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2 hours 13.1 5 hrs 21.5 ???

M

Matt1212

Well-Known Member
Messages
75
Hello All,

Any views/advice on the below - took my type 1 diabetic daughter (5 yrs old) out for a treat meal yesterday and allowed her to choose her own food (big treat)
Anyway 1 x milkshake , 1 x chips , 1 x piece plain chicken , 1 x fudge sundae
estimated carb 120g = 12 units novarapid
(BG 7.5 at start meal)
2 hr test 13.1 (pretty pleased seemed all carb covered and evening a success)
5 hr test 21.5 (nothing eaten since meal - now evening was not a success as she is fast asleep with BG much to high)

The GI of milkshake / icecream would be around 50 I guess
So I would have though the 13.1 reading would have remained and that she would not peak later
(novarapid given midway through meal)

If i had given more novarapid ie 3 more units at the meal we would surely have been in hypo terriroty at the 2 hr mark ?

thanks
Matt
 
Hi Matt

It's a high fat content meal so this would have slowed the adsorption of the carbs down the 'pizza effect' and milk sakes contain a lot of protein 50ish percent will turn into glucose, but hit the blood stream at a very slow rate over a long period.

To help get around the pizza effect is to split the injection, some before the meal and the rest after, sadly it's a bit hit and miss working out the best split and best timing...
 
thanks jopar - as a rough guide for a meal such as this how long after eating would you give the second novarapid injection ? would you test again before giving or just give the second half of the originally estimated dose.
 
Matt1212 said:
thanks jopar - as a rough guide for a meal such as this how long after eating would you give the second novarapid injection ? would you test again before giving or just give the second half of the originally estimated dose.
Click to expand...

Good advice from jopar, but splitting novorapid is a tricky business and can have the opposite effect and cause a hypo post-meal, so you may want to discuss the best way round this with your daughters dsn to find the best solution.

Nigel
 
I have done this and know lots of other parents that also split novorapid. I have found pasta/rice meals can have this effect also and some other high carb/very low GI foods. I'd be prepared to inject the extra at the 2/3 hour mark and then re-test in an hour or 2. I also find that once bsl's start going over the 15 mmol it actually takes more insulin than normal to bring them down.

My only other tip is to do the treat meals at lunch time rather than dinner to save the sleepless night.

You might need to test out whether this was a 'one-off' as I've sometimes fed the same thing two nights in a row with the same pre-meal bsl and have had completely different post meal readings. Drives me balmy at times.

Keep us posted. Would love to hear if you find a formula that works.
 
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