Nurse wants compliance - and 1st ever correction dose!!?

Question:
Rang my nurse today as she is just back from holiday - but that wasn't the real reason!! Went for a 'leaving lunch', at a thai restaurant. Figured there were about 30gms of carbs & took two units of Apidra. Boy was I wrong!!!!
Rang the nurse at the 2 hr point when I was 24.1 - she thought there may be coconut milk (or some sugar based sauce added) as well as being high carb.So talked through correction doses. Nurse advised taking two extra units, as the cab count was high, as well as possibly the sugar count. She also suggested that I try to 'comply' with a diabetic diet for about 4 weeks until I get a feel for how it all affects my body.
Did that - and spent the next 2-3 hrs worried about how fast I would drop with no food to match the insulin. I needn't have worried - after 3 hrs was at 11. That was a revelation, I can tell you. Added to the worry was travelling home on the tube, these things are simpler if sat at home.
Anyways I survived to tell the tale. Maybe soon, I'll stop thinking I'm going to shorten my life or die soon.Maybe its all part of the process. Wish I knew LESS about insulin and its complications!!!
Would be helpful to know if others have felt like I do??I suppose just so I dont feel I'm alone or a little bit mad!!
Answers:
I find when I did foods like that I shot into the 15 range so I just had to back off. I am sorta confused what you mean on the complications of insulin.
Answers:
It does help to eat the same meals for a while to get the hang of insulin. It's a little boring, but having your food intake be constant helps you make better adjustments. Once you're an expert then you can most certainly expand!
I remembered for first, and so far only, really bad low. They're no fun but I obviously learned something from it . Good luck continuing tweaking, and be sure to test more frequently, if you can, if you're wary of having a low!
Answers:
Well its not so much the complications of the insulin itself, but misjudging how much to take - either too little or too much.
Answers:
Originally Posted by glodee Well its not so much the complications of the insulin itself, but misjudging how much to take - either too little or too much. Yes like Shaun said its a learning process to be sure, I have given so many adjustments I lost count after 100 but a type 2 has a complete different level of insulin needed. You could eat the same meal as I and I would need 20 units of insulin, that would kill the average person ah but not me if I really told folks how much it took when I was first they would think I was nuts.
Answers:
At least you don't have my issues, I am very insulin resistant, and since starting insulin I have gained weight so I am now 350 lbs, so my doses are minimum 25 units of fast humalog. Boy do you know fast if you make a mistake at this rate. I was panicked alot when I started 5 months ago too, but I am learning to not over-react even when low. Just today I hypoed at 4.5, so took a yogurt drink at 15g carbs and just sat in my chair and let the BS come back up. Before I would gorge on sweets and carbs and then shoot back up to 9 or 13 and have to take an insulin shot. I guess the worst is how you feel when out of range and you want to correct quickly. That was my mistake. Just my experience to date, I am finally feeling more in control.
Answers:
Originally Posted by Snowdawgy At least you don't have my issues, I am very insulin resistant, and since starting insulin I have gained weight so I am now 350 lbs, so my doses are minimum 25 units of fast humalog. Boy do you know fast if you make a mistake at this rate. I was panicked alot when I started 5 months ago too, but I am learning to not over-react even when low. Just today I hypoed at 4.5, so took a yogurt drink at 15g carbs and just sat in my chair and let the BS come back up. Before I would gorge on sweets and carbs and then shoot back up to 9 or 13 and have to take an insulin shot. I guess the worst is how you feel when out of range and you want to correct quickly. That was my mistake. Just my experience to date, I am finally feeling more in control. Thank you Snowdawgy. Yes, I know I need to be grateful that I'm not so resistant that I need to take bigger doses, and I'm glad of your reminder. But I'm frustrated at getting it rigt now and again and wrong so often!!I know it'll get there - eventually. I too am (very) slowly learning not to panic when dropping into my boots. Its soo hard to hold on for that 15 - 20 mins to check the effect of the carbs taken to bring me back up.
Answers:
I hear you and know exactly where you are at.
Answers:
Originally Posted by glodee Rang my nurse today as she is just back from holiday - but that wasn't the real reason!! Went for a 'leaving lunch', at a thai restaurant. Figured there were about 30gms of carbs & took two units of Apidra. Boy was I wrong!!!!
Rang the nurse at the 2 hr point when I was 24.1 - she thought there may be coconut milk (or some sugar based sauce added) as well as being high carb.So talked through correction doses. Nurse advised taking two extra units, as the cab count was high, as well as possibly the sugar count. She also suggested that I try to 'comply' with a diabetic diet for about 4 weeks until I get a feel for how it all affects my body.
Did that - and spent the next 2-3 hrs worried about how fast I would drop with no food to match the insulin. I needn't have worried - after 3 hrs was at 11. That was a revelation, I can tell you. Added to the worry was travelling home on the tube, these things are simpler if sat at home.
Anyways I survived to tell the tale. Maybe soon, I'll stop thinking I'm going to shorten my life or die soon.Maybe its all part of the process. Wish I knew LESS about insulin and its complications!!!
Would be helpful to know if others have felt like I do??I suppose just so I dont feel I'm alone or a little bit mad!! I am right there with ya!! I have just started Humalog for my breakfast and dinner meals last Friday. I am trying to figure it out too. Its a learning process. Sometimes I do great...and a couple I did not give enough and had to correct!! Ugh.
Glodee..when do you test after meals? At the hour or two hour mark?? Just wondering? Trying to figure out when is the best time to test!!!
K
Answers:
glodee, it is difficult for all of us. You will learn in time, just like the rest of us. Remember to do things slowly and to test often when you do.
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