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BS RISE when eating

Topher

Well-Known Member
Messages
202
Type of diabetes
Type 1
Treatment type
Insulin
HI,
When eating then bolusing, i know that you dont really want the BS to go above 9mmol, but how much of a rise is acceptable from the beginning eg. if i am 6.0 before eatiing - sometimes i spike to 12, then come back down to 9 after 2 hours is this OK. If i give myself more bolus, i end up having a hypo.
 
You want to keep it below 9 if you can. 9 after 2 hours is fine. Is the 12 before 2 hours? If so most people would say not to worry about it.

You could try injecting a little earlier. Or try eating foods that are less carby, or have a lower GI for you. GI can be quite individual.
 
Where did you get 9 mmol from, I wouldn't want my BS to go over 6.6 mmol after eating or anytime. Not only do you risk complications if you let your BS go high at every meal , I have IBS and find the higher my BS the more irritable my bowel. Although saying my bowel is irritable most of time
 

How on earth can you keep your BS so low after eating !!
 
@Topher, don't worry about your BG results. 9 mmol/L 2 hrs after eating a normal meal is something your diabetes care team would consider perfectly normal and acceptable. Pete has set himself higher standards than the NHS standards. And has found a way to achieve those higher standards, which is great.
 
Do try injecting beforehand to give your insulin a chance to work, generally I inject anywhere between 10-20 mins before eating which works great in reducing postprandial spikes, the only time I don't do this is when my bg is close to 4mmol, the meal is high in fat or if the food is low in the glycemic index, worth a try but no guarantees that it will work for you Topher.
 
My target is a rise 50mg/dl ( 2.7mmol/l) rise at 2 hours . It will be higher before this but rapid insulin isn't really as quick as natural insulin. On the other hand , If you are too low at two hours then you can be hypo before the next meal as rapid insulin will still be in the system. I aim to have levels below 6 pre meals.

Protein Pete, I've just seen your intro post. You say that your last HbA1c was 49% ; do you mean 4.9% or 49mmol/l (there's a difference)
 
I try to keep my rise under 2.8ml on pump. Can be more difficult if you havent got a pump.

Pens only inject in 1/2 or full units so its difficult to finely tune than a pump that can deliver 0.7 units to 10g etc or 1.3 to 10g etc...

The fewer the carbs, the less insulin so that may be something you wish to consider..


Sent from the Diabetes Forum App
 
I inject a about 10-20mins before a meal too (again if I am low, I don't) - but I find that generally helps eliminate spikes…I also try to eat slower burning carbs - so whole grain stuff if I can which also makes a difference too. Even on my 'fast acting' insulin it doesn't start dropping my sugar til about 30 mins after I have started eating by which time my sugar level would be rising from the food.
 
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