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BG spikes

  • Thread starter Thread starter Deleted member 33898
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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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Was really trying not to worry too much whilst on holiday but thought I'd hop on here to see if this is normal. First off I have to admit I've been eating a bit more than normal and having a few drinks everyday (like 2 pints or few glasses of wine in total) I've been on the move a lot as well. I have tried to estimate how much insulin I need for each main meal and have only been snacking when sugars are low. Generally they have been great but last few days saw a couple of spikes to levels I haven't been to since being diagnosed a few months ago

Two days ago in the evening before I'd even had dinner my BG suddenly flew up to the 15s and didn't come back down for some time. I had a big lunch that day , no alcohol and had been walking around a lot . I was thinking okay this is a one off as everything calmed down yesterday but then this morning after a normal breakfast they want up to the 16s very quickly.

Are there long delays in levels rising sometimes ? I had a dessert with my dinner the night before for the first time in a while. I'm in the UK, so it's not particularly warm. I'm only at minute allowed to take pre meal corrections with my insulin. The clinic was supposed to call me before I went to discuss travel but they didn't. Sorry this is a bit of a ramble !
 
Sounds like your honeymoon period might be coming to an end and your basal needs are starting to increase. Either that or perhaps, if your levels are coming back down before the next meal, then you may need to cautiously increase your pre bolus time. If you are needing regular corrections at meal times then that would indicate a basal dose increase is needed.
Which basal insulin are you using and when do you take it? Are there particular times of the day when it starts to go too high? Do you have Libre sensors to see what is happening overnight and between meals?
 
On an earlier thread you said you didn’t know your ratios? How are you calculating your bolus? Are you bolusing enough in advance? Are you eating lots of protein or fat (they can cause a delayed rise)?

At a guess, it sounds like it’s your basal rather than your bolus, but best to think about the above first. You’re on Levemir? How much and when?
 
rebrascora said:
Sounds like your honeymoon period might be coming to an end and your basal needs are starting to increase. Either that or perhaps, if your levels are coming back down before the next meal, then you may need to cautiously increase your pre bolus time. If you are needing regular corrections at meal times then that would indicate a basal dose increase is needed.
Which basal insulin are you using and when do you take it? Are there particular times of the day when it starts to go too high? Do you have Libre sensors to see what is happening overnight and between meals?
Click to expand...
Levels are coming back down before meals. I have recently lowered my basal dose by a unit because my levels kept dropping too low over night or dropping from high to low / hypo the next morning. I started with 12 units of levermir and I take it before bed once a day,now down to 7 units. With the libre sensor I can see the usual trend of levels rising after eating and steadying out a few hours later, sitting between 5 and 7 until next meal generally. Since lowering the levermir my levels overnight have been good, same with the morning. Just these odd spikes have been a bit scary, maybe something I just have to see more of before getting concerned ?
 
Inka said:
On an earlier thread you said you didn’t know your ratios? How are you calculating your bolus? Are you bolusing enough in advance? Are you eating lots of protein or fat (they can cause a delayed rise)?

At a guess, it sounds like it’s your basal rather than your bolus, but best to think about the above first. You’re on Levemir? How much and when?
Click to expand...
This is true I don't know, so I've been basing an estimate on what I have been having and checking online for any carb info I can as I'm mostly eating out.so a few extra units if I think I need it for example . i'd say the food has a good bit of fat and protein but can I delay really last 12 hours ? I've been having 7 units levermir before bed. Levels fine over night. I had Weetabix , banana and apple this morning with usual 4 units of bolus which wouldn't see levels go further than 10s.
 
Your Levemir should be split into two doses. Doesn’t have to be an equal split. It only lasts 12 hours or so at small doses so your one dose at bedtime will have run out by the next day. That’s why it’s a twice-daily insulin.

If your basal is wrong, it will throw everything else out.
 
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Thanks. I'll contact my clinic about this, hopefully get through to them
 
jazzchicken said:
Thanks. I'll contact my clinic about this, hopefully get through to them
Click to expand...

Tell them you think the action of your Levemir is running out by the following day. Ask them what split they advise - it can be any split that works for you. You might need a bit of trial and error to get it right.
 
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