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Should BG be back to pre meal range after 2 hours

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Pat91

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5.5 before dinner 5.6 2 hours later. Is this normal or a sign I'm on too much insulin ? Thank you.
 
Pat, I am awaiting the replies on this one as well! You are asking some great questions thank you!! Sara
 
Type1Pat said:
5.5 before dinner 5.6 2 hours later. Is this normal or a sign I'm on too much insulin ? Thank you.
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Hi Type1Pat,

For me, that is either a sign that your bolus timing, carbs, meal type and dose is incredible and that you have a flat line over a meal, or, that i'd be anticipating a hypo in the next hour or so....

Keep an eye on your blood sugars for bit and see how it plays out. I have had days where blood sugars have been flat all day, but I usually see a bigger rise than that after a meal, then back down after a 4-5 hours.
 
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Personally ,I would be expecting a hypo as you still have a few hours of active rapid insulin left .
 
Amity Island said:
Hi Type1Pat,

For me, that is either a sign that your bolus timing, carbs, meal type and dose is incredible and that you have a flat line over a meal, or, that i'd be anticipating a hypo in the next hour or so....

Keep an eye on your blood sugars for bit and see how it plays out. I have had days where blood sugars have been flat all day, but I usually see a bigger rise than that after a meal, then back down after a 4-5 hours.
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Amity Island said:
Hi Type1Pat,

For me, that is either a sign that your bolus timing, carbs, meal type and dose is incredible and that you have a flat line over a meal, or, that i'd be anticipating a hypo in the next hour or so....

Keep an eye on your blood sugars for bit and see how it plays out. I have had days where blood sugars have been flat all day, but I usually see a bigger rise than that after a meal, then back down after a 4-5 hours.
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Hi there, thanks for the reply, I need to check my sugars again at 9 anyway so will see what they say then. Although I have had a small portion of hazelnuts so not sure if this will affect the BG.
 
Usually I’d be expecting a hypo. Unless...I’d had a meal with slow release carb and higher fat, in which case I might expect my blood glucose to rise over the following two hours. I had sausage and lentil casserole tonight, and that might well happen to me. Time will tell!
 
Robin said:
Usually I’d be expecting a hypo. Unless...I’d had a meal with slow release carb and higher fat, in which case I might expect my blood glucose to rise over the following two hours. I had sausage and lentil casserole tonight, and that might well happen to me. Time will tell!
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I had 238g jacket potatoe, cabbage, green beans, peas and carrots with 1 chicken breast so had a good amount, which is why I'm surprised my BG was back to pre meal range after only 2 hours.
 
Type1Pat said:
5.5 before dinner 5.6 2 hours later. Is this normal or a sign I'm on too much insulin ? Thank you.
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I agree with the others, it's probably the latter. Though it all depends. If you're eating a low-carb dinner, then maybe that's fine. Generally, looking at the Libre graph I'm hoping it's levelling out (so at its maximum) a couple of hours later, and then falling back to normal a couple of hours after that. (Though it depends on how big the dinner is, etc.)
 
Type1Pat said:
I had 238g jacket potatoe, cabbage, green beans, peas and carrots with 1 chicken breast so had a good amount, which is why I'm surprised my BG was back to pre meal range after only 2 hours.
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It's a good combination of food. For me a jackat potato on it's own has a very high g.i, making my blood sugars spike. However as it's been mixed with a good portion of chicken (protein) and some veg it could well be a very gentle ride in blood sugars. It's all trial and error, takes time to buid up a personal record of meals, insulin, timings and outcomes.

Just out of interest, are your ratios and timings the same throughout the day? Or do you find you need more insulin earlier in the mornings? and in the evening you need less insulin / carbs later on?
 
Amity Island said:
It's a good combination of food. For me a jackat potato on it's own has a very high g.i, making my blood sugars spike. However as it's been mixed with a good portion of chicken (protein) and some veg it could well be a very gentle ride in blood sugars. It's all trial and error, takes time to buid up a personal record of meals, insulin, timings and outcomes.

Just out of interest, are your ratios and timings the same throughout the day? Or do you find you need more insulin earlier in the mornings? and in the evening you need less insulin / carbs later on?
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Breakfast has the biggest effect on my BG, 2 Weetabix so probably not the best choice. Has been about 4ish mmol higher 2;hours after breakfast but does drop quite fast after that. Rest of the day is quite consistent in readings. And have been taking 8 units before each meal. Think it needs tailoring a bit tho as have been nearing to near low 4 mmol a couple of times.
 
Hi @Type1Pat i do find I can flat line after a meal if I get the timing of my Bolus right and depending on the content of the meal, as others have said. It is a case of trial and improvement and keeping notes of what carbs you have eaten alongside the BG readings can help you to work out what is happening.

Have you asked for/got a Libre Sensor. That was when I started to understand a lot more about what different foods were doing to my levels.
 
Type1Pat said:
Breakfast has the biggest effect on my BG, 2 Weetabix so probably not the best choice. Has been about 4ish mmol higher 2;hours after breakfast but does drop quite fast after that. Rest of the day is quite consistent in readings. And have been taking 8 units before each meal. Think it needs tailoring a bit tho as have been nearing to near low 4 mmol a couple of times.
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Going up 4mmol is fine. Weetabix is fine too. Are you roughly adding up your carbs per meal? It’s the carbs/insulin ratio that affects things. You’re on fixed doses so each mealtime dose of insulin needs a fixed amount of carbs. Your DSN should be able to advise you about this eg when I was diagnosed I was told have X amount of insulin for breakfast and 50g carbs.

Even in someone without Type 1, blood sugar goes up and down throughout the day, particularly in response to food.

(I know I keep harping on about adding up the carbs, but you really are ‘flying blind’ without doing that)
 
Inka said:
Going up 4mmol is fine. Weetabix is fine too. Are you roughly adding up your carbs per meal? It’s the carbs/insulin ratio that affects things. You’re on fixed doses so each mealtime dose of insulin needs a fixed amount of carbs. Your DSN should be able to advise you about this eg when I was diagnosed I was told have X amount of insulin for breakfast and 50g carbs.

Even in someone without Type 1, blood sugar goes up and down throughout the day, particularly in response to food.

(I know I keep harping on about adding up the carbs, but you really are ‘flying blind’ without doing that)
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Yeah so 2 Weetabix is 52g of carbs and I take 8 units of Novo. So going of that 1 unit covers me for 6.5g of carb. This morning wasn't hungry at all but had 6.9g of carb of Greek yoghurt and 1/4 of a banana. Only took 2 units of Novo. ( Probably would of been better taking one). Will let you know how my readings pan out.
 
Type1Pat said:
Yeah so 2 Weetabix is 52g of carbs and I take 8 units of Novo. So going of that 1 unit covers me for 6.5g of carb. This morning wasn't hungry at all but had 6.9g of carb of Greek yoghurt and 1/4 of a banana. Only took 2 units of Novo. ( Probably would of been better taking one). Will let you know how my readings pan out.
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2 Weetabix is 26g carbs then add on the carbs from your milk. Cows milk is roughly 10g carbs per 200ml. I used to just pour the whole 200ml on when I was diagnosed and have it quite sloppy. That would make 36g carbs.

Did you have something else on your Weetabix? Just wondering about the 52g carb figure.
 
Inka said:
2 Weetabix is 26g carbs then add on the carbs from your milk. Cows milk is roughly 10g carbs per 200ml. I used to just pour the whole 200ml on when I was diagnosed and have it quite sloppy. That would make 36g carbs.

Did you have something else on your Weetabix? Just wondering about the 52g carb figure.
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My mistake your right it's 26g for 2 Weetabix and just have it with semi skimmed milk. So would it be around 1 unit covers 3.2 ISH of carbs if I'm having 8 units with 26g carbs with the Weetabix ? If so 2 units would be about right for my 6.9g carbs from my Greek yoghurt this morning.
 
Type1Pat said:
My mistake your right it's 26g for 2 Weetabix and just have it with semi skimmed milk. So would it be around 1 unit covers 3.2 ISH of carbs if I'm having 8 units with 26g carbs with the Weetabix ? If so 2 units would be about right for my 6.9g carbs from my Greek yoghurt this morning.
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No, you haven’t added the milk carbs. Milk is approx 10g carbs per 200ml as I said. So you need to measure your milk (I used to pour out my measure in advance so I knew how much I was having), then add the carbs for the milk onto the Weetabix carbs.

If you had 200ml milk, say, then the total carbs for your breakfast would be 36g (26g plus 10g).

TBH, it’s simpler to stick to the same breakfast and similar lunches in the early days. If WB works for you - and it seems it does - stick to that. That removes one variable while things are settling and you and your team are information gathering. Same with lunch. Stick to a sandwich, yoghurt and fruit or whatever and just vary the sandwich filling.

I probably already said this but diabetes is a marathon not a sprint. Slow and steady 🙂

Remember you can get a half-unit pen for your Novorapid too. That’s very useful.
 
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Inka said:
No, you haven’t added the milk carbs. Milk is approx 10g carbs per 200ml as I said. So you need to measure your milk (I used to pour out my measure in advance so I knew how much I was having), then add the carbs for the milk onto the Weetabix carbs.

If you had 200ml milk, say, then the total carbs for your breakfast would be 36g (26g plus 10g).

TBH, it’s simpler to stick to the same breakfast and similar lunches in the early days. If WB works for you - and it seems it does - stick to that. That removes one variable while things are settling and you and your team are information gathering. Same with lunch. Stick to a sandwich, yoghurt, fruit or whatever and just vary the sandwich filling.

I probably already said this but diabetes is a marathon not a sprint. Slow and steady 🙂

Remember you can get a half-unit pen for your Novorapid too. That’s very useful.
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Oh right I see. I am sticking to regular meals 99% of the time, just thought I would try something different this morning as was not hungry. Before breakfast this morning 6.4 after 2 hours 10.7 so is coming down a lot slower, but maybe will work out better as in less chance of hypos before next meal due. Will check again before lunch at 12. Thanks again for the advice .
 
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