Hypo

[Elizabethe]

The past two evenings one hour after my dinner I have dropped quickly from 6 to 3.3. I have eaten a balanced meal with chips cold meat and salad one night and a baked potato with prawn mayonnaise and salad tonight. . I inject 2 units of Fiasp just prior to my meal. I then correct the Hypo with 5 jelly babies and a digestive biscuit. One hour later I am at 10. Honestly so fed up, during the day blood sugars fairly steady
Please help now 5 weeks a LADA

 

[Robin]

It sounds as if your insulin might be working faster than your body is digesting the food. Difficulties with mealtime insulin normally boil down to either quantity or timing, and as hypo treatment is making you end up too high, it suggests the amount of insulin is right for the carbs you’re eating in the meal, but the insulin is reaching your system too quickly. You could try injecting after you’ve eaten, to see if this makes a difference, I’m afraid these things are usually sorted out by trial and error. (now called trial and improvement, according to what my kids were taught in school!)

 

[Elizabethe]

Thank you I will try tomorrow taking the insulin after my meal Elizabeth

 

[rebrascora]

For me, 5 JBs and a digestive biscuit to treat a hypo would take my BG up to 10 every time. Sometimes just 2 JBs is enough for me and I almost never use follow up slow acting carbs as well, but that is just what I have found works for me. I think the usual suggestion is 15g carbs which is about 3JBs, possibly plus some slow acting carbs, but when you have already eaten food which will act as those slow acting carbs, then the biscuit may have been unnecessary.
However, I agree with @Robin, that the Fiasp is likely kicking in before the carbs from the food is hitting your blood stream, so altering when you inject the Fiasp to after the meal should help.

 

[SB2015]

Hi @Elizabethe sorry to read about the difficulties you are having with hypos after meals.

As @Robin says it sounds like it is the speed of the action of your insulin that is the issue. FIASP does get going more quickly than other insulin’s so there is not the same need to pre-bolus as there would be with Novo(not so )rapid, so delaying your injection could help.

My normal hypo treatment would be two or three JBs so 5 of them along with a biscuit would send me very high. As you know that you have got carbs inside you you may find that you don’t need the extra biscuit. A slower release carb after a hypo is often recommended on injections to avoid a second hypo. Perhaps you could leave that out after your meal then keep a watch later on. Once you have lifted yourself out of hypo the meal glucose is likely to kick in. Perhaps set a test for a couple of hours late and see if the extra biscuit is needed.

I hope that the ideas you have been given help.

 

[PattiEvans]

Hi @Elizabethe just to add that fat takes longer to digest so the fat in the chips and the mayonnaise (did you also put buttter on the jacket potato?) may be slowing the digestion of your food making the carbs kick in later. As others have already said, add to that the 5 jelly babies and the biscuit and you can see why your BGs are at 10 later. Taking the insulin after the meal is indeed a good idea.

 

[Elizabethe]

Hi @Elizabethe just to add that fat takes longer to digest so the fat in the chips and the mayonnaise (did you also put buttter on the jacket potato?) may be slowing the digestion of your food making the carbs kick in later. As others have already said, add to that the 5 jelly babies and the biscuit and you can see why your BGs are at 10 later. Taking the insulin after the meal is indeed a good idea.

thanks all , this evening I took my 2 units of Fiasp just after my meal. I did not go low but drifted to 10 for a short period then settled about 8 after two and a half hours. This was much better.