Question on handling postprandial hyperglycemia. (26.01.2016)

[petdell]

A few years ago during an appointment with a senior consultant at hospital I was asked to check my blood my meter read 4 did a second with hospital meter 3.7, i felt perfectly OK but she wouldn't have it and said 3.7 was hypo and insisted I had lucozade followed by 2 rounds of toast that she had sent a nurse to prepare. I said 1 would be fine. She insisted. We all know what the result would be. Got home tested 17. (The book says ) and that is there mantra. Unfortunately they don't all read the same book.
At my last app 3 months ago , consultant was horrified that I had so many 4 s or below. Then told me it was almost inevitable that I would get dementia and altzeimers because of the lows.
He suggested I reduce my bolus by half and resisted the temptation to ever do a correction dose , even if blood spiked at 16
He told me not to test because it (stresses me) so don't do it. If bloods were high at next meal, do it then.
I came away bemused and very angry. Got home phoned the D clinic ,and spoke to a DN I know, to ask if I'd actually seen a diabetes specialis, and not a GP earning an extra bob. Yes he was a diabetic specialist.
Great pity they don't all sing from the same sheet.

 

[donnellysdogs]

I really struggle sometimes with post-prandial readings, even though I low-carb (under 50g carbs per day, usually nearer 30g). My main problem is that quite often the spike comes three, four hours (or more) after I've eaten. I'm trying injecting earlier before meals, and with a correction dose a couple of hours after I've eaten, but I'm wary about stacking insulin, going hypo and having to eat extra. (I'm trying to lose weight to improve my insulin sensitivity.) There doesn't seem to be a pattern with what causes a delayed spike, either.

Is this because of having heavier fat in foods to compensate from fewer carbs?
I've found eating fodmap foods and lower carbs is the way that keeps my levels from spiking... I use a fair few of Amelia Freer recipes..

It is worth while considering looking at low fodmap foods...(except bananas!!) and just having a go at a few meals to see reactions.

 

[YorkshireAli]

Is this because of having heavier fat in foods to compensate from fewer carbs?
I've found eating fodmap foods and lower carbs is the way that keeps my levels from spiking... I use a fair few of Amelia Freer recipes..

It is worth while considering looking at low fodmap foods...(except bananas!!) and just having a go at a few meals to see reactions.

Re the fat - it could be that. I'll have a look at the food map foods (never heard of them before) and the Amelia Freer recipes.

Thanks.

 

[donnellysdogs]

Fodmap..... Not food map foods....
Its really worthwhile...

 

[mojo_101]

I now low carb because of this. Smoother, though protein starts to have an effect as carbs are reduced substantially ... slow and longer duration BG rise ... Multiwave/extended bolus on a pump works for that. At least for me.
Pain in the aspiration...

 

[Bluemarine Josephine]

• I think the guidelines are an impossible target achievable only if you are on an extremely low carbon regime. The levels they expect are almost non diabetic level. After 36 years trying there is no way I could ever achieve it. I tend to Er on the high side with my bolus dose knowing you can test and correct later with correction dose. Since retirement this approach works reasonably well but when I worked, it was a roller coaster , and would have been happy with a level 8 rather than lows of 2 and highs of 18. I rarely post but have read a few of your posts I, e DAFNE course. I attended one of these several years ago and after that convinced myself that some pepole are just born lucky,they never test din't or couldn't carb count and still had better hba,s than mine. I had a very physical job, and had I tried to achieve the sort of levels that some posters on here have, I would have been in A&E every week. Don't beat yourself up to much trying to match some of the levelson this site. They are a rare breed. Lol

Thank you very much for your reply.
I completely agree with you. Indeed, I also noticed during the DAFNE course that there are people out there with a diabetes that is very straight-forward and predictable while for others, it is a constant guessing game where each day have a completely different profile. So, I do agree with you when you write that some people are just born lucky.

I also feel the need to thank you for your advice at the end of your post. You amde me feel better about myself and the effort that I make.

Regards
Josephine