What was your BG 3-5 hours after the croissant @Ann48? Did you need to correct?Recently I had a croissant in a well known coffee shop and checked the app for the coffee shop. The amount of carbs listed was way out,I bolused the amount listed, but my BG spiked to 15 2 hours later. Does anyone else find the Carbs are often more than listed.
Part of the problem eating out is that we can't pre-bolus as far in advance as we might usually (unless it's just me who can't sit looking at a croissant for 30 mins : D ).
I find the coffees often have hidden carbs, so now I check them too.
I've had highs after eating out but then try to remember and adjust my bolus next time until I perfect the amount.
What was your BG 3-5 hours after the croissant @Ann48? Did you need to correct?
It's possible to spike but return back to the correct range within the action time of the insulin. Some foods have a pretty poor GI and require (in my experience) insulin to be taken a fair while before I eat.
Carbs and Cals is an alright app, but I've found it to be a bit ropey at times. The issue with things like baked goods, is that the sugar content can vary substantially depending on the recipe.
What was your BG 3-5 hours after the croissant @Ann48? Did you need to correct?
It's possible to spike but return back to the correct range within the action time of the insulin. Some foods have a pretty poor GI and require (in my experience) insulin to be taken a fair while before I eat.
Carbs and Cals is an alright app, but I've found it to be a bit ropey at times. The issue with things like baked goods, is that the sugar content can vary substantially depending on the recipe.
@Ann48, you'd really benefit from finding out where your BG is around 4-5 hours after eating. In my experience, it's very difficult to get within range two hours after eating carbs; when not bolusing in advance. I pre-bolus for every meal apart from dishes like lasagne (with a high fat content) - it's the only way I can get back to my target values.GrantGam, I agree it is so hit and miss when eating out. It's difficult to have a small low sugar snack in a lot of these coffee shops. BG did spike, I must have over corrected as I then went low.
without looking at any other source I would estimate a croissant in a coffee shop to be around 40-42 carbs
eating out can be difficult though !
how long have you been pumping @Ann48
and also -- welcome to posting on the forum !!
@Ann48, you'd really benefit from finding out where your BG is around 4-5 hours after eating. In my experience, it's very difficult to get within range two hours after eating carbs; when not bolusing in advance. I pre-bolus for every meal apart from dishes like lasagne (with a high fat content) - it's the only way I can get back to my target values.
Because of the above, it's easy to over-correct after seeing a high value at the two hour mark. Remember that the majority of quick acting analogue insulins have a DIA (duration of action time; or how long they will lower BG) of around 3-5 hours. If you correct before the time is up, "insulin stacking" can occur and that's what can cause hypos a fair while after you've eaten.
I must say I have to agree with @azure about the coffee. I was shocked at my BG after a real coffee last year (last one I had) - I went from around 6mmol/l to 12mmol/l - madness!
Long story short, keep up with the regular testing after meals to find out what's really happening. Also, jot down what you ate and where your BG ended up. Once you've got that info at hand, you can amend your dose and timings to suit. I'm very forgetful and need to write everything down; otherwise I forget and it's a viscous cycle...
Here's an example of what I do for meals; you only need to do it once which is handy, then you'll have good idea of what will happen when you eat the same thing again, to a certain degree. Note that the 5g dextrose at the carb total was because I don't have a half unit pen, so can't administer less than 1u.
View attachment 23565
What did I learn from that lunch? That I'm not bolusing in advance enough, so next time I'll start eating half an hour after my injection to try and stay <8mmol/l at the two hour mark. The dextrose probably didn't help with the small spike, but I'll have a better idea when I have the same lunch again, but with a slightly higher BG at the start and don't need dextrose
**pred BG = predicted BG
That's no problemThanks for your reply, I allow pretty much the same for a similar lunch. The pump calculates any active insulin still going on and will adjust, my Monitor is linked to the pump, if I'm above target it will adjust the dose. I probably underestimate the carbs when I'm eating out, fear of going low. I appreciate your feedback.
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