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Cannot make any sugar test less than 200 after 2hrs of meal

H

harreni

Member
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12
Hi All,

My daughter has diabetes and she is 6 years and 2 months old , tall: 117CM and weight: 22.5 KG. she is taking Lantus and Novorapid insulin injections. The last Hb1AC was (11.7)

When I checked her blood sugar in the morning I found it 200 mg (fasting), then I give her the novorapid dose and let her take the breakfast.

My problem is:

- When I test the blood sugar after breakfast with one hour I fond it 350 mg and after two hours is 245 mg; next time I increased the dose of novorapid slightly but she is being hungry and ask to eat after 3 hours to 3 hours and a half of meal? what I should do?
-I couldn't make any measurement less than 200 after two hours of any meal?

Waiting your help and appreciate you valuable time.
Thank you.
Harreni
 
Re: Cannot make any sugar test less than 200 after 2hrs of m

It's very hard indeed for type 1s to get sugar down to normal levels at only 1 and 2 hours after a meal. If you are managing to get her down to 200 after 2 hours (I'm assuming that's about 11 in the measurements we use in the UK) then that's really quite good.
The injected Novorapid lasts about 4 hours in the body, so if you inject more after 1 or 2 hours, you are actually 'stacking' the insulin up and the blood sugar will go too low.
There are two solutions:
a) don't worry about the 2 hours test. That's what most Type 1s now do, and it is what we are taught to do on expert patient courses such as DAFNE. The key thing is to make sure the blood sugar isn't too high when the Novorapid has stopped working. So wait and see - if she's come down to under 120 by 4 hours after the meal, you are doing fine.
b) if it is really important to you to get lower levels at 2 hours, the only thing you can do is feed her foods with very a low glycaemic index (very slowly absorbed foods). That will help to avoid the peaks of blood sugar. But you still won't be able to get it perfect, and it will also be a very restrictive life for a six year old. I do not personally think the benefits outweigh the disadvantages.
Either way, don't add more insulin before the Novorapid has stopped working - that can lead to hypoglycaemia.
 
Re: Cannot make any sugar test less than 200 after 2hrs of m

Deeply from my heart, thank you very much Snodger for your explanation and clarification.
 
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