Still spiking, grrr!

[Northerner]

This morning I had one slice of toast for breakfast - don't like a lot in my stomach before a run. I injected about 20 mins before (starting BG was 5.8), ate the toast, then tested be for my run 2 hours later - 11.0! 😱 Grr! OK fr the run though, and tested when I got back and I was 8.3. Four hours after eating I'm 6.2.

I'm going to test every half hour tomorrow morning to see just what is happening - I want to avoid that spike, but I don't know whether I'm injecting too early or too late. I usually just have toast before a run as it doesn't upset my stomach. Before D I would have gone for the run before eating anything - really missing that spontaneity!

 

[Caroline]

I think one of the things I have learned is to test when I am not sure and then experiment until I get it right.

This year for Easter, I don't want an egg, I want a fully functional pancreas and cells that absorb insulin as they should!

 

[Northerner]

I think one of the things I have learned is to test when I am not sure and then experiment until I get it right.

This year for Easter, I don't want an egg, I want a fully functional pancreas and cells that absorb insulin as they should!

Haha! I just imagined the fully functioning pancreases flying off the shelves of Tescos and ASDA! If only!

 

[lucy123]

Sorry to hear about the spike Alan, testing regularly will hopefully help you work things out 🙂

 

[margie]

Do you know how your blood sugar behaves when you don't eat. Mine in the morning is a bit mad. I can get up and test, half an hour later without anything it can go up by 5 points then another half hour it sometimes drops sometimes doesn't. I find mornings the hardest times to get right. Not that that helps unless you could run at a time of day when things are more consistent for you.

 

[Northerner]

Sorry to hear about the spike Alan, testing regularly will hopefully help you work things out 🙂

Thanks. I think what also bugs me is that I need 7 units of insulin for one measly slice of toast in the morning!

I think that, despite the fact that I have good access to plenty of strips, I have never quite got over the guilty feeling that a) they cost the NHS a lot of money, and b) there are so many people who can't test anywhere near as often because they either have to pay or are prescribed so few So it's actually quite hard for me to commit to doing what may be 6 tests just to work out what one slice of toast is doing to me, but I suppose once I have learned properly it will be information I can use time and again.

 

[heasandford]

but why have you got those results now when it was OK last week? and I suppose I question what good is all the testing (not you, but me) when it goes wrong again so quickly. I currently live on the most massive range of results daily which I just don't seem to be able to control. You had an SD of around 1.9 only a few weeks ago

sorry this sounds very discouraging, its not meant to be, only to try to understand how to get such good control....

 

[everydayupsanddowns]

Northie, have you tried doing a fasting test between breakfast and lunch recently? Not much use on a running day but I'm wondering how much of your rise might be liver related, rather than toast related. 7u for 15g carbs and a rise of 5ish mmol/L just doesn't seem to add up to me without Mr Liver sticking his unwelcome oar in.

EDIT Sorry just read Margie's earlier post and realised I was beaten to it!

 

[heasandford]

you read all that stuff about insulin actually preventing the liver from dumping rather than it just removing glucose into cells?

In the face of hyperglycaemia, glucose clearance represents both tissue glucose metabolism and urinary glucose loss. By collecting urine and measuring the losses directly, tissue glucose metabolism can be calculated readily. Such calculations show that, in the face of hyperglycaemia, tissue glucose uptake is usually increased above normal even when insulin deficiency is severe.

I am confused again....!

 

[Northerner]

My levels do climb if I don't eat in the morning, but not a great deal. I can't really consider splitting my lantus as I'm currently on 5 units and will probably be dropping that again soon, plus it works fine for me the other 20 hours of the day. I suspect it's a timing thing with the injections, and probably injection site too, just to add further complication! I usually inject in my backside on a running day, which is slower absorbtion, but maybe it's quicker or slower than I think - hence the tests tomorrow!

 

[Northerner]

but why have you got those results now when it was OK last week? and I suppose I question what good is all the testing (not you, but me) when it goes wrong again so quickly. I currently live on the most massive range of results daily which I just don't seem to be able to control. You had an SD of around 1.9 only a few weeks ago

sorry this sounds very discouraging, its not meant to be, only to try to understand how to get such good control....

Actually, it's more that I wasn't testing when I was getting these peaks. With extra testing I should be able to pin it down. I do think they are short lived and probably mainly confined to breakfast readings - who would have thought your body would be so different in the morning to the rest of the day? 😱

I have just tested at 4.9 before lunch 🙂

 

[FM001]

Northerner, from a personal perspective I would see this rise as a liver dump. I try and eat as soon as I get up and then get washed and changed, should I delay this or do things in reverse then my good morning readings fast become ones such as you experienced today. A reading of 5.8 and considering you injected 20 mins before should have covered your toast without a problem, I may be wrong but this is my experience anyway.

 

[Northerner]

Northerner, from a personal perspective I would see this rise as a liver dump. I try and eat as soon as I get up and then get washed and changed, should I delay this or do things in reverse then my good morning readings fast become ones such as you experienced today. A reading of 5.8 and considering you injected 20 mins before should have covered your toast without a problem, I may be wrong but this is my experience anyway.

Thanks Toby, this is what I hope to discover from extensive testing tomorrow 🙂

 

[lyndasw]

Haha! I just imagined the fully functioning pancreases flying off the shelves of Tescos and ASDA! If only!

Ooooh is there a poem lurking here ...

 

[Northerner]

Ooooh is there a poem lurking here ...

I think there might be!

 

[Robster65]

Hi Alan. Just catching up.

I do what Toby does (though in my house of course 😱) and have breakfast first thing.

I also inject immediately before eating and haven't had any bad spikes. Obviously, horses for courses and different foods but I would have said you could inject a lot later and preferably eat before doing too much. If your body is runnign low on carbs , your liver could be dumping well before breakfast, making you higher than you think when you inject, and still rising, so your humalog is having to bring that lot down, leaving you short of insulin for your toast and sending you high before your run. Maybe. Or one of the other 1,000,000 scenarios.🙄

Be interested to see how tomorrow morning goes.🙂

Rob

 

[Northerner]

Hi Alan. Just catching up.

I do what Toby does (though in my house of course 😱) and have breakfast first thing.

I also inject immediately before eating and haven't had any bad spikes. Obviously, horses for courses and different foods but I would have said you could inject a lot later and preferably eat before doing too much. If your body is runnign low on carbs , your liver could be dumping well before breakfast, making you higher than you think when you inject, and still rising, so your humalog is having to bring that lot down, leaving you short of insulin for your toast and sending you high before your run. Maybe. Or one of the other 1,000,000 scenarios.🙄

Be interested to see how tomorrow morning goes.🙂

Rob

I usually get up and make a cup of tea and inject, and then eat as soon as my cup of tea is finished and I'm ready for another! So, really there's not much time between getting up and eating, and even less between getting up and injecting, plus I would expect the insulin to be already starting to work and keep my liver's output at bay. I have to wait at least 90 mins before going for my run otherwise I'd feel nauseous - one of the reasons I used to run on an empty stomach before diagnosis, and why D is such a pain for me now!

 

[D_G]

(starting BG was 5.8)

Just a thought....is it possible that if you would have tested on your other hand/another finger it may have been higher than that?? as sometimes i can be 5 on one hand and 8 on the other!! if that was the case you could have been around the 8 mark to start with and only had gone up a few mmols to 11?

🙂

 

[Northerner]

Just a thought....is it possible that if you would have tested on your other hand/another finger it may have been higher than that?? as sometimes i can be 5 on one hand and 8 on the other!! if that was the case you could have been around the 8 mark to start with and only had gone up a few mmols to 11?

🙂

Aagh! Something else to consider! 😱 If only we didn't have to prick our fingers to find out! Where are all these tattoos and non-invasive BG indicators we keep hearing about? I want them NOW!!!! 🙂

 

[D_G]

Aagh! Something else to consider! 😱 If only we didn't have to prick our fingers to find out! Where are all these tattoos and non-invasive BG indicators we keep hearing about? I want them NOW!!!! 🙂

I think they are with the flying pigs....

it would be soo useful to have something that monitors our bg all the time...reliably!