P
Pat91
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Hi all, for the past week or so my levels have been shooting way up to 15-6 after.my evening meal. I'm carb counting and pre bolusing but I still get the sharp spikes ? Any ideas. Thank you.
I switched from Lantus to tresiba as was having night time lows. But still on novorapid. No not on any medication either.Have you changed both your insulins? Could you be ill?
My other thought is perhaps it’s a stage in your honeymoon - a step up in your insulin requirements. Are you on any other meds that might be affecting it?
No yesterday I had to take 6 units 3 hours after.my meal to bring it down. Only come down to 9 mmol still.Does it eventually come down again? If so then maybe you need to pre-bolus even earlier than you are, how much is required varies a lot. If not then maybe your carb ratio needs a tweak.
my bloods were 5.5 before dinnerSorry - forgot to ask what your pre-meal blood sugar is?
I switched from Lantus to tresiba as was having night time lows. But still on novorapid. No not on any medication either.
my bloods were 5.5 before dinnerSorry - forgot to ask what your pre-meal blood sugar is?
I had 2 chicken breast, new potatoes, and mixed vegetables. If.i remember correctly was 64g Cho. Took 7 units novorapid 30mins prior but still had the stubborn highsSorry to hear that you are struggling with your levels. That must be making you feel rough as well as frustrated.
Can you give us an idea of what you had to eat and how much NR you pre bolused?
Oh sorry , yeah. Switched both both pens and started a new box. (Was on last pens in previous batch )Sorry - I wasn’t clear. I meant change each insulin to a new pen or cartridge in case it had degraded somehow and wasn’t working.
my bloods were 5.5 before dinner
Yeah I think it could be proteinSo ok before you ate, but your NR didn’t seem to take effect. Definitely change your NR if not the Tresiba (change NR to a new pen/cartridge). It could be your ratio has changed; your NR is ‘off’; or you have something causing insulin resistance eg stress, illness or hormones.
Did you add an extra correction amount for being over 11 (ish)?
It was 64 Cho with the potatoes aswell.(only 10 for veg). Thanks everyone. Think it may be the protein in my meal that was sending me high. Any tips on how to bolus for protein even when consuming carbohydrate ? Thank you.64g seems an awful lot for those veg - unless you had a plateful of them. The chicken breasts we've been buying recently have been huge and considering the protein element of a meal for an adult should be roughly the same size as a pack of playing cards, one should be more than enough for either me or my husband who is getting on for twice my size.
Yeah I understand what you are saying, but my levels are not coming back down after these meals. So although I'm eating carbohydrate with every meal I need to understand how to cover large protein amounts with insulin. For example my dinner tonight is a steak and jacket potatoe with veg. 55g carbohydrate. But there is 100g protein in the steak.The body can extract glucose from both protein and fat - but ONLY if it has to because it has no available easier source of glucose ie carbs - and 64g of carb is more than enough carb for most bodies unless you are the size of a house and are in the middle of running a marathon.
I think myself that you'd do better splitting your bolus for higher carb meals which is dead easy to do with a pump but not so easy with MDI - which was far too much faffing about for me.
You know @Type1Pat - the 'old' advice was to not worry about post meal rises as long as by next mealtime (so 4 or 5+ hours later) the BG had come back down to something more reasonable. As I didn't have any other means of testing than firstly boiling my urine up again (so couldn't reasonably done except in the privacy of my own bathroom) then later using a glucometer and was trying to hold a normal life working, commuting into the city and whatever, I didn't worry about it between meals - and good grief - I'm still here, and still have no 'diabetic complications'.
There is little point in having things like FGM/CGM if they cause folk to become obsessive about minor hiccups like BG increasing for a bit after eating. Non diabetics have increases in BG after eating - just they haven't the slightest idea they do since they don't test their BG. It is therefore the natural reaction of the body - so to stop it you'd have to first die.
Yeah I understand what you are saying, but my levels are not coming back down after these meals. So although I'm eating carbohydrate with every meal I need to understand how to cover large protein amounts with insulin. For example my dinner tonight is a steak and jacket potatoe with veg. 55g carbohydrate. But there is 100g protein in the steak.