Rise after meals. What is yours? And dawn rise

[Bobby105]

Im interested in the amount reading's rise between meals .

 

[DumfriesDik]

The increase after a meal is directly related to the amount of carbs I consume. I had a meal out, pizza, chips and pasta, the holy trinity you might say. My bloods went up like a rocket, but came back down in equally dramatic fashion. BUT typically, my bloods will be around 5mmol/l before my evening meal, rise to 6mmol/l two hours after and continue to fall again.

I don't know what effects my dawn phenomena, some days, like today, it goes up to 8mmol/l some days, others higher and some lower. I do feel if I could get rid of it, my bloods would be in better shape.

I do use a CGM, Dexcom One+, these days, and the information you crave, can be found in them. Good luck.

 

[Bobby105]

Thanks that explains it well. My readings rise at least 2 hrs afterIm trying to locate any triggers. My Doc is changing my old levemia to humilin 1. It's a good time to sort out the rises, Mine rise 2 _ 4 especially after brekkie
Does it matter that you eat your holy trinity occasionally? No harm done if the readings fall back later ?
Fasting results can be 5.7 _ 8.9 and usually rise 3 - 5 points 2 hrs later . Id read on another site that once out of bed the early morning readings can rise b4 eating.. Maybe I should try a test just b4 breakfast to check this out

 

[DumfriesDik]

Thanks that explains it well. Im trying to locate any triggers. My Doc is changing my old levemia to humilin 1 x . I thought it would be a good time to sort out the rises, but as you say its not always obvious
Does it matter that you eat your holy trinity occasionally? No harm done while the readings fall back later ?

I don't think it is quite that simple, pretty sure your hba1c will rise with so called treats. So, does it matter? Probably.

 

[Bobby105]

@DumfriesDik I've been toying with the idea of CMG . My own GP says I don't qualify
. Im needing to take readings 7 times a day. That's hard on the fingers, Occasionally I get a hypo so that 2-3 extra readings to be sure the hypo is cured.
Im about to research the CMG that can be used free for a while...... example tonight I'm going out to a skittles evening. I will need to keep an eye on the readings as I will eat later than usual and I will be being active. Taking readings in a multi group session in the open isn't easy wiith a finger monitor.

 

[DumfriesDik]

I am also pretty sure that there is a correlation between weight and diabetes. Too many treats, your weight goes up and your insulin resistance increases. So, yes, it really does matter to keep an eye on your treats! Sorry.

As for the CGM, the Dexcom One+ is about £84 a month which is expensive. No doubt about that. BUT it does give a huge amount of data and does save your fingers. It's a rolling month, so you can cancel at any time. You might be able to get a free one to trial, they used to offer that.

I feel for your fingers, I know what you are going through. Hope you enjoyed the skittles, and won!

 

[KennyA]

Everybody's blood glucose varies, all the time. It's perfectly natural. The big variations are usually post-meal due to carbohydrate being eaten and converted to glucose. For these the highest BG point is usually around 45 minutes after eating, as the glucose hits the blood stream and before insulin gets to work. At the two hour point the levels should have reduced to around where they were before eating. You can see this in any number of CGM graphs.

But our livers are constantly adjusting things in response to what they think we might be needing. There are glucose/glycogen stores in muscle tissue, and livers keep these topped up, making new glucose (the process is called gluconeogenesis) if needed. This can be in response to many things, but - for example - cortisol, a stress hormone, will usually provoke the liver to make new glucose. it's a bit difficult to control your liver - metformin does this to a degree by suppressing the liver making new glucose in ways that "aren't fully understood". Info from Bilous and Donnelly.

My own liver ensures my BG starts rising around 4am and will go on elevating it very slowly for at least ten hours, if I let it. Mine will be reassured if I eat something - I've found that as little as three almonds will stop it making glucose.