Hi All
I could do with some advice re taking extra insulin at mealtimes to cover the protein /fat content of a meal. I take about 1 unit for every 5g of carb (slight variation in the morning) but basically this works ok. I try to keep starchy carbs to no more than 20g in a meal, 1 piece of bread etc so that I don't get too much of a peak. I eat plenty of veg and salad but since becoming diabetic I have lost a little more weight. To counteract this (as many on the forum have) I have increased my protein/fat intake. This works in that I know sit around the 10 stone mark and have been for 3 or 4 months.
However since starting on basal/bolus in november I've noticed that I've had to adjust quite a bit after a meal high in protein and fat, unfortunately if this is a meal in the evening it can be overnight that my blood sugar goes up and I may not catch it. For instance over xmas I and my husband had a great meal in an indian, the only carb I had was 1 measly chapatti but quite a bit of meat in the curry. When I went to bed my BG was around 5 I think and I was really chuffed. I woke up the next morning and was the highest I had been since being in hospital, 19!! There are other examples as well but you catch my drift.
So obviously a higher fat/protein content does increase my blood sugar but it can be many many hours later. Has anyone got any suggestions as to how I can deal with this. I don't want to start losing weight again so am reluctant to cut down on protein.
Sorry for the essay but I wanted to make sure I got enough info down so that the experts amongst you have enough to go on.
thanks
I could do with some advice re taking extra insulin at mealtimes to cover the protein /fat content of a meal. I take about 1 unit for every 5g of carb (slight variation in the morning) but basically this works ok. I try to keep starchy carbs to no more than 20g in a meal, 1 piece of bread etc so that I don't get too much of a peak. I eat plenty of veg and salad but since becoming diabetic I have lost a little more weight. To counteract this (as many on the forum have) I have increased my protein/fat intake. This works in that I know sit around the 10 stone mark and have been for 3 or 4 months.
However since starting on basal/bolus in november I've noticed that I've had to adjust quite a bit after a meal high in protein and fat, unfortunately if this is a meal in the evening it can be overnight that my blood sugar goes up and I may not catch it. For instance over xmas I and my husband had a great meal in an indian, the only carb I had was 1 measly chapatti but quite a bit of meat in the curry. When I went to bed my BG was around 5 I think and I was really chuffed. I woke up the next morning and was the highest I had been since being in hospital, 19!! There are other examples as well but you catch my drift.
So obviously a higher fat/protein content does increase my blood sugar but it can be many many hours later. Has anyone got any suggestions as to how I can deal with this. I don't want to start losing weight again so am reluctant to cut down on protein.
Sorry for the essay but I wanted to make sure I got enough info down so that the experts amongst you have enough to go on.
thanks