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Thoughts and input please :)

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Kaylz

Well-Known Member
Relationship to Diabetes
Type 1
As many of you know I have been experiencing problems with a dip 2 hours post breakfast then a rise at 4 hours, this has caused me a few hypos, it was suggested that the fat content of the cocoa and peanut butter may be slowing things down causing the dip and then the later rise, this morning I had my usual 2 slices wholemeal toast but one with a little butter and one jus dry (was actually rather nice dry weirdly lol) anyway starting point was 6.0, 2 hours post was 4.9 so still a drop but 4 hours later back to a 6.0, thoughts, inputs, ideas - anything welcome 🙂 x
 
My thought is, you are far too fussy and you're driving yourself batty doing it.

Why do you want different numbers than what you got this morning?????? What's wrong with a 6? All human beings BG wanders about all day every day between 4 ish and 7 ish - their BG doesn't stay constant. Why on earth do you want - or expect - yours to be constant?
 
I don't want it to be constant! I just don't want to be dipping low everyday and then yo-yoing and not knowing what to do! Sorry if that's so wrong for me to think that way :(
 
could be the butter slowing your rate down, then once it wears off the carbs from the toast kick in, wholemeal I guess is slower release anyway.
 
There's basically only two things you can tweak with an injection, the amount, and the timing. The amount would seem to be correct, as you end up where you started, so the only other thing to try would be the timing, doing the injection five or ten minutes later than you would normally, and work from there,
 
I don't want it to be constant! I just don't want to be dipping low everyday and then yo-yoing and not knowing what to do! Sorry if that's so wrong for me to think that way :(
Kaylz...think how you want to...ask what you need to...in whichever way you choose...members don't have to reply/comment on your posts...it's not mandatory...you may be worrying unnecessarily...who knows...I never give advice to type 1's...no experience of it...I've no doubt others will be along to offer some suggestions...likely in a more understanding way...don't let that response unsettle you.
 
I agree with Robin, it's all a matter of finessing the time for the injection, because it's obviously the right dose. Mind you, getting tied up in numbers like 6.0 and 4.9 then 6.0 again is hardly worth the worry because it is so normal - even for a muggle. You are doing really well at the beginning of your diabetic career, but don't let the diabetes become your master.
 
Kaylz those numbers (especially after toast! ) are pretty awesome. you will get spikes and dips around eating food and bolusing, thats just the way the game works. The way i see those results, is dipping to 4.9 is pretty much perfect, a different finger and it could have been 5 or 5.2, those varying meter reading happen on different fingers. Then raising back up to 6 suggest to me the slow absorption of wholemeal bread and that coupled with peanut butter has slowed it down a bit more. 6 is a perfect number. So be happy that thats where you ended up after brekki 🙂 pat on the back. i think you have nailed it! No hypo and no high= gold star 🙂 that is not even close to being considered a yo yo, now... if it was a hypo then shooting up to 20 then going hypo again, then yes i would consider that a yo yo. I know they say 5.5 is the magic number, but there is a reason the diabetic community call those unicorns lol (you hardly ever if at all see it ) To put into perspective i just ate a thai red curry and spiked to 15 mmol because a) i forgot to pre bolus and B) it was white rice. I'm not stressing though, thats life these things happen and its on its way back down. Its all about doing what you know is the correct way to do things and hoping for a good result. i only have myself to blame... (but i'm not blaming myself because i've lived with this so long its all second nature and the occasional high and low are going to happen.). Do you keep a record book? (not just on the meter) i mean like a diary of some kind, you could draw a trend graph, 2 horizontal lines and make the top line your high limit and the bottom one your low limit and plot your bg results on that. it's like bg bowling , staying between the bumpers. That's all this type 1 game is about, staying between the lines... i've gone on long enough lol , but food for thought x
 
There's basically only two things you can tweak with an injection, the amount, and the timing. The amount would seem to be correct, as you end up where you started, so the only other thing to try would be the timing, doing the injection five or ten minutes later than you would normally, and work from there,
That would mean injecting after and I've never done that before :( x
 
Kaylz those numbers (especially after toast! ) are pretty awesome. you will get spikes and dips around eating food and bolusing, thats just the way the game works. The way i see those results, is dipping to 4.9 is pretty much perfect, a different finger and it could have been 5 or 5.2, those varying meter reading happen on different fingers. Then raising back up to 6 suggest to me the slow absorption of wholemeal bread and that coupled with peanut butter has slowed it down a bit more. 6 is a perfect number. So be happy that thats where you ended up after brekki 🙂 pat on the back. i think you have nailed it! No hypo and no high= gold star 🙂 that is not even close to being considered a yo yo, now... if it was a hypo then shooting up to 20 then going hypo again, then yes i would consider that a yo yo. I know they say 5.5 is the magic number, but there is a reason the diabetic community call those unicorns lol (you hardly ever if at all see it ) To put into perspective i just ate a thai red curry and spiked to 15 mmol because a) i forgot to pre bolus and B) it was white rice. I'm not stressing though, thats life these things happen and its on its way back down. Its all about doing what you know is the correct way to do things and hoping for a good result. i only have myself to blame... (but i'm not blaming myself because i've lived with this so long its all second nature and the occasional high and low are going to happen.). Do you keep a record book? (not just on the meter) i mean like a diary of some kind, you could draw a trend graph, 2 horizontal lines and make the top line your high limit and the bottom one your low limit and plot your bg results on that. it's like bg bowling , staying between the bumpers. That's all this type 1 game is about, staying between the lines... i've gone on long enough lol , but food for thought x
Lunch didn't go so well was 10.0 or 11.0 2 hours post and 8.8 4 and a bit hours later :( this always seems to happen for a few days after I have a hypo! I am the only one that experiences that? x
 
Thanks for the support guys 🙂 been a little disheartened again not only because of readings though, so thank you all for being so understanding and supportive x
 
Sorry Kaylz - I just couldn't understand what you wanted ideas about, seeing as both your before and after BGs were perfect.

Having hypos does send your body haywire sometimes for a few days! - we never know when it will and when it won't, or what it depends on, to make it do that. Certainly happens to me now and again, and enough times for me to go Oh blast, here we go again. However as I don't very often test after meals, my differences in BG are always going to be quite a bit higher than yours. I might stick a TBR on for a bit, or on MDI I would have deliberately had less/more bolus insulin, whichever I needed, more or less, until it seemed to have passed.

Still - if your body's telling you that you have a bit too much insulin upfront - then you have to listen to what it's telling you and do whatever's necessary Kaylz - even though you're a bit scared. How about a compromise? Inject after the first piece of toast before you start on the second one! That smaller delay might be just enough?
 
Lunch didn't go so well was 10.0 or 11.0 2 hours post and 8.8 4 and a bit hours later :( this always seems to happen for a few days after I have a hypo! I am the only one that experiences that? x
Ok so first , don't frown, please! you seem to think these readings are some way good or bad. That or disappointed. they are neither and rome wasn't built in a day its a marathon not a sprint, i'm sure you have heard all that before, but just a reminder 🙂 they are information for you to choose what to do with. nothing more nothing less, and it doesn't mean you are not trying 🙂 Ok, so what you had at lunch was a classic spike. shooting up to 10 or 11, that suggests that you needed to pre bolus more than you did so you don't get that spike. and a touch high at 4 hours suggests not quite enough insulin to begin with. So look at your carb counting, what did you eat and how long before you ate did you pre bolus. Somewhere in amongst that you will have your answer.
 
The same meal and the same timing etc has worked great before on many occasions, I think I may need a chat with my DSN to feel a bit more at ease again :( I really do just hate all of this and the feeling of being alone in it all thanks though x
 
You'll never be alone again, Kaylz, now that you've got us lot bugging you.😛:D😛
And don't stop asking questions - you manage to put into words the little niggles that I just ignore but never stop struggling with.🙂
 
You'll never be alone again, Kaylz, now that you've got us lot bugging you.😛:D😛
And don't stop asking questions - you manage to put into words the little niggles that I just ignore but never stop struggling with.🙂
Made me laugh 🙂 you guys don't bug me at all :D x
 
Sounds to me like you don't yet have the confidence to 'cut yourself some slack' Kaylz but I sense that's your personality anyway. Just be careful not to let it become too obsessional because in reality you're doing great.

I sense it bugs you that no one in your immediate circle at home gets this and understands what you need to do and why it's so important. That's always a bit isolating so good that you have the type 1 guys on here. Perhaps things are not great generally too...that always affects our coping capacities. It does me. I suddenly burst into tears yesterday in a supermarket. Lots of issues bearing down on me at once (and it wasn't having to dodge the cake and bread stand!) but sanity is now restored and like you, getting on with things.
Don't be too hard on yourself. Most type 1's would kill for those levels! 🙂 (type 2's too!)
 
Hi Kaylz wow what i would give for those numbers well done! Now stop being so hard on yourself (says me loll) Stop totally focusing on numbers your going to hurt yourself in your head, great job, rest your mind
 
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