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Breakfast numbers

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Charl

Well-Known Member
Relationship to Diabetes
Type 1
6.20am..reading 11.2...
Dose 4 units rapid...18 tresiba
6.50am..reading 9.5
9.00am...reading 14.6
Breakfast was
50g muesli..32g carbs..6g sugar
Greek style yoghurt 100g
4.9 carbs...4.8 sugars

Are the readings still high because of the sugar.
 
At what point did you actually eat? If your highest figure after eating was 14.6, but you started off at 11.2 on waking, this only indicates a rise of 3.4 after the meal, which is quite normal. If you’d woken at, say, 5.2 which is a nice not too high not too low figure, you’d have risen to 8.6, which is perfectly reasonable.
Did you include an extra Novorapid in your bolus to correct for the high waking reading? (sorry, can’t remember what stage you’re at with your insulin dosing, you may not have been taught correction doses yet).
The crunch will be what your readings are in another couple of hours. If you’ve returned to a reasonable level, then it may be a matter of timing your insulin. The carbs (not just the sugar) may be hitting your system faster than the insulin, particularly if you started higher than you’d like.
Theres also the problem of the liver trying to be helpful first thing in the morning, and releasing extra glucose to help you through the early part of the day (a throwback to when we had to go out on an empty stomach and hunt for our food) and this may be obscuring what’s actually happening with your breakfast.
This all sounds really complicated, but once you’ve nailed it, you don’t have to do the working out every time, you just say, 'oh, muesli, yes, thats x units and I need to take it y minutes before I eat.'
 
Charl said:
Breakfast was eaten at 6.50
30min after taking rapid.
Click to expand...

And did your breakfast Novorapid include a correction dose? Your numbers are ok, seeing as you started high.
 
No correction dose, the DN has only briefly mentioned correction dosage, 1 extra unit to bring down the reading down 2.
 
If I were you, I’d ask more about correction doses if you’re not confident to correct. It’s useful and also pretty important in times of illness if you’re running high.
 
So for instance if my waking reading is 12 , I should add an extra 3 units to my nova rapid before breakfast. Thanks
 
We’re not allowed to give dosages @Charl but yes, you would take additional insulin as a correction dose with your meal time bolus. If in any doubt whatsoever, check with your DSN, and always err on the side of caution - better a bit high than a hypo.
 
If it helps to compare, I woke up unusually high this morning on 9.8. I injected 8 units.... This consisted of

4 units for breakfast

2 correction units which should hopefully bring me down from 9.8 to about 5.8 using a correction factor of 1 unit drops me 2mmols... assuming I have got everything else right, which is pretty consistent at breakfast as I usually have the same breakfast, so I know what works.

2 units to cover Foot on the Floor syndrome because my liver consistently pumps out lots of glucose as soon as I get out of bed. Some people incorporate this into their breakfast ratio but I like to think of it as separate because I still need it if I don't have breakfast, so it still needs to be injected.... this is just what I have found works for me and my body and I am absolutely not suggesting you do this. .

So for me .... 4 + 2 + 2 = 8 units to deal with my breakfast FOTF and bring my levels back down to about 6 where I want them.

It is normal to start off on slightly more conservative correction doses, so I was started off on 1 unit drops you 3mmols and I think in your situation, if you haven't done corrections yet, it would be safer to use a correction factor of 3 rather than 2 until you see how that works.... ie a bit less insulin. So in your situation where you want to drop your levels from 12 down to 6ish I would try just 2 units initially (rather than the 3units you correctly calculated) and see how that works out for you. Better to bring it down a bit but still be a tad high as bring it down too much and hypo. Just my thoughts on what I would do in your situation.
 
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