2 hour post meal readings.

[ypauly]

I know this isn't the best time to test but I tend to go very tired for a short time. My results are nearly always double figures even though 5 hours later they are back in target area.

Should I be concerned? or should I stop testing at these times as dafne told us not to.

 

[Robster65]

Hi paul.

If I have double figures after eating, I try to look at either timing, dose or what I've eaten.

If it's timing or the meal, then I can try to avoid the same situation but if I think it's the dose too low, then I would notch it up next time. It sounds like your basal is ok if you're returning to normal.

I've never done DAFNE but have read the philosophy. BG swings are on eof the biggest causes of complications, so it's important to keep spikes to a minimum whether DAFNE say so or not. I'm not a big fan of the DAFNE testing regime as you may have detected. 🙄

Rob

 

[ypauly]

Thanks robert, I seem to be getting more and more paranoid about readings, it seems the more I learn the more I want things to be right, and when I think how laid back I used to be.


I think I need a week off from D where does Northerner keep the holiday forms?

 

[Robster65]

Hes hidden them all in the filing cabinet somewhere.😡

Rather than get paranoid, test, test, test and write everything down.

Don't worry what your BG is doing (unless it gets to silly numbers - 12/13+?) as long as it comes down again.

Slow, steady improvements over time become solid patterns rather than trying to fire fight individual highs.

If you don't already, start a diary of carbs, BGs before and after meals and exercise. You can then see whether it's every time or just certain meal types. It may be a case of injection sites or timings.

Rob

 

[heasandford]

Hi paul.

If I have double figures after eating, I try to look at either timing, dose or what I've eaten.

If it's timing or the meal, then I can try to avoid the same situation but if I think it's the dose too low, then I would notch it up next time. It sounds like your basal is ok if you're returning to normal.

I've never done DAFNE but have read the philosophy. BG swings are on eof the biggest causes of complications, so it's important to keep spikes to a minimum whether DAFNE say so or not. I'm not a big fan of the DAFNE testing regime as you may have detected. 🙄

Rob

Do you have an absolute issue with DAFNE, or is it the approach you don't like? (oh for the delight of no double figures!!)

 

[Robster65]

From what I've read, and from what ypauly said, they advocate testing before meals and ignoring any spikes in between, or at least not testing so you don't know about them!

I don't see the logic in this, since you'll discover nothing about how food affects you in the short term. If you eat something high GI, by the time your next test comes round, you may have spiked to 20 and returned to normal. While it might instill a regular regime into people who were otherwise haphazard about testing, it doesn't really address all of the issues.

I would see it a first step in a long process which the individual can build on by more testing and correcting where necessary.

Rob

 

[Northerner]

I agree with Rob, I don;t see the logic of ignoring what might be happening in between meals if you are back to normal range by the time the next meal comes around. I was like this all the time for the first year or so after diagnosis until I learned about post-meal spikes and how to reduce them. Back then I had a similar HbA1c (down to 5.2% at one time, currently 5.4%) but my current one is more representative of good control as there are now fewer extremes, and the extremes aren't as bad 🙂

 

[everydayupsanddowns]

Ypauly... If you are getting double figures at 2 hours, but returning to range at 5 hours, I'd look at the timing of your dose. It can take a while for the insulin to get going and you may find injecting 20-30 mins before eating helps reduce levels at 2h. I find need different 'waits' at different times of day. Generally longer at breakfast and lunch.

M

 

[FM001]

From what I've read, and from what ypauly said, they advocate testing before meals and ignoring any spikes in between, or at least not testing so you don't know about them!

I don't see the logic in this, since you'll discover nothing about how food affects you in the short term. If you eat something high GI, by the time your next test comes round, you may have spiked to 20 and returned to normal. While it might instill a regular regime into people who were otherwise haphazard about testing, it doesn't really address all of the issues.

I would see it a first step in a long process which the individual can build on by more testing and correcting where necessary.

Rob

Going back to when I did dafne I had a few disagreements with the tutor about postprandial testing, told her I always test 2 hours after eating and even test one hour after when experimenting with new foods. They say testing isn't necessary and you should only test prior to the next meal to determine what dose to give for that meal or to establish if your previous insulin dose was sufficient in lowering your bg, this I refused to accept at the time and continue to do now, I choose to keep my bg out of double digits at all time and keep it within the recommended guidelines, without frequent testing I could never achieve this.

 

[ypauly]

postprandial

I just learned a new word and it's a good'un

 

[Robster65]

Use it wisely obi-wan-ypauly.

Rob