SD is 1.9 according to meter, 1.8 pre-meal. That pretty good compared to the past readings. I would love to wipe out all highs and lows but they are my own fault. If things would just stand still it would be easier. Thanks for replying Brian. I do test 1hr after meals, it feels like I'm testing all the time but I don't mind if I get decent results.
That is actually a pretty good SD, particularly for postprandial. A good way to interpret the SD is that 95% of your readings will be within +/ 2 * SD of your average. So your blood sugars are between 2.2 and 9.8 mmol/l 95% of the time (that is 39 and 176 mg/dl for the yanks).
I guess I would tell you that to safely get lower you would need to tighten that up.
ps. Another thing I do (which maybe number 6) is I have moved to eating only 2 or 3 times a day. I have tried to drop snacking. I'll drink water between meals, but when I sit down to eat, I am truly fasting, having gone at least 5 hours between eating or bolusing. That might really help your fasting numbers.
That's an excellent point. I would hazard a guess and say that we probably, on average, spend much more time at high levels then we do at low levels for any number of reasons. Glycosylation is time dependent as well as BG dependent.
Here's an excellent review of Hemoglobin A1C. It's a bit technical, but if you're into this kind of thing, it's a good explanation of some of what's going on.
I recently have switched to Lantus and I have splitted to dosage right away. I just found it highly unlikely that one shot will last evenly for 24 hours. An uneven distribution of the insulin action is the last thing I need. With two shots you have one shot running theoretically for 24 hours and then you add another one also for roughly 24 hours. So they will just combine in their action. The difference of two shots to one shot is that when the shots are beginning to fade out there is still the other shot left to cover my needs. I will never run out of coverage so to speak. The nasty thing about inefficient coverage is that it can be maskeraded. Perhaps you just need unusual I:C ratios to cover the potential gap. Perhaps you are just extremely insensitive to insulin. In this situation the gap will force you to eat because if you skip a meal you are missing bolus insulin to cover the gap. I just wanted to make sure that this is not happening to me. I ended with 6:4 which is a bit odd. I am still tweaking and had some problems with dawn phenomenon. In general the Lantus turned out to be more evenly distributed than the Levemir - for me I want to add.
NOT AT ALL TECHNICAL, but I'll have a look.
I don't snack either Brian, I've lost interest in it to be frank, 3 meals a day and that's it but I don't leave 5 hours between bf and lunch, its only about 3.5 - 4hrs, also 4hrs between lunch and teatime, then I don't eat all evening which I'm not sure is good but I feel fine and its easier to control too. Should my fasting bg be around 4mmols the whole time ?
That is true, I've learned so much this last while, seeing repeated issues. It is up to me to level them out.
I would like to try this but first I need to learn as much as I can before I try something new. Yes I understand how I could cover up a Lantus deficit by taking a bolus with my meal. So should I fast and just take the lantus to see what happens ?
They forgot the a in haemoglobin
Actually, I think a fasting average of 4 mmols/l (72 mg/dl) is a bit low. I like average my fasting at 90-100, but that can be a struggle. Mornings I suffer hishs, but usually I can be in that range before lunch and dinner and before bed.
I treat all lows. At 4 mmols/l you are low half the time. If I am 69 mg/dl, I'll take a couple of smarties tabs to raise me back up to at least 4.5 mmol/l (80 mg/dl).
I have to say, based on what you have said, you are actually doing a lot of this just perfect. An average blood sugar of 6.2 mmol/l (111 mg/dl) corresponds to an A1c of 5.5%. If your A1c is coming in as in the 6s, perhaps it has some inaccuracies.