Delayed sugar level rise due to fatty food?

[Swankypants77]

Hi. I'm wondering if this is due to fatty food or not sufficient basal that caused gradual sugar level increase.

I had rice, one pork steak, salad and fried aubergine( with tiny amount of oil) for evening meal at 7p.m. I gave myself 8 units of bolus.

I checked my level at 8:30, and the reading was 4.1. I had half a slice of toast. At 9:30, my reading was 8.1.
At midnight, my reading was 9.5! So I gave myself one unit of bolus,

This morning at 6, my reading was 5.5.

Is it the pork steak that resisted evening meal bolus and gradually my level went up?
Or I need to increase my basal?
I inject basal insulin in the morning at six every day.

If it's due to fatty food, what should I do? Should I split evening meal bolus into two lots with two hours apart?

Thank you.


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[hale710]

Hi. I'm wondering if this is due to fatty food or not sufficient basal that caused gradual sugar level increase.

I had rice, one pork steak, salad and fried aubergine( with tiny amount of oil) for evening meal at 7p.m. I gave myself 8 units of bolus.

I checked my level at 8:30, and the reading was 4.1. I had half a slice of toast. At 9:30, my reading was 8.1.
At midnight, my reading was 9.5! So I gave myself one unit of bolus,

This morning at 6, my reading was 5.5.

Is it the pork steak that resisted evening meal bolus and gradually my level went up?
Or I need to increase my basal?
I inject basal insulin in the morning at six every day.

If it's due to fatty food, what should I do? Should I split evening meal bolus into two lots with two hours apart?

Thank you.


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Be very careful with giving correction doses without food, especially at times like midnight! If I need a correction it is usually with my next meal.

You are newly diagnosed like me, you will find that if you'd gone to bed your body would have sorted things out itself and you'd have woken at an acceptable level. If you correct then you run the risk of hypo in your sleep.

I only correct between meals if I'm above 12 over 4 hours since eating, as advised by my DSN. A reading if 9.5 is a little high but not horrific.

As for the question, it really depends on the fat on the pork? Was there a lot? I would suspect that you may have given SLIGHTLY too much bolus, resulting in the 4.1. And so the half slice of toast combined with your continued digestion of food resulted in the high.


If you are eating obviously fatty foods ie cooked in butter or lots of cheese then I inject once I've finished eating instead of 10 minutes before

 

[Swankypants77]

Thanks, Hale.
Yes, it crossed my mind that giving myself a correction dose at night is dangerous. But I just couldn't resist it. I was so horrified with the high number, though I suppose it wasn't too high.
I'm so worried about even slightly high numbers... All those scary complications and all that have been worrying me so much.
I talked to my nurse today, and she told me to take it easy and that I've been managing ok so I shouldn't need to worry about those complications.

I don't think there was too much fat on pork that night. You are right. The extra half a toast and undigested food brought my level up, I think.

Tonight, I split my evening meal dose into two. I set the alarm for second dose. I hope it works.

Thank you again, Hale.


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[bonus]

Me personally, i dont count anything over 11 as high.

 

[Spiker]

Unless you do a fasting basal test you can't really tell if it's a basal problem or bolus problem. But that's not a fatty meal. And since you are having rice, I doubt the pork protein turned to glucose either.

Don't worry about having a correction dose at bed time as long as you are confident your correction ratio is correct and you don't over do the correction.



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[Spiker]

Hale and bonus are being very cautious on their correction doses. For newly diagnosed type 1 diabetics, who may be honeymooning, and are not confident yet with their correction ratios, that's quite appropriate. A lot of us on here would aim for much tighter target blood sugar control than that however.

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