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Spike in sugar levels

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Ah well, see Madam, the Type 2 advice to 'Test, Review & Adjust' which my old mate Alan Shanley has been advising for at least 20 years - applies equally to Type1s as it does to 2s!

Yours an ex pupil of a senior school where all female teachers were addressed as 'Madam' rather than 'Miss'.
Not aware T1/T2 had any relevance to my post, but hey ho...

When I was at school, we had to use the teacher's name, so Miss X or Mrs Y. Pupils I taught were supposed to do this as well, but often it was just 'Miss'.. Annoying.
Never been called 'Madam' in school!
 
Our Latin school motto (a comprehensive opened in 1956) was 'Non nova Sed nove' ie Not new things, but in a new way. Where I lived was not in the catchment area however - only if we passed to 11 plus to go to the Grammar school - we could instead opt for the Comp. Up to that stage - at the same schools as my big sis (a Grammar Grub) the same teachers were forever telling me that Your sister this that or the other, when I didn't do whatever it was exactly the same as her so I'd had enough!

I have deepest sympathy with Stepdaughter no 2 because big sis no 1 just happens to have an IQ of 150 ish and a photographic memory and hence can do most things despite missing a whole year due to glandular fever, whether it's eg calculus or building a wall - and poor old S - who is quite intelligent - but with a hole in her heart and poor eyesight from birth amongst other things - all in all missed that much school over the years and sick of being compared - in the finish stopped even bothering to try and learn much at all.
 
I agree, I hated being compared to my elder sister, or even worse, being called by her name! I tried really hard not to do this as a teacher, but it's hard.

Apologies, @Ep040249, over-indulgence in thread drift!
 
Amused to see the other ex Maths teacher still using 'trial and improvement' rather than 'trial and error' !!
Old habits die hard. It makes far more sense, and with students it made it clearer that they were working toward a better solution (although that was not always the case!).

Another teacher that used to get fed up with the Mi.........sss. Ooo and that was years ago now.
But way better than Madam. I suspect you are showing your age there @trophywench .

Sorry @Ep040249 we have gone off in a tangent.

A good thing for hypos is to set an alarm which makes you wait the full 15 min after treating it before retesting. I get so impatient.
 
That latter bit is one thing I'd change about the Expert and Insight meters - great they make a blooming great noise at you to retest after the previous test has said you are less than 4.1 - but after only 10 minutes? I do NOT keep hypo remedies at my fingertips constantly so frequently need to walk into the kitchen to choose my remedy today, that can take a couple of minutes, by which time I could be sitting on the loo or doing my hair or got a meal cooking on the gas stove, something under the grill, whatever. Give the flippin remedy a chance, will you?
 
It sounds like you may be reacting a bit too hastily to the Libre arrows. Are you aware that there is a time lag of 10-15 mins between what the Libre shows and what your BG is doing?
As regards the spikes after food and then rapid drops, pre bolussing really is key. Find time, on a weekend perhaps, when there are less work pressures, to experiment with injecting that breakfast insulin earlier.
To put it into context, I need to inject my NovoRapid as much as an hour before eating on a morning to prevent a huge spike but I only need 20 mins at lunchtime or in the evening. Also, even if I am not having any carbs (ie an omelette), I still need to inject 1.5-2 units of bolus insulin to cover Dawn Phenomenon. There are other members here who find the same but probably many people who would hypo waiting so long before eating. That is why experimenting by increasing the time between injecting and eating by 5 mins each day will help you find the "sweet spot" for you where the insulin starts working as the carbs hit your system. Having the LIbre is a huge benefit with this testing. I usually wait until my Libre shows a downward arrow in the 5s before I start eating. It will continue to drop after eating and level out in the low 4s or high 3s and then start to rise but I usually find the Libre reading is a bit lower than my finger prick BG particularly at the lower end of the scale so I don't worry if I drop into the high 3s as I rapidly come back up with the food that is starting to digest in my system and DAFNE guidance actually considers a hypo as 3.5 or below rather than the standard 4.

Timing of that injection does also vary a bit if you are starting the day low or high as you have realised, so if you are high it will often take longer for the insulin to have an impact whereas if you are low it will usually take less time and as @Kaylz says, dialling it back by half a unit is usually a good idea (if you have a half unit pen and if not, ask for one) Having that extra flexibility to fine tune the dose by half a unit is a great option.
I also agree that asking for a more modern bolus insulin might be helpful. It definitely sounds like you need a diabetes clinic appointment to upgrade your management and ideally something like a DAFNE (Dose Adjustment For Normal Eating) Course or whatever your local equivalent it. It is an intensive course but hugely beneficial. Unfortunately, with Covid, things are all on hold at the moment both with outpatient appointments and courses but I believe they are setting up virtual courses.
Thanks for advice really appreciate it
 
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