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[Jimmy2202]

So I inject 4 units of novarapid for my breakfast which was 3 slices of toast with marmite and just when you think it’s going fine I got to check my levels for lunch time and this happens!

It’s really doing my head in my now

Breakfast was at 9.15am

Photos attached

 

[RBZ5416]

Has your carb ratio been calculated correctly? Four units of bolus to offset some 70g of carbs seems a little optimistic.

Toast isn't a great breakfast option & three slices even less so. Unless it's one of the ultra low carb breads?

 

[Inka]

Has your carb ratio been calculated correctly? Four units of bolus to offset some 70g of carbs seems a little optimistic.

Toast isn't a great breakfast option & three slices even less so. Unless it's one of the ultra low carb breads?

Toast is fine. Type 1s can eat a normal diet and usually aren’t insulin resistant. I’ve just eaten two slices of normal bread in a sandwich. The diet recommended for Type 1s is just a normal diet, including bread, pasta, potatoes, rice, cereal, etc.

 

[Inka]

@Jimmy2202 I can see why that’s annoyed you! Can you think of any reason for the rise? Stress? Overtreating a hypo? Having a snack? Being less active than usual?

 

[Jimmy2202]

@Jimmy2202 I can see why that’s annoyed you! Can you think of any reason for the rise? Stress? Overtreating a hypo? Having a snack? Being less active than usual?

No I haven’t ate or drank since.

This happened with most of my meals.

I’m always waking high in the night from tea at 7pm

 

[Jimmy2202]

Has your carb ratio been calculated correctly? Four units of bolus to offset some 70g of carbs seems a little optimistic.

Toast isn't a great breakfast option & three slices even less so. Unless it's one of the ultra low carb breads?

What wrong with bread for breakfast? 🙂

I would like to know your reasoning for this? Millions upon millions eat it for breakfast and providing type 1 inject for it then I’d like to know why you deem it not to be a good breakfast choice?

These spikes happen to me no matter what the carb source is

 

[Inka]

No I haven’t ate or drank since.

This happened with most of my meals.

I’m always waking high in the night from tea at 7pm

That’s weird. Have you done a recent basal test? Obviously if your basal is wrong that could cause highs as your bolus dose wears off. Also, where are you injecting your boluses? Sometimes boluses get absorbed faster than usual and then wear off quicker, causing a later high.

 

[Jimmy2202]

Has your carb ratio been calculated correctly? Four units of bolus to offset some 70g of carbs seems a little optimistic.

Toast isn't a great breakfast option & three slices even less so. Unless it's one of the ultra low carb breads?

Also, you might want to check your nutrition labels as 3 slices of bread do not equal 70g of carbs - you must have very high carb bread.

Mine are 17g each totalling 51g

That’s a ratio of about 1:12 which is very common.

 

[Inka]

Also, you might want to check your nutrition labels as 3 slices of bread do not equal 70g of carbs - you must have very high carb bread.

Mine are 17g each totalling 51g

That’s a ratio of about 1:12 which is very common.

My bread is 13g per slice so my lunch bread was 26g carbs. As you say, hardly excessive.

 

[Jimmy2202]

That’s weird. Have you done a recent basal test? Obviously if your basal is wrong that could cause highs as your bolus dose wears off. Also, where are you injecting your boluses? Sometimes boluses get absorbed faster than usual and then wear off quicker, causing a later high.

No I have upped my Basel out of my own choice to try and get my levels down.

I need to do this properly but I keep forgetting and it’s having the time to actually carry it out

 

[Inka]

No I have upped my Basel out of my own choice to try and get my levels down.

I need to do this properly but I keep forgetting and it’s having the time to actually carry it out

I absolutely sympathise @Jimmy2202 When you’re busy, it’s so hard to find the time. Could you do a kind of very basic basal test by skipping lunch or breakfast? I never have time to do a proper, organised one, but I do occasionally skip or delay meals to try to get a feel for what’s happening.

 

[eggyg]

Do you pre bolus? I pre bolus up to 45 minutes before eating at breakfast as I’m very insulin resistant on a morning, it’s not unusual. I also change my ratio to 1:5. Lunch and tea is 1:10 sometimes 1:15. It might be worth experimenting with a few things. The Libre is handy for that. Good luck.

 

[trophywench]

I agree that 70's excessive just for bread, but not one has asked how thick @Jimmy2202 spreads his marmalade! If it'd decent marmalade, heavy on the peel (eg Frank Cooper's Oxford) I'll happily have it as thick as the bread - but no way 3 slices. But I'm a feeble little ancient great grandma, not a strapping young chap like Jimmy!

Incidentally we nearly always have large, medium sliced 50/50 bread and it's 16.8g a slice according to the packet cos I just looked. Always count my lunchtime sandwich as 35g for bolus purposes and that works OK.

 

[rebrascora]

Hi Jimmy. Sorry to hear the problems are continuing. I asked on your previous thread about when you take your Levemir as I seem to remember you were just injecting once a day and that could be the reason why your levels are suddenly heading upwards. It looks like you haven't been back to that previous thread, so if you can answer that question it might shed some light on the matter.
Apologies if you have answered that question about when you take your Levemir elsewhere.

 

[Jimmy2202]

Hi Jimmy. Sorry to hear the problems are continuing. I asked on your previous thread about when you take your Levemir as I seem to remember you were just injecting once a day and that could be the reason why your levels are suddenly heading upwards. It looks like you haven't been back to that previous thread, so if you can answer that question it might shed some light on the matter.
Apologies if you have answered that question about when you take your Levemir elsewhere.

Hi yes sorry I get a bit lost with my threads on here 🙂

So yes i only take Levemir and nice a day at 10pm ish which I’ve upped from 12 units to 14 units now.

 

[Jimmy2202]

*once a day

 

[rebrascora]

I think that may well be your problem then. Increasing your evening dose is causing your overnight levels to drop but not providing you with enough during the day, particularly towards lunchtime. You really need to speak to your nurse about splitting the dose and possibly having more in the morning and less at night. Getting your basal insulin right is so important. I seem to have it in my mind that you work in the building trade and your basal insulin is your "foundation". If it isn't level, everything else is going to become horribly wonky, the higher it gets.

 

[Jimmy2202]

Yes perhaps I should look into splitting the dose.

Not quite building trade, I own a commercial cleaning company specialising in high rise buildings, roof cleaning etc - so very active and on the go up and down on roofs and scaffolding. I will attached a photo of right now where my levels have just shot down due to working 🙂

So from 3pm (hour and half ago) they have come down like 8mol

 

[rebrascora]

Have you also had some lunch during that time and did you inject some bolus insulin for it or a correction? It would really help if you noted on your LibreLink log when you inject insulin and eat food so that we have more information to see what is going on?

 

[Jimmy2202]

Have you also had some lunch during that time and did you inject some bolus insulin for it or a correction? It would really help if you noted on your LibreLink log when you inject insulin and eat food so that we have more information to see what is going on?

I will keep a diary of tomorrows food intake and insulin intake and I will post back tomorrow for you to see 🙂