I do not have packages that the area is quite smooth and that the content of the units between good.Although it is what I say, I have to watch with not abusing the same area ... which is then many years.
endocrinaantinewage said:
I get the glucose a lot between hours, that is, among the post-pandarial of a meal, until the control of before the next meal.For example, one day I wake up at 93, I click 5 from the novorapid, and two hours later I am 139. So far everything is fine.But later, at noon, without having eaten anything in the morning, I look at myself and I am 235.
This can effectively say that you lack basal during the day.Now, Toujeo insulin once a day and lasts all day.And it is difficult to play by changing it because its profile is even more flat than the Lantus (Lantus releases more insulin during the first 12 hours than during the last 12 hours).Once this explained, it may be that you lack basal during the day because you really lack insulin or because you do something for your body to be very resistant during those hours.Or because your body simply has very different basal needs depending on the time of the day.The very intense exercise, by releasing counter -regulatory hormones, of stress (catecholamines, cortisol, GH ...) can cause hyperglycemia because the insulin that you have guided for a normal day, cannot counteract those stress hormones.And as they say in some comments, it can cause an increase in insulin sensitivity many hours later (for example at night), and therefore the insulin that you have guided can be excessive for that situation.
And the toujeo deduce that too, since I usually wake up normal, and at night I low
With this, it can be said that "there" basal insulin during the night (perhaps because of the late effect of intense exercise, or perhaps because you need less basal insulin during the night than during the day)
It is as if the toujeo does not work during the day, or here there is an X factor that escapes me and "it is destroying the control.
Just, the conclusion is correct.
It is crazy because in the end there is no way to have a single good day, and I am constantly exercising like a donkey so that it does not rise so much, and then I find that the rapid of each meal I have to descend that value, so that later between hours I get up again.
What I commented before, the very intense exercise can cause hyperglycemia shortly after, and late hypoglycemia.
(forgiveness for billet, but I had to explain it clearly).I'm desperate and I'm going crazy, really.
You have explained it very well, of book, and it is no billet.
What happens to you happens many times in type 1 diabetics.
What would I do?
Try to see how your profile goes in a more "basal" situation, that is, with less physical activity.If you exercise light, or without exercise, the profile is still reproduced that lowers you a lot between the postcena and the predesayuno (touching the hypo, as you seem to comment), and yet it still goes up to you a lot between the post -desayuno and the predominate, andBetween the post -composition and the predem, we have a problem with the toujeo insulin.Could it be that before, if you carried Lantus, this would not happen to you, or were it less accentuated?I say it because it would make sense, since the lantus,Put in the morning, it makes more effect during the day than during the night, which would better cover the interprandial periods (especially the afternoon) and would make less effect during the night-mudda, avoiding the tendency to the predesayuno hypoglycemia.If before the change to Toujeo you were better, it would be worth trying with Lantus again (in the morning).If you improve at all, great.And if it continues to look at basal at night and miss during the day, another option would be to change to two doses of Levemir (in which you can already put more in the morning and less at night, to adapt to your profile).
If making a more leisurely life, the profile is resolved, we already know the cause (the intense exercise).In that case, you could play with fast insulins.Or even, if you always exercise in the afternoon, change the rapid of noon for regular insulin (the actrapid of a lifetime), which would give you an "extra basal" during the afternoon, although this is not the most optimal, becauseThe postprandial peak of food would escape us a little.In any case, the influence of being half an hour at 250 after eating is probably less than being 200.
There are thousands, one of which, of course, could be the bomb.
How many options, really thanks.Yes, let's see, I use Toujeo, right now 16 units before bed.And if I have not increased it is because I get up well (sometimes having to bed high so as not to go down to the hypo).And not under the dose because it seems that later, during the day, I am missing.He came to use Lantus, but the problem already had it then.I have the feeling that I am quite the same with one that with another, and I do not think they are bad basal for me, but during the day I go to trumpets for some reason.
I can be wrong, but the effect is that with exercise then always under levels and I am more controlled (when I do not move is crazy).Although everything is trying a little more.
I came to think that I went down a lot at night for having exercised in the afternoon, but if I do it in the morning, the truth is that I keep going down a lot when I sleep (and there I no longer think that I am affecting an exercise that I didso many hours).
I take note of everything, being a problem that I already had with Lantus, I would not return to it either.But I could assess what you say about the dose in the morning (lower during the day and not so much down at night).
If exercise really is what carries me problems, it would seem quite incredible to have to reduce it to be better, although I don't know what to think, hehehe.
If I put the toujeo at the same time as the quick of dinner, would it also be an option?That is, the same would avoid the beak after dinner (as the effect of two insulins), and then the night would perhaps would have already surpassed with dinner a possible peak of the basal action.Of course, during the day I would walk the same.
The problem of putting it in the morning also comes because there are days that I exercise during the morning (I know I am complicated ...)