- Messages
- 118
- Type of diabetes
- Type 1
- Treatment type
- Insulin
I am a 50 something year old woman diagnosed with type 1 diabetes 2.5 years ago. I have had a libre for just over 1 year. I eat a reasonably low carb diet, generally about 100g - 150g per day. But I still can't get my Hb1ac down to a reasonable figure! Last year it was in the high 7's but has gone up to 8 recently. I am beginning to despair!
My libre regularly shows a mountain range! It shows that my average BS is over 10, and I am lucky if I am in range (4-9) 1/3rd of the time. Anything that passes my mouth seems to take me up high. I exercise a lot, and walking makes me drop like a stone. I walk my dog twice a day so that helps. But going to the gym doesn't affect my BS at all.
I know that I should do some proper basal testing, but have been tinkering with it lately, down from 17 units (Lantus) to `15 units. This was because I was going low quite a lot during the day, but when I lower my Lantus, I find I spike much higher! I have lots of questions and instances when I would like some help, so I am hoping you won't mind me posting quite a bit!
My first problem is that even though I eat a fairly low carb diet, and inject my rapid acting (Humalog) at least 30 minutes before eating, I still spike to at least 13 or 14mmol/l. I try to use a ratio of 2units to 10g carbs.
For example, I ate a salad for lunch with some cheese, and had blueberries and full fat creme fraiche afterwards.
12.33 BS before insulin 11.2
1 pm ate a salad plus fruit and creme fraiche
1.47pm BS 9.8
2.47 (approx 2 hours after eating) BS 13.6
Is it just that I need to inject more rapid acting insulin? Or should I do another injection, say 2 units after eating? If so how long after eating? Is it because of the high fat creme fraiche? It is a meal I eat quite regularly for lunch, and I always spike, but it's different every day.
My libre regularly shows a mountain range! It shows that my average BS is over 10, and I am lucky if I am in range (4-9) 1/3rd of the time. Anything that passes my mouth seems to take me up high. I exercise a lot, and walking makes me drop like a stone. I walk my dog twice a day so that helps. But going to the gym doesn't affect my BS at all.
I know that I should do some proper basal testing, but have been tinkering with it lately, down from 17 units (Lantus) to `15 units. This was because I was going low quite a lot during the day, but when I lower my Lantus, I find I spike much higher! I have lots of questions and instances when I would like some help, so I am hoping you won't mind me posting quite a bit!
My first problem is that even though I eat a fairly low carb diet, and inject my rapid acting (Humalog) at least 30 minutes before eating, I still spike to at least 13 or 14mmol/l. I try to use a ratio of 2units to 10g carbs.
For example, I ate a salad for lunch with some cheese, and had blueberries and full fat creme fraiche afterwards.
12.33 BS before insulin 11.2
1 pm ate a salad plus fruit and creme fraiche
1.47pm BS 9.8
2.47 (approx 2 hours after eating) BS 13.6
Is it just that I need to inject more rapid acting insulin? Or should I do another injection, say 2 units after eating? If so how long after eating? Is it because of the high fat creme fraiche? It is a meal I eat quite regularly for lunch, and I always spike, but it's different every day.