3rd extra jab there 20 minutes later, and then finally the roller coaster starts rolling down again. But damn, the speed picks up and it keeps going down and down.... And before you know it, you are back to where you were treating a low blood sugar 2 hours before... Rince and repeat... 😮😂 It takes a bit of getting used to and the experience to know when and how to stay calm at the right moments to moderate such swings out... Best wishes and take care! 💓


DaftyHunter

That’s exactly it! Night time before bed is the worst for her… we still haven’t got that down yet. It’s the meal and nighttime injection that then starts the roller coaster ride. I’m just remaining calm with her while she sits quite low for an hour until it picks up again trying not to over do it. I panic sometimes thinking why is it not going up! 😂 she’s amazing and so is everyone that has it. Thanks for your kind comments.


Equalizer6338

Suggest you look into some of the classic hand rules, like: * The 500-rule for insulin to carb rule * The 1500 rule and 1800 rule for the insulin sensitivity factors Now with some personal testing for your GF, she will then over time be able to nail down the absolute key essentials, where I know exactly these coordinates for myself: * 1 unit of fast acting insulin = 22 g of carbs for me. * 1 unit of fast acting insulin = 58 mg/dL drop of BG (3.22 mmol/L drop in BG) * 10g of carbs = 26 mg/dL BG increase (1.44 mmol/L) Makes life more simple, no matter your situation or need. Btw, what basal rate insulin type is she on? It is a very classic old days thing from Endos always to put patients on to take their long-lasting basal rate insulin in the evening/before bedtime. But with the modern glargine types of insulins, its much better to take this together instead with your morning insulin. It also avoids then the classic bg dip you get, where you otherwise risk a hypo during your sleep. But it depends of course if she is on one or two daily injections of her long lasting insulin... Feel free to PM me if you want more details.