Stupid nurse needs to be made redundant. I've been lucky to have diabetes care people who recognize that controlling blood sugar levels is a tricky balancing act, timing is crucial, and no matter what I do I cannot change my genes.
90 units of basal insulin is HUGE. To put it in perspective, I am profoundly insulin resistant, and use 100 units in the morning and another 100 at bedtime to give me a fairly steady Hgl level, with pre-meal doses of the fast-acting insulin on a sliding scale, depending what I'll be eating and what my meter reading has been.
As my nurses have explained to me, if I overdo the dosage, as soon as my system recognizes I am trending into a low blood sugar level, the adrenal gland kicks in, which in turn causes the liver to create sugar and dump it into my blood stream. Without the basal insulin at bedtime, this would happen to me every night. I would go to bed with a normal reading and wake up to alarmingly high numbers. The US uses a different scale than the UK and I don't know how to convert, so I won't bother with the actual numbers.
Anyhow, good luck to Jan and yourself with this. My diabetes mantra is "The human body is not a precision instrument"
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branchandroot
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Date: 2011-06-09 01:35 am (UTC)90 units of basal insulin is HUGE. To put it in perspective, I am profoundly insulin resistant, and use 100 units in the morning and another 100 at bedtime to give me a fairly steady Hgl level, with pre-meal doses of the fast-acting insulin on a sliding scale, depending what I'll be eating and what my meter reading has been.
As my nurses have explained to me, if I overdo the dosage, as soon as my system recognizes I am trending into a low blood sugar level, the adrenal gland kicks in, which in turn causes the liver to create sugar and dump it into my blood stream. Without the basal insulin at bedtime, this would happen to me every night. I would go to bed with a normal reading and wake up to alarmingly high numbers. The US uses a different scale than the UK and I don't know how to convert, so I won't bother with the actual numbers.
Anyhow, good luck to Jan and yourself with this. My diabetes mantra is "The human body is not a precision instrument"