Hyperglycemia in the afternoon

Hello everyone.

This is my first post despite taking a long time reading the forum.

I have used the search engine but I don't see something similar to my situation, so I expose it in case anyone can help me.

I have been with diabetes since approximately 19, I have currently managed diabetes with some normality, having a gyrose of about 7 points.

I am losing weight totally involuntary and glycosilada has risen to almost 8

I currently use Tresiba at night before sleeping (14 units) and FIASP based on the bowling calculator that configure me in consultation.

Lately I have had changes in my life (I went to live with my partner and I have suffered some stress) that I believe can be related to this.The problem is that I have developed authentic modesty and panic to hypoglycemia until the case that last night I went to emergencies with glycemias of 80 and going down (half an hour of having eaten white rice) and feel a real hell to which the glucose does not re -go.I use Freestyle 2 and I know the measurements are delayed, but I can't manage that anxiety.

My problem is as follows: I have observed that from lunch (around 4:00 pm) my glycemia increases greatly to values ​​of 300/250.I hope the two hours and I run.Well, these corrections do not seem to do any kind of effect and take me all afternoon with active insulin and without diminishing a glycemia, add that the stomach during all this time "cries" and you hear work.Entry at 20:00 the opposite effect can be a hypo of the copon, with the fear and anxiety that that entails.

All this has led me to receive psychological treatment because I am with a horrible anxiety.

I have taken a lot of fear of clicking many units (more than 4) in case I gave me a hiccup and not being able to control it, fear of not wanting to eat outside the home, etc. (when before it was the opposite).

Do you think it can be for Tresiba?

In two weeks I have an appointment with the endocrine but spending the days like this is costing mental health.

I appreciate any idea that you can give me.Thank you so much.

@Prother (currently using threeiba) that means that before you used another slow one and I was doing better, that happens to you since you changed slow insulin, if so, considerate it with the endocrine ,,,,,

Andrespmat said:
@prother (currentendocrine ,,,

I have used Lantus, then Toujeo and finally I have been one year old with Tresiba.They changed me when recommending it for its longer effect during the day.

I also use Tresiba, but I put 20 units of slow and the rap, ah !!And I've been diabetic for 20 years

@Prother, my daughter did not go well with Tresiba, I climbed her in the afternoon and lowered him a lot at night.He turned to Lantus.
It may be that some of the meals have heavy digestion and that the FIASP ends soon and the Tresiba does not digest them, it is flatter than the lantus.
Look to see if the other insulins were better, maybe with Lantus and Humalog you were better.
The sensor can also cause anxiety, because it records everything.
But stay with the insulin pattern that best suits you and you will be calm again when you return to glycos 7.
The Tresiba goes better with low meals in hydrates, but the lantus put in the morning metabolizes them better.

regina said:
@prother, my daughter did not go well with threeiba, I climbed in the afternoon and lowered him a lot at night.He turned to Lantus.
It may be that some of the meals have heavy digestion and that the FIASP ends soon and the Tresiba does not digest them, it is flatter than the lantus.
Look to see if the other insulins were better, maybe with Lantus and Humalog you were better.
The sensor can also cause anxiety, because it records everything.
But stay with the insulin pattern that best suits you and you will be calm again when you return to glycos 7.
The Tresiba goes better with low meals in hydrates, but the lantus put in the morning metabolizes them better.

Thank you very much for your comment Regina.To change from three to Lantus, do you have to do some kind of adaptation or something?Or just replace it?I still have a Lantus box when I used it and I think I'm going to try it

Because if I am increasing two units of threeiba it may be that it arrives in the morning too low

@Prother, is that the dose and the change is very personal and you should consult with the endocrine.
My daughter used three of Tresiba and now 20 of Lantus, but to make the change, some unit less than Lantus was put the first days and adjusted.
It is better to put it in the morning and lasts 24 hours.

If you have lost, you will need less lantus than before.
Tell her with the endo, that he guides you.

How was it with Toujeo?

You can try a Tresiba unit before ... and you decide when you go to endo and tell him.
The important thing is that you feel safe with insulin handling and calm down.

Thank you very much Regina for your answer.I have to recover the confidence I had in insulin before.

I have tried to change the Tresiba pen/pen and increase it a 2unid to see how.

In 2 weeks I have an appointment with my endocrine and surely they put the insulin bomb, since they proposed it in June but of course it was quite well and placed it.Maybe it's time

@Prother, because if you have proposed the bomb, try it, that the people who wear it are happy.