Got to show you guys!

[gillrogers]

Despite a very stressful day yesterday and consequently wanting to comfort eat but I didn't I managed to achieve this!


All with the help of the half dose and you guys help! . Now to keep the spikes down

 

[rebrascora]

Well done!
The spikes are almost certainly a timing issue and injecting your bolus insulin a bit earlier before you eat should help. Try just 5 minutes earlier and see how that works and if you still spike too high, bring it forward by another 5 mins until your peaks stay mostly in the green providing you don't drop too low.
How soon before eating do you currently inject your insulin?

 

[mum2westiesGill]

Well done!

 

[gillrogers]

Well done!
The spikes are almost certainly a timing issue and injecting your bolus insulin a bit earlier before you eat should help. Try just 5 minutes earlier and see how that works and if you still spike too high, bring it forward by another 5 mins until your peaks stay mostly in the green providing you don't drop too low.
How soon before eating do you currently inject your insulin?

Hi Barbara, 20 mins , some days it works some days it doesn't. I usually gave porridge for breakfast, I've lowered that spike a bit with adding peanut butter . Tried a differant breakfast today and that only made a lil bit of a differance with full fat Greek yogurt, buckwheat granola and blueberries. Think tough I may have needed anith half unit as it returned to just above what I was on at breakfast time until lunch time. 5 1/2 hours later . I keep forgetting go 25 mins bulous time . At the weekend when I was decorating I didn't need the prebolusing. I was having my low alarm go of an hour after eating. Had to go sit quietly for an hour to bring it back up!

 

[Proud to be erratic]

Hi Barbara, 20 mins , some days it works some days it doesn't. I usually gave porridge for breakfast, I've lowered that spike a bit with adding peanut butter . Tried a differant breakfast today and that only made a lil bit of a differance with full fat Greek yogurt, buckwheat granola and blueberries. Think tough I may have needed anith half unit as it returned to just above what I was on at breakfast time until lunch time. 5 1/2 hours later . I keep forgetting go 25 mins bulous time . At the weekend when I was decorating I didn't need the prebolusing. I was having my low alarm go of an hour after eating. Had to go sit quietly for an hour to bring it back up!

Hi @gillrogers,
I frequently have spiky days. I'm interested in your idea of adding peanut butter. What is the rationale? Does this lower the net glycaemic index and thus slow down the food's arrival to coincide better with the insulin.

I try to stick with a very similar breakfast (Special K, milk, fresh fruits, some seeds and nuts, ++) every day. I weigh and count the carbs rigorously and bolus accordingly; modest bolus changes arise from the weights of individual large fruits, eg bananas and nectarines. Other meals vary a lot, trying to achieve a balanced diet across the week as well as how I feel. Snacks also vary, in response to hypos or regulating falling BG.

I'm Type 3c, total pancreatectomy and take a lot of creon. I still have concerns about malabsorption, but this is now being actively followed up by my Gastro Consultant and I've recently had a colonoscopy; biopsy results awaited. So I realise my "spikes" may be outside of my current controls.

 

[gillrogers]

Hi @Proud to be erratic
I add peanut butter cos it was a recipe I found ages ago that had peanut butter in it. I'm Lada so was under weight for a while when they thought I was type 2. Peanut butter was a tasty way for me to add more calories to my breakfast. I find the day content slows the release down of sugar as oats spike high. My spikes tend to be down to not enough fat in my meal plus my lispro taking about 25 minutes to activate so it's behind my food digestion. Now I've worked out I need to pre-bolus 25 minutes my spikes arnt quite so high.

 

[Proud to be erratic]

Hi @Proud to be erratic
I add peanut butter cos it was a recipe I found ages ago that had peanut butter in it. I'm Lada so was under weight for a while when they thought I was type 2. Peanut butter was a tasty way for me to add more calories to my breakfast. I find the day content slows the release down of sugar as oats spike high. My spikes tend to be down to not enough fat in my meal plus my lispro taking about 25 minutes to activate so it's behind my food digestion. Now I've worked out I need to pre-bolus 25 minutes my spikes arnt quite so high.

Thank you @gillrogers. We always have peanut butter in the cupboard, I just need to remember to eat some (and a creon capsule!).

I have a contradiction with respect to fat intake. 3 months ago my GP suggested I reduce my fat content (previously completely unrestrained) because of the potential strain on my bile duct etc after my pancreatic surgery; this sounded sensible enough. But after 15 months post op at a steady weight, I've been slowly losing weight and now lower than where I wish to be. This weight loss has increased gently and I'm now denying myself "loads of butter (and oils and cream!)" for no apparent gain. My cholesterol was already very good. So I've just abandoned the lower fat approach.

I also pre-bolus, different durations at different meals; significantly longer for breakfast. I've found recently, thanks to Libre 2, that because I seemed to need a different length of time for pre-bolus depending on how much correction was needed on top of the food bolus, I can wait until my sugars are clearly starting to drop then eat. Since breakfast is already a cold meal, food temperature is not a problem. I'm retired, so most days there is no pressure to get out the house (and lock down has also helped!). Like you, the spikes are reducing, but it's still work in progress.