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Type 1 Blood sugar levels post meal

miles9

Member
Messages
8
Type of diabetes
Type 1
Hello everyone,

I have had a few changes in my insulin dosage lately. I have been testing 1, 2, 3 and 4 hours after eating. In the 1st hour it goes to 8.4 mmol, 2nd and 3rd hours are around 8 mmol and 4th hour is 7.2 mmol. What does this mean? Is my basal (Toujeo) too low? Am I not taking enough bolus (novorapid)? I used to take more basal but in the third hour my blood sugar levels would drop by 2-3 units so I was told I had to reduce it. Could anyone explain what the levels should be during the third and fourth hour? Any info would be helpful. Thank you!!!
 
Hello Miles and welcome.

Could anyone explain what the levels should be during the third and fourth hour?

Depends on injection timing, and the length of time the insulin works for you (generally 4-5hrs in most cases), some people are happy to have a post meal peak above 8+, others prefer to stay under 8. And what you eat! Pasta will have a long shallow rise lasting many many hours, a dessert of meringue would cause a short sharp rise.

The idea is to start at a good number, not to have too much of a peak 1,2 or 3 hrs after, and be back at the good number after that, and if you don't eat & inject then your basal should hold you at that good number. if you're worried about your basal requirements then perhaps you should do a basal test (do a search for it on this forum for more info)

In the 1st hour it goes to 8.4 mmol, 2nd and 3rd hours are around 8 mmol and 4th hour is 7.2 mmol.

Depends on your starting point!
 
If you nail the timing of the dose then your can achieve a rise of no more than 2mmol above the pre meal test...

those readings sound pretty steady but it all depends on what you were before eating....
 
All I had was whole wheat bread with a little bit of mashed potatoes.

If it is still at 7-8 mmol after 4-5 hours, do I leave it? Or do I make a correction? Sorry I'm still trying to understand how this works, I really don't want it to affect me in the long term. Kinda scared
 
If you don't feel comfortable sitting around at 7 or 8 mmol until your next meal then yes BUT do you know what your correction factor is? Suggest you speak to your diabetes care team.
 
How does it come down after the bolus is finished? Does the basal eventually bring it down?
 
How long have you been diagnosed with type 1 diabetes? Have you read think like a pancreas? If you want to "understand how this works" that book would be a good place to start.

There isn't a definite cut off point when novorapid stops working, the action time can be different in different people and will probably be different in the same person on different days. The action time for novorapid can be up to 5 hours - http://www.diabetesnet.com/about-diabetes/insulin/insulin-action-time
 
A couple of months but I was not too well informed and did not pay much attention, but now I'm starting to learn about how different foods spike at different times, what to eat, etc.

I want to start taking matters into my own hands now so I'm trying to find out how both insulins specifically work in the body.

I'll take a look into the book. Are there any other specific areas I can go to for more information?
 
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