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<blockquote data-quote="kitedoc" data-source="post: 2039190" data-attributes="member: 468714"><p>Hi [USER=388054]@Dod95[/USER],</p><p>My my reading/experience, not as professional advice or opinion: </p><p>and whatever is said about diabetes hardly ever works all the time!!</p><p>In conjunction with your Diabetes Educator or Doctor:</p><p>maybe consider doing<em> 'basal testing'</em> as [USER=101136]@Jaylee[/USER] suggested above.</p><p></p><p>Basically this means skipping say, breakfast and the humalog before it and seeing what you BSLs do,</p><p>same for other meals/humalog, so 6 hour lots ( I do 12 hours lots so 2 meals at a time to get it over with sooner)!!</p><p>- this helps to see how well your Tresiba is handling BSLs between meals and overnight.</p><p>And ask your diabetes educator about how long a change in say, your Tresiba dose, would take to be working </p><p>( some people on here say 4 to 6 days )!!</p><p></p><p>You mentioned earlier not being able to stick to 'a certain diet' - what specifically is this diet you are referring to?</p><p></p><p>Humalog: if you search for 'pictures of insulin profiles - Humalog' you will see something like the pictures below:</p><p><em>One:</em> The amount of insulin in the blood after injecting Humalog/Lisopro (disregard varies from person to person</p><p>as shown by the range, represented by the vertical lines at each measurement over time </p><p></p><p><em>Two:</em> another approach in this table: so by 4 hours - an average of 70% (49 - 89%) of Humalog has been used up!! </p><p></p><p><em>Three:</em> The effect of larger doses - I could not find a graph for Lisapro/Humalog itself , but if you read any of the short-acting insulin product pages they quote doses per kg of body weight, higher the dose the longer it lasts</p><p></p><p><em>Four:</em> how much insulin a non-diabetic produces to deal with a feed of various types of bread (and this is not measuring the variation from person to person)</p><p></p><p><em>Five:</em> and for 'fun', this is an example of what coffee might do to BSLs.</p><p></p><p>Now how well does the appearance of Humalog in the blood (in One<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> match the timing of the non-diabetic's insulin response in Four?</p><p>I call this a classical case of<em> mistiming </em>and is just my interpretation - which you would need to check out with your diabetes educator: how can Humalog or any known short-acting insulin catch up with the bread??</p><p>What is likely to happen when a moderate dose of the Humalog kicks in? A hypo later?</p><p>You have seen how the effect of Humalog can vary from person to person on One. Unfortunately we do not have the variation to hand in Four.</p><p>Yes, in this situation I could delay the meal for some time after the humalog dose/injection: But for how long? And if I vary the meal, what then?</p><p>Or do I just increase the Humalog dose to better deal with the rise after the breakfast you described and delay the meal? </p><p>It might work but ? hypos?? Same if adding ice cream, just boost the dose ?? These are what I call <em>chasing the BSL</em> - trying to use insulin doses to 'catch' the BSL rise in time. It does not work for me in a general sense. The more insulin the more risk I have of hypos and then I may suffer a rebound high BSL after a hypo (from the effect of adrenaline and glucagon in raising my BSL via liver stores of glucose (+glycogen) plus anything I eat to combat the hypo --> leads to more insulin to control that rebound hyper - the hypo-hyper see-saw.</p><p>Or: <em>do I try to match the food I eat to the action of the insulin</em>? Yes, I would ideally need to see what effect my short-acting insulin is having - so as to better explain things like the 'late' hypo you described. And how do I alter my diet to achieve this?</p><p>There is a way but I would need to be very convinced that BSL chasing was not likely to work. </p><p></p><p>I have been on insulin for 52 years and seen most diabetic diets and tried them. So just my thoughts on the matter and ready to field more questions as a T1D, if and when !!</p><p></p><p>At this point I would suggest you see your diabetes educator to sort things further - see what he or she says and advises. You can always come back to ask more questions here !!</p><p>Best Wishes !!</p><p></p><p>....One..............................Two.........................Three............................Four.........................Five</p><p></p><p>[ATTACH]32619[/ATTACH] .....[ATTACH]32620[/ATTACH] ....[ATTACH]32621[/ATTACH].......[ATTACH]32622[/ATTACH]......[ATTACH]32623[/ATTACH]</p></blockquote><p></p>
[QUOTE="kitedoc, post: 2039190, member: 468714"] Hi [USER=388054]@Dod95[/USER], My my reading/experience, not as professional advice or opinion: and whatever is said about diabetes hardly ever works all the time!! In conjunction with your Diabetes Educator or Doctor: maybe consider doing[I] 'basal testing'[/I] as [USER=101136]@Jaylee[/USER] suggested above. Basically this means skipping say, breakfast and the humalog before it and seeing what you BSLs do, same for other meals/humalog, so 6 hour lots ( I do 12 hours lots so 2 meals at a time to get it over with sooner)!! - this helps to see how well your Tresiba is handling BSLs between meals and overnight. And ask your diabetes educator about how long a change in say, your Tresiba dose, would take to be working ( some people on here say 4 to 6 days )!! You mentioned earlier not being able to stick to 'a certain diet' - what specifically is this diet you are referring to? Humalog: if you search for 'pictures of insulin profiles - Humalog' you will see something like the pictures below: [I]One:[/I] The amount of insulin in the blood after injecting Humalog/Lisopro (disregard varies from person to person as shown by the range, represented by the vertical lines at each measurement over time [I]Two:[/I] another approach in this table: so by 4 hours - an average of 70% (49 - 89%) of Humalog has been used up!! [I]Three:[/I] The effect of larger doses - I could not find a graph for Lisapro/Humalog itself , but if you read any of the short-acting insulin product pages they quote doses per kg of body weight, higher the dose the longer it lasts [I]Four:[/I] how much insulin a non-diabetic produces to deal with a feed of various types of bread (and this is not measuring the variation from person to person) [I]Five:[/I] and for 'fun', this is an example of what coffee might do to BSLs. Now how well does the appearance of Humalog in the blood (in One:) match the timing of the non-diabetic's insulin response in Four? I call this a classical case of[I] mistiming [/I]and is just my interpretation - which you would need to check out with your diabetes educator: how can Humalog or any known short-acting insulin catch up with the bread?? What is likely to happen when a moderate dose of the Humalog kicks in? A hypo later? You have seen how the effect of Humalog can vary from person to person on One. Unfortunately we do not have the variation to hand in Four. Yes, in this situation I could delay the meal for some time after the humalog dose/injection: But for how long? And if I vary the meal, what then? Or do I just increase the Humalog dose to better deal with the rise after the breakfast you described and delay the meal? It might work but ? hypos?? Same if adding ice cream, just boost the dose ?? These are what I call [I]chasing the BSL[/I] - trying to use insulin doses to 'catch' the BSL rise in time. It does not work for me in a general sense. The more insulin the more risk I have of hypos and then I may suffer a rebound high BSL after a hypo (from the effect of adrenaline and glucagon in raising my BSL via liver stores of glucose (+glycogen) plus anything I eat to combat the hypo --> leads to more insulin to control that rebound hyper - the hypo-hyper see-saw. Or: [I]do I try to match the food I eat to the action of the insulin[/I]? Yes, I would ideally need to see what effect my short-acting insulin is having - so as to better explain things like the 'late' hypo you described. And how do I alter my diet to achieve this? There is a way but I would need to be very convinced that BSL chasing was not likely to work. I have been on insulin for 52 years and seen most diabetic diets and tried them. So just my thoughts on the matter and ready to field more questions as a T1D, if and when !! At this point I would suggest you see your diabetes educator to sort things further - see what he or she says and advises. You can always come back to ask more questions here !! Best Wishes !! ....One..............................Two.........................Three............................Four.........................Five [ATTACH]32619[/ATTACH] .....[ATTACH]32620[/ATTACH] ....[ATTACH]32621[/ATTACH].......[ATTACH]32622[/ATTACH]......[ATTACH]32623[/ATTACH] [/QUOTE]
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