Blood Results....

[novorapidboi26]

Above is today's results so far...........

I injected at 11:10, 50 minutes before I started my lunch............

Whats folks thoughts on my 12.7 with regards to timing......

 

[Natalie123]

um, that looks a bit odd, it took 3 hours for your sugars to spike after lunch? What were you eating and is this a normal pattern?

 

[Monica]

um, that looks a bit odd, it took 3 hours for your sugars to spike after lunch? What were you eating and is this a normal pattern?

That's what I was thinking - odd. Was too shy to say that first though😱

 

[AJLang]

This is similar to what happens to me but I know that mine is because of the gastroparesis

 

[novorapidboi26]

Lol, well, recently, nothing has been normal..................

I have only just dropped my lunch ratio to 1:10g a few days ago, but the timings that used to work now dont, so I am now experimenting again......

I had a pre packed chicken and bacon pasta, quavers, 2 bits of fruit and some chocolate, so IMO all reasonably quick absorbed carbs........

From the results I would say that the insulin action time is less than I thought and that I may have taken it too early, resulting in it running out, maybe about 2:45.

 

[Monica]

cheeky question - have you washed your hands properly??? 😉

 

[novorapidboi26]

cheeky question - have you washed your hands properly??? 😉

Not cheeky at all, and in fact, I have not washed my hands, at least not for a few hours since I visited the toilet, and I haven't touched anything apart from a keyboard.........

Just checked on other hand.......13.0

 

[Monica]

Not cheeky at all, and in fact, I have not washed my hands, at least not for a few hours since I visited the toilet, and I haven't touched anything apart from a keyboard.........

Just checked on other hand.......13.0

hmmmmm, in that case, if it was the not washing of hands, the other results would have been high too

 

[Natalie123]

Is your long acting lasting long enough? It doesn't sound like a particularly long lasting meal in terms of sugar release but there is quite a lot of it so maybe the chicken and pasta slowed it down and you needed to split your dose. How long does it take you too eat all that? Maybe the more sugary stuff was eaten after the peak of your insulin or something. I get similar patterns when I eat dinner and then wash up before eating a yoghurt or fruit.

 

[RSVP]

If Rob got those type of numbers I would be suggesting Pasta & choc causing a late spike. Proteins can also delay things.
If it had been boiled potatoes on the other hand 🙄

Happens a lot here specially with puddings they just seem to slow everything down


Sarah 🙂

 

[novorapidboi26]

Is your long acting lasting long enough?

Are you referring to my Levemir?

It took about 30 minutes, if that to eat my lunch.........

I suspect that because my ratio is down, and therefore less insulin, its reduces it action time [more insulin last longer theory]....

 

[Northerner]

Could be that there was insufficient QA left whilst the food was still digesting - it would have practically expired by the final hour. Pasta can be slow to difgest or give a late spike in some people. I would probably try injecting a bit closer to eating, maybe half an hour to see if it made any difference. 🙂

 

[Natalie123]

Yep, levemir, that's what I mean - I get a bit confused at the moment between the different names 😱

 

[novorapidboi26]

Could be that there was insufficient QA left whilst the food was still digesting - it would have practically expired by the final hour. Pasta can be slow to difgest or give a late spike in some people. I would probably try injecting a bit closer to eating, maybe half an hour to see if it made any difference. 🙂

I think the 30 minute mark is the next logical step as you say.......

 

[novorapidboi26]

Yep, levemir, that's what I mean - I get a bit confused at the moment between the different names 😱

No problem, and in that case, I can only assume my Levemir is still functioning normally at the time............I inject my first dose at 7:00 roughly...........


Is it enough, I assume so, but will probably need to recheck it now my ratios have suddenly just decided to change their minds for no reason......

 

[everydayupsanddowns]

Well here's my tuppence worth...

The rise is happening 4h after injecting (and 3h after eating). Looks to me like the Novo dealt beautifully with the food until it began to wane at 4h.

Assuming 5h total duration and roughly 50% of activity at 2h (these are fairly standard figs, so clearly yours may differ) at around the 4h mark you'd have approx 16% of the dose left to run (say 2.5u?) and if your bolus was right you should be levelling not rising (obviously!)

You actually began to rise after the 2h mark.

Assuming your basal is OK, I'd guess your meal bolus was just not quite enough, and was perhaps injected a tiny bit too early.

Would be interesting to repeat with +2u injected 30 mins before eating.

Other things to consider:

Of course the larger the bolus the more likely it is that some of it will be 'lost' and have no effect (Small doses, small errors - is that Bernstein or Schneider?). With a meal of that size I'd be into 'adding a third' territory

 

[novorapidboi26]

I would like to think the dose was close enough, as I cant see how I could permanently implement adding 1 unit on each time, although it could be done I suppose........🙂

 

[everydayupsanddowns]

John 'Using Insulin' Walsh suggests a rule of thumb for i:c ratios working well...

Take your weight in lbs and halve it. Treat that as grams of carb. For any meal above that weight your bolus may not work as expected.

eg Someone who weighs 160lbs will have more success with meals no larger than 80g CHO.

 

[novorapidboi26]

John 'Using Insulin' Walsh suggests a rule of thumb for i:c ratios working well...

Take your weight in lbs and halve it. Treat that as grams of carb. For any meal above that weight your bolus may not work as expected.

eg Someone who weighs 160lbs will have more success with meals no larger than 80g CHO.

Interesting, will investigate that.......

 

[heasandford]

Do you always inject so long before eating? (I think this may be where I am going wrong) - or does that relate to what you're eating? I certainly agree with the 'add more insulin' if it's over a certain amount - it works for me