Sqad - Opinions

[queenofmean]

A week ago my sugar levels would drop in quite dramatic fashion. I’d done nothing different. Sunday brought 2 hypos again I had done nothing different in my day. I decided that night to cut down my long acting from 26 to 24. I also didn’t correct at breakfast on Monday but at the same time my morning carb to insulin ratio could be argued I’d changed that. No hypo that morning. I did however have one that night and I’d done absolutely nothing. I’d basically sat on my butt and did NOTHING. Tuesday morning I left my ratio cut just to see - my lunch and dinner ratios are fine they have been cleared as being ok. Sure as god made little green apples. I dropped and I dropped fast. I used a small correction to correct me to 8 and I over shot and ended up at 3. Wednesday brought much the same and by this time I was shattered from these sudden drops. I purposely ran a little higher Thursday just to allow me to not feel so tired and no energy. It was bad as people were noticing I wasn’t myself.
Now the same thing happened last night I started to drop before bed and again I’d had a lazy evening. I managed to prevent the drop.

Extra information- a correction does of 1 unit should drop me 2 eg sugars 10 1 unit should bring me to 8. I’ve thought the correction factor may have changed but I can’t be sure, the night time insulin is fine I’ve done a carb free and it holds steady. I’ve taken my morning ratio to 2:1 just to give me a break and it runs me a little higher.

Nurses are stumped. I’m not pregnant. I’m not I’ll i had my flu vaccine but that was after this began. Do you have any inkling what could be going on? I know it’s not your area of expertise but your opinion or ideas would be appreciated.

[kvalidir]

Are you absolutely 1000% sure you're not pregnant Queenie, that plays havoc with your levels?

[queenofmean]

I’ve done two tests Kvalidir. Both negative.

[kvalidir]

Fair enough that all does sound quite weird then, I think I'd have done what you're doing in adjusting your ratio on your fast acting? I'm at a slight loss but then at the moment my diabetic life is a shambles (and the rest of it lol), so i'm probably not the best person to ask.

[queenofmean]

We all have times like that though. Mines seems to be a constant stream of shambles. There isn’t an inbetween im ether up or down I’m rarely in the middle.
It is frustrating as you say I’ve tried and I’m drawing a blank nurse is too they all seem to be stumped. But I value your opinion too!

[kvalidir]

Mine have never bothered me really until recently, I've had minimal bother and usually felt quite well, apart form I get tired easily because of my additional thyroid issues, but it's taught me a lesson about how poorly you can actually feel with diabetes. I have wished someone would come and shoot me on occasional lately.
I hope Sqad wanders by, I'm really interested to see what he thinks and hope you feel better soon. I'd keep doing those pregnancy tests though just in case. x

[queenofmean]

Awww no - I hope things iron out for you soon. It can be difficult. But when it makes you feel ill it REALLY makes you feel ill.
I will do - don’t need any accidents.

[Sqad]

As you say, quite rightly, diabetes is not my forte.
However......you certainly have, unstable diabetes and this is not uncommon in some women (don't know why) and it is also associated with other hormonal problems and you say that you have thyroid problems.
You problems seem to be hypos in the late evening.
My advice for what it is worth:

1) maintain you prescribed Insulin dosage and treat the evening hypos.
2) After your evening meal have a piece of cheese at about 9.30 pm.
3) Check your TSH levels to see if you need to increase your thyroid intake......if you are being treated for an under active thyroid.

The bottom line is that you may have to "ride" this period of brittle diabetes out for a period of time, just treating the hypos as they come.

it happens, it is a miserable disease to have.

[queenofmean]

Thank you Sqad.

My thyroid is ok, Kvalidir has thyroid problems.

I’ll try that and see what happens though.

Thank you again though.

[Sqad]

LOL...I didn't score many "brownie points" on that one Queeny as Unstable or "brittle" diabetes can be a problem even to an experienced Endocrinologist.....which i am not.

[LadyCG]

I worked in Paediatric Oncology a few years back. I came across wreckless adolescents and irresponsible parents.

One young lady would turn up to Clinic with perfect BMs and then her HbA1c would be through the roof, proving that she'd faked her BMs. We had to inform the boss of Social Services that she was at risk of imminent death from ketoacidosis.

T1DM is an utter curse. I admire how you cope, QoM.

[LadyCG]

Paediatric Endocrinology!!

[queenofmean]

I used to do that when I was a kid and didn’t know any better LadyCG.

I try to make the best out of a bad situation but at times like last Sunday I was geared up to throw in the towel.