Hello everyone!
I am 5-6 weeks pregnant with my second baby and I am experiencing a similar problem as I did in my first pregnancy - apologies in advance for the short notes/bullet points, I'm just trying to explain as clearly as possible!
My insulin pump is set up so that my doses are delivered over a 2 hour window (2 hours is the shortest time period I can choose for active insulin). I know that my basal insulin levels are set correctly as are my carb ratios and sensitivities for the bolus wizard.
I know that the 1 hour post meal blood sugar should be 7.8 or below.
My post meal blood glucose 1 hour after eating is sometimes above 7.8 but is at the correct level of 3.5-5.9 by 2 hours after eating, so....
Do I need to increase my bolus doses to bring the 1 hour reading lower and be prepared to have a small snack to prevent a hypo as the 2 hour insulin window finishes?
Do I need to think about meals being lower carb to avoid the spike in the first place? (Though of course bearing in mind that I'm more prone to hypos at the moment so do need to include some carbs in my meal choices)
Should I try - where possible - to have my meal time insulin a bit before I'm going to eat?
Or do I just need to relax in the knowledge that 2 hours after my meal, my blood sugars are where they need to be?
As a bit of extra info, my son is 14 months old so I'm very active chasing round after him! He was born following a very happy and healthy Diabetic pregnancy and was born with no Diabetes complications for both him or I - here's hoping for a repeat performance with his brother or sister!
Thank you for any advice/tips in advance x
I am 5-6 weeks pregnant with my second baby and I am experiencing a similar problem as I did in my first pregnancy - apologies in advance for the short notes/bullet points, I'm just trying to explain as clearly as possible!
My insulin pump is set up so that my doses are delivered over a 2 hour window (2 hours is the shortest time period I can choose for active insulin). I know that my basal insulin levels are set correctly as are my carb ratios and sensitivities for the bolus wizard.
I know that the 1 hour post meal blood sugar should be 7.8 or below.
My post meal blood glucose 1 hour after eating is sometimes above 7.8 but is at the correct level of 3.5-5.9 by 2 hours after eating, so....
Do I need to increase my bolus doses to bring the 1 hour reading lower and be prepared to have a small snack to prevent a hypo as the 2 hour insulin window finishes?
Do I need to think about meals being lower carb to avoid the spike in the first place? (Though of course bearing in mind that I'm more prone to hypos at the moment so do need to include some carbs in my meal choices)
Should I try - where possible - to have my meal time insulin a bit before I'm going to eat?
Or do I just need to relax in the knowledge that 2 hours after my meal, my blood sugars are where they need to be?
As a bit of extra info, my son is 14 months old so I'm very active chasing round after him! He was born following a very happy and healthy Diabetic pregnancy and was born with no Diabetes complications for both him or I - here's hoping for a repeat performance with his brother or sister!
Thank you for any advice/tips in advance x
