Post meal peaks

[rachelha]

Hello

I am looking for help in avoiding post meal peaks. I am on 10u levemir at 8am and 5u at 8pm and a 1:1 ratio. Today at lunch time (12:30) my blood glucose was 4.5. I ate 1 wholemeal granary roll (ham & salad) small packet of crisps and an apple = 55g CHO, so had 5.5u of humalog. I thought this was relatively low GI meal - was this wrong. I had my insulin 10 mins before eating. At 3pm I was at 15.0, at 5pm it was 9.4, at 6pm at 6.2 and then I went hypo (2.8) at 7pm.

After a far amount of experimenting I think I am on right amount of background insulin as I have tried having carb free lunches and now my blood sugar goes up slowly if I have no carb or humalog at lunch

I am trying to conceive at the moment and the guidance for pre-preganancy is that blood glucose 2hrs after meals should be only 2 higher than before meals.

Any ideas would be really welcomed.

Rachel

 

[katie]

Have you tried taking your insulin 15-20 minutes before the meal? Works for some people.

 

[Adrienne]

Hiya Rachel

If you think your basal is right then I would be looking at the ratios. Its great that you are carb counting but I would suggest the ratios are a bit out. It is highly unusual for someone to have the same ratio throughout the whole day. Typically people need more insulin in the morning and a lot less at tea time. 1 to 10 carbs is a great starting point but if you have carb counted ok then I would suggest the ratio is not right and you need more insulin. However you had the hypo which is not good. Are you having mid meal snacks. that is how lots of people on your regime manage. If you increase the ratio at lunch to bring down the spike then you need a 10 to 15 cho snack mid afternoon to prevent the hypo later. Does that make sense.

What I would do first though before any tweaking is try the same lunch again tomorrow and see what happens with the same ratio.

Rule of thumb is never tweak anything on just one thing happening. It could be an off day so you need to try it again.

Plus if you don't normally tweak yourself you will have to speak to your DSN.

Good luck.🙂

 

[rachelha]

Adrienne - thanks for your advice. I eat pretty much the same lunch everyday and this happens on a regular basis so it is not just a one off. I have more insulin at breakfast - I am on a 1.5:1 ratio then. I had been hoping to avoid the scenario of having to have a snack in the afternoon. I am worried this would mean me putting on weight, and being busy at work, forgetting the snack, and going hypo at work.

 

[Adrienne]

Adrienne - thanks for your advice. I eat pretty much the same lunch everyday and this happens on a regular basis so it is not just a one off. I have more insulin at breakfast - I am on a 1.5:1 ratio then. I had been hoping to avoid the scenario of having to have a snack in the afternoon. I am worried this would mean me putting on weight, and being busy at work, forgetting the snack, and going hypo at work.

Yep I get what you mean but some people need the snack and there can be no way around it. What about a friut snack. They never worked with my daughter but they may for you, a banana would be a great one, think of all that lovely potassium or whatever it is 😉 Not grapes though, they will shoot you up. You may only even need half a banana as well.

Just a thought.

 

[Peter C]

Hello

I am looking for help in avoiding post meal peaks. I am on 10u levemir at 8am and 5u at 8pm and a 1:1 ratio. Today at lunch time (12:30) my blood glucose was 4.5. I ate 1 wholemeal granary roll (ham & salad) small packet of crisps and an apple = 55g CHO, so had 5.5u of humalog. I thought this was relatively low GI meal - was this wrong.
Rachel

Hell there,

What did you drink with your lunch ?

 

[rachelha]

Peter C - just a decaf coffee - tiny bit of milk, no sugar