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Type 1 High spikes

Sonnyb2

Sonnyb2

Well-Known Member
Messages
450
Location
Brightion
Type of diabetes
Type 1
Treatment type
Insulin
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None
Hi i am on novo rapid and I get a lot of high spikes in the afternoon/evening so wanted so advice if I should ask my doctor if I should try apidra
 
Sonnyb2 said:
Hi i am on novo rapid and I get a lot of high spikes in the afternoon/evening so wanted so advice if I should ask my doctor if I should try apidra
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Can you tell us a bit more about you please...

Are these spikes after meals or does your BG level gradually increase into the afternoon/evening?

What is your basal insulin? Is it single dose or split dose? What time(s) do you take your basal insulin?

How long have you been diabetic?

Have you carried out a basal test?

Why do you think that your bolus insulin may be an issue?

Cheers:)
 
If the high spikes are after eating, you should think about injecting further in advance of your meal. That gives the insulin a chance to start working and can stop spikes really well :)
 
I'd be very surprised if you were still having issues after correctly setting your pump's basal rate and adopting a pre-bolus technique...

You are in the lucky situation where you already have the tools required, you just need the knowledge to make them work efficiently:)

I'd recommend "Pumping Insulin", it's a great book and will let you do things with your pump that you probably thought weren't possible!

I have an older addition (4th) I can post out to you, providing you're in the UK, if you are happy to cover the postage fees?
 
Sonnyb2 said:
Ok how long eoukd u say
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It depends how long in advance your doing it now. If you're bolusing right before you eat, then try bolusing 10 minutes before you eat. Don't do this if you're low, but if your blood sugar is ok, check what time the meal is going to be, then bolus 10 minutes before you're due to eat.

Try that for two or three days. If you're still spiking, then move your bolus to 15 mins in advance of the meal.

The important thing is to move it gradually until you get to the right time for you :)
 
I'm on porcine insulin, but the times I've given you above are for the Novorapid that you take :)
 
Try a low carb diet as that helps Novorapid behave itself a bit better and no need to bokus in advance especially if the carb quantity is unknown until seen on the dinner plate. My dinner would go stone cold and need to be re heated while I wait for the bolus to work.....a bit anti social?
 
Ok thanks finely high spikes havd stopped but i mighr see if i csn try apidra
 
Sonnyb2 said:
Ok thanks finely high spikes havd stopped but i mighr see if i csn try apidra
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@Sonnyb2, there is little difference between your current aspart insulin (Novorapid) and the glulisine one which you'd like to try (Aprida) when it comes to their ability to prevent post-prandial spikes.

ALL rapid acting insulins currently have too slow an onset/peak to properly prevent BG spikes vs that of a normal pancreas. This is why a lot of us pre-bolus before meals.

By all means, try a new insulin if you want - but I can almost guarantee that it won't help your post-prandial BG spikes if you're choosing to bolus immediately before eating...

http://www.webmd.com/diabetes/guide/diabetes-types-insulin
 
Agree with @GrantGam1337 if there was some magic insulin that stopped post prandial spikes, that's what we would all be on. [dear smart insulin developers, if you could please just...]

Can't really see why you have decided Aprida will help with spikes. It seems more that bolus timing and perhaps fine tuning carb counting and your insulin to carb ratio are what might help, what ever insulin you use. They are all much of the same in terms of action time.

Aprida apparently works a bit smoother a little bit (like 5 min) faster that novorapid. But ultimately, it's how you use your fast acting insulin that determines whether you get a spike that you consider to be too high. Everyone's (even non diabetics) blood sugar raises some what after eating.
 
Couple things to consider..

Are these rises occuring everyday? Or onl on days after a set change?

When you basal tested were you perfect or was there a slight rise? Only reason for asking this is that I know on a pump my basal always needed more 3 and 2 hours prior to my eating time, no matter whether I ate or not....

Some hospitals only set you up with 4 time slots of basal rates and bolus times. You may need more. I had 19 different hourly rates and 6 time blocks....
I wonder whether you also have you offset and acting time set right...
 
I had novorapid and apidra and very little difference. Certainly not in spikes. The elimination of spikes is only down to the user fne tuning everything including food, bolus timings, acting time etc.

Your health people may well switch to apidra but you will have to do a lit more basal testing and fine tuning again.
 
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