Tortillas

[Marier]

Bit baffled Had 1 Tortillas for Dinner last night with salad, cooked chickn small amount of sweet chilli sauce + 15gms = 7.7 carbs tortilla 1 x 40gms = 19.8 total 27.5 carbs usual on a 1:1 ratio 3QA however was going food shoppn and usually have less Insulin as i drop ltr on so only had 2QA 8.35PM BG 22.7

Today lunch 12.50 PM 1 x 40 grm Tortilla wrap 19.8 carbs with salad i.e Lettuce,Tomato,Red onion,Cucumber 0 carbs filled with LEFT over cookd chicken + tablespoon red onion marmalade 0 carbs i now there will be carbs in Red onion marmalade but sureLY not enough to counT 1 tblspoon total carbs 19.8 2 units QA BG 2.30PM 17.2

ANY suggestions

 

[DeusXM]

What were your BGs prior to eating? If they were high, then your postprandials will also be high too.

Otherwise, I suspect your ratio isn't actually 1:10.

 

[Marier]

BG 6.6 at 12.30pm

 

[Abi]

Could this be a problem with not enough basal insulin in your system at this time? or is a hefty increase in ratio needed?
Not had tortilla's for a while so can't recall if they generally have a tendency to wreak havoc. Anyhow just under 20 g carb worth does;t sound huge, Personally even if having typical culprits for BG control Armageddon such as pizza, if I only have small serving it;s usually not too bad
Hope you get it sorted

 

[schmeezle]

Nothing wrong w/the 6.6......only a touch high. Are you pre-injecting? If so, how much delay between it and start of meal? Also, how long did it take to eat the tortilla?

 

[Marier]

Thanks Guys

Have just done overnight Basal Test and wee were ok through night. have had carb free Breafast 3 days last week and still been little high at Lunchtime tryd 1 QA at 8am to see if it was Liver Dump but 2 out of 3 i was low about 11.30 ish so stopped having the extra 1 unit QA


schmeezle 6.6 touch high gosh you should see the rest of my Diary cause this Diabetes is all over the place I dont pre-Inject unless i feel funny and test earlier to which if it is high then do correctives.Usually test then work out carbs then Inject. Took maby 10 min for me to Eat from start to finnish.Thanks I am totally baffles by all of this totally confused.

 

[schmeezle]

Have just done overnight Basal Test and wee were ok through night. have had carb free Breafast 3 days last week and still been little high at Lunchtime tryd 1 QA at 8am to see if it was Liver Dump but 2 out of 3 i was low about 11.30 ish so stopped having the extra 1 unit QA

This is valuable info as it took 3 + hours for the hypo, at which time most of the unit had burned off - something on the order of 0.1'ish u remaining IOB if you consider 4 hr active insulin time. So the low didn't have much power behind it. Less insulin may have done the trick with 1/2 unit pen or pump being possible answers. In the future, a very small snack would cover the excess.

schmeezle 6.6 touch high gosh you should see the rest of my Diary cause this Diabetes is all over the place I dont pre-Inject unless i feel funny and test earlier to which if it is high then do correctives.Usually test then work out carbs then Inject. Took maby 10 min for me to Eat from start to finnish.Thanks I am totally baffles by all of this totally confused.

I completely understand. Didn't mean to offend - only going by "recommended" below 6.1 (110 mg/dL) pre-meal target. In the end, it's a game of percentages and 6.6 is as good as 6.1. FWIW, I think you're looking at the right pieces to figure out this puzzle.

Getting to the highs.............If basal's good, then the high could be from A) bad QA insulin (doesn't seem the case) or B) not enough time. I think the 10 min meal time may be quick for 20 carbs (is for me anyway) and definitely would be for 30 carbs. The other place you can add time is with pre-meal jab (was my #1 lesson after trialing a cgm). Only disclaimer here is - use caution with this experimentation.

I also think it would help if you could estimate your IOB from previous injection (some pumps/meters do this math, but is easy enough to rough-out on your own - don't know of any apps yet) - it would put more meaning behind the bg's on your meter. A reading of 5.5 with 0.2 u IOB behind it is much different than 5.5 and 1 u IOB.

Hope this helps............

Brian

 

[DeusXM]

Your nighttime basal isn't a guide for how well it performs during the day. Many people find their basal requirement in the afternoon is very different to what it is at night.

Having said that, such a huge spike suggests to me your ratios are simply wrong, assuming the insulin is good in the first place and your injection technique is fine. Either that or you may be seriously underestimating/misreading the carb count in your food.

 

[Abi]

I suspect it may be a combination of basal and bolus being off. If basal is slightly off then a slight error in bolus insulin in the same direction seems to magnify the problem disproportionately for me at least ( i.e.basal and ratio too low leading to a very high reading rather than slightly high

 

[Marier]

Thanks Guys

Deffo not miscalculating carbs. Will try and do Basal test over lunch time tommr like havn carb free luch for the nxt 3 days and see how i am come T time. Yes totally understand QA lasting for 4 hrs and it would be almost out of my system but again i am totally confused by whats going on with my Diabetes ad how it is hugely effecting my BG