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Type 1 Corrections

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Buzz2102

Member
Messages
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Hi everyone, just wondering how long after eating would you consider doing a correction? Our son always seems to spike after noodles
 
Hi @Buzz2102 It would depend what I'd eaten, what I was about to do (eg exercise) and how high I was - ie would it come down by itself or am I so high it would still be out of range.

If I get highs after meals, I tend to look at moving my bolus more in advance of eating so that it can stop the spike. That might not be appropriate for a young child though.
 
Thank you, he gave his insulin 10 mins before eating super noodles but has spiked to 15!!!!! Didnt like to wait longer as we were having a good day and his pre meal bloods were 4.2
 
I don't know how old your son is but I personally would probably have to split my bolus. I'm vlc so my protein raises me rather quickly. If I eat a meal with a lot of protein I have to take a regular dose and aboutnan hour later another small one to stop the rise

Again, I'm not a child nor do I know how old yours is. It's probably in another post I haven't seen. Generally speaking I test after an hour and if I've gone up I take another small one. I can't take it all at once or I hypo first then spike. So I prefer to split the bolus and stay steady or just not eat that particular food in that quantity.
 
It's not advised to correct before the 4 hour mark. It's worth noting that bolus insulin can hang around as long as 5 hours in the body, and still be bringing BG down.

I used to correct far too early and the result was just loads of hypos. As @azure has excellently suggested - bring a bolus dose forward has fantastic results in reducing spikes and getting you back in range quicker.

The glycemic load/index of foods can have a significant impact on how early in advance you need to bolus. The timings are a good bit of trial and error, but once you've got them worked out - the results are great:)
 
Buzz2102 said:
Thank you, he gave his insulin 10 mins before eating super noodles but has spiked to 15!!!!! Didnt like to wait longer as we were having a good day and his pre meal bloods were 4.2
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Another thought is to check the carb count. Some noodles give raw weight carb info, some cooked.

I also find the more 'processed' noodles ie flavoured ones, seem high GI.

Maybe give him the same meal and experiment a little with bolus timing.
 
azure said:
Hi @Buzz2102 It would depend what I'd eaten, what I was about to do (eg exercise) and how high I was - ie would it come down by itself or am I so high it would still be out of range.

If I get highs after meals, I tend to look at moving my bolus more in advance of eating so that it can stop the spike. That might not be appropriate for a young child though.
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I tried that but it seems that the insulin start working early resulting a % loss of my bolus dose :(:(, any advise please??
 
Alexendar said:
I tried that but it seems that the insulin start working early resulting a % loss of my bolus dose :(:(, any advise please??
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You need to experiment with the best timing for you and for that meal. Different times of the day and different meals need different times for a bolus.

Eat the same meal a few days in a row and experiment cautiously and carefully :)
 
Alexendar said:
I tried that but it seems that the insulin start working early resulting a % loss of my bolus dose :(:(, any advise please??
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Yup. Split the bolus. Have half then later a bit more. I can take a full meal bolus all at once or I hypo then hyper

That being said, azure dis teach me the beauty of pre bolusing. I am vlc but protein turns to bs fast for me. I still bolus, wait 15-20 min before eating. Longer if I'm a tad higher than I want to be. However if I wait too long I drop. So I tested and tested and have a routine now
 
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