Injecting after eating and MySugr bolus advisor

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That pretty much rules out the correction factor as the problem then.
So make a note for the next few days, what time do you eat your evening meal, and if you go hypo afterwards what time does that happen. If you find that you are often going low roughly the same amount of time after you’ve eaten, then it probably means that your carb ratio needs to be slightly different in the evening. However if you find you go low at about the same time every day regardless of what time you ate, or if there’s no particular pattern to it, then it might be a basal problem in which case someone else will have to help you, basal on a pump is completely different from injecting!
If you find you don’t go low after eating again then it’s probably just one of those one-off weird glitches and isn’t worth worrying about.
 
Sally71 said:
That pretty much rules out the correction factor as the problem then.
So make a note for the next few days, what time do you eat your evening meal, and if you go hypo afterwards what time does that happen. If you find that you are often going low roughly the same amount of time after you’ve eaten, then it probably means that your carb ratio needs to be slightly different in the evening. However if you find you go low at about the same time every day regardless of what time you ate, or if there’s no particular pattern to it, then it might be a basal problem in which case someone else will have to help you, basal on a pump is completely different from injecting!
If you find you don’t go low after eating again then it’s probably just one of those one-off weird glitches and isn’t worth worrying about.
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Thank you @Sally71 for your reply and support.
I will make a note of all BGL's and times for the next few days and post them on this thread.
 
Thursday 7/6/2021
6:58am - 12.1 - waking
9:52am - 4.1 - breakfast time
14:08pm - 9.2 - lunchtime
19:11pm - 4.3 - teatime
21:33pm - 4.8 - 2 hours after tea
00:50am - 4.8 - bedtime
 
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Friday 18/6/2021
6:57am - 7.6 - waking
9:36am - 10.2 - breakfast time
14:28pm - 5.5 - lunchtime
 
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@Sally71 & @Inka
My DSN phoned me before - she said that whenever I'm bolusing after eating using the MySugr app to definitely go from the test before eating
 
So I've done this ie test before eating - after eating take the test from before eating - enter carbs - get bolus advice but it seems that 3 hours ish later I go hypo so how can I avoid the hypos? If anyone knows please let me know.
 
If you’re sure you carb counted correctly and weren’t just guessing (tricky when eating out i know) then that would suggest that your carb ratio is wrong and needs adjusting, talk to your DSN.
 
Sally71 said:
If you’re sure you carb counted correctly and weren’t just guessing (tricky when eating out i know) then that would suggest that your carb ratio is wrong and needs adjusting, talk to your DSN.
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Re the carb ratio is wrong the particular hypos are only happening when I've been eating out
 
It may be that you need to split the dose, particularly if they are quite fatty or fibre rich foods like pizza or lentils/beans (chilli or dahl) etc.... so test before eating, use that result after the meal to calculate the bolus and take maybe 2/3 of the insulin then and the rest an hour or two later. This is a common tactic with pizza although most people take the first dose just as they start eating and the rest afterwards, but no reason why you can't take them both afterwards but split by an hour or two.
 
mum2westiesGill said:
Re the carb ratio is wrong the particular hypos are only happening when I've been eating out
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If you only go low after eating out then unless you eat much higher fat food when eating out, I’d say you are guessing the carbs wrong. Try guessing slightly lower than you have been.
 
Lucyr said:
If you only go low after eating out then unless you eat much higher fat food when eating out, I’d say you are guessing the carbs wrong. Try guessing slightly lower than you have been.
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I do get the odd hypo that creeps up sometimes during the day but lately when I've eaten out or had a chinese takeaway I can almost guarantee that a few hours later I will go hypo. The chinese takeaways I do weigh them out and enter the weight on the nutracheck app to get the carb amount so maybe whether it's eating out or a takeaway I'll try entering a smaller amount of carbs into the bolus adviser
 
mum2westiesGill said:
I do get the odd hypo that creeps up sometimes during the day but lately when I've eaten out or had a chinese takeaway I can almost guarantee that a few hours later I will go hypo. The chinese takeaways I do weigh them out and enter the weight on the nutracheck app to get the carb amount so maybe whether it's eating out or a takeaway I'll try entering a smaller amount of carbs into the bolus adviser
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The alternative would perhaps be to guess the carbs as you are doing, but to knock a small amount off the bolus, so that you are targeting a slightly higher blood sugar, and then to recheck and correct if needed later on.

I’m not suggesting much here, if 1u correction drops you 2mmol then reducing a bolus by 1u should mean you end up about 2mmol higher than you are with current doses. So you could start with a small tweak and adjust. If you eat the same takeaways regularly then you can learn what dose normally works for it by looking at what insulin you took last time and what happened to your blood sugar.
 
Lucyr said:
The alternative would perhaps be to guess the carbs as you are doing, but to knock a small amount off the bolus, so that you are targeting a slightly higher blood sugar, and then to recheck and correct if needed later on.

I’m not suggesting much here, if 1u correction drops you 2mmol then reducing a bolus by 1u should mean you end up about 2mmol higher than you are with current doses. So you could start with a small tweak and adjust. If you eat the same takeaways regularly then you can learn what dose normally works for it by looking at what insulin you took last time and what happened to your blood sugar.
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Thank you for your advice. Usually when eating out or takeawaying it's in the evening so my next test would be my bedtime one so if I needed a correction it would be bedtime but hey ho I've got an alarm on my phone.

That's right 1u correction drops me by about 2mmol. Maybe I could tweak my bolus and see what happens.
 
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