kitedoc
Well-Known Member
- Messages
- 4,783
- Type of diabetes
- Type 1
- Treatment type
- Pump
- Dislikes
- black jelly beans
Yes, a second opinion sounds best.
Have you thought about what causes your blood sugar spikes? And whether it is the food you are eating?
below are 3 'photos'
Far left: This is a table (apologies for the 'out of focus') showing the amount of insulin in the blod after an injectiont of a short acting insulin (humalog, top line)
and you can see that its peak effect is anywhere between 0.8 to 4.3 hours, average being 2.4 hours.
Perhaps keeping 2.4 hours in mind, then note what happens when the dose of a short-acting insulin is increased in the next slide.
Finally look at what the BSL rise is like for various types of bread in the third slide.
Now, whilst bread may not be the actual full content of say, your lunch, just see how much possible discrepancy there could be between the sugar rise from the bread vs when short-acting insulin might be acting most strongly (at peak).
Do you agree there is likely to be a mismatch? That the blood sugar rise from the bread in this case outpaces the insulin peak? Yes you might have a shirt-acting insulin working much quicke than the average of say 2.4 hours in this example, but that is one end of the range and i think you might expect less of a bsl spike if that was the case?
Yes, adding some meat or cheese might slow absorption of the bread but will that be enough to better match the blood sugar rise to the blood sugar lowering effect of the short-acting insulin?
At least until your results and diagnosis are better clarified, and in interests of keeping your BSLs in better control possibly you may wish to consider at least reading Dr Bernstein's Diabetes Solution as a book r e-book.
The premise is that rather than trying to have your short-acting insulin 'catch up' with the blood sugar rise (which on the graphs etc at least does not seem likely) that by a change in diet may allow the blood sugar rise to better match the action of the insulin.
Very low carbs intake lead to less early blood sugar rise and a portion of the protein in the meal is changed by the liver into glucose which is released relatively slowly (at least compared to carbs) at about the 3 hours mark. = Better matching.
You would need to discuss alterations of insulin doses with your doctor or DSN as carbs are reduced, to prevent hypos and by looking up dietdoctor.com you can ascertain the effect of very low carbs on your body and what adjustments you may need to make, particularly about salt and magnesium intake.
Again the above is just a suggestion, a way to deal with what is happening now.
I do hope your diagnosis is sorted soon but at least if your BSLs are improved that is one less worry for you.
Best Wishes.
Have you thought about what causes your blood sugar spikes? And whether it is the food you are eating?
below are 3 'photos'
Far left: This is a table (apologies for the 'out of focus') showing the amount of insulin in the blod after an injectiont of a short acting insulin (humalog, top line)
and you can see that its peak effect is anywhere between 0.8 to 4.3 hours, average being 2.4 hours.
Perhaps keeping 2.4 hours in mind, then note what happens when the dose of a short-acting insulin is increased in the next slide.
Finally look at what the BSL rise is like for various types of bread in the third slide.
Now, whilst bread may not be the actual full content of say, your lunch, just see how much possible discrepancy there could be between the sugar rise from the bread vs when short-acting insulin might be acting most strongly (at peak).
Do you agree there is likely to be a mismatch? That the blood sugar rise from the bread in this case outpaces the insulin peak? Yes you might have a shirt-acting insulin working much quicke than the average of say 2.4 hours in this example, but that is one end of the range and i think you might expect less of a bsl spike if that was the case?
Yes, adding some meat or cheese might slow absorption of the bread but will that be enough to better match the blood sugar rise to the blood sugar lowering effect of the short-acting insulin?
At least until your results and diagnosis are better clarified, and in interests of keeping your BSLs in better control possibly you may wish to consider at least reading Dr Bernstein's Diabetes Solution as a book r e-book.
The premise is that rather than trying to have your short-acting insulin 'catch up' with the blood sugar rise (which on the graphs etc at least does not seem likely) that by a change in diet may allow the blood sugar rise to better match the action of the insulin.
Very low carbs intake lead to less early blood sugar rise and a portion of the protein in the meal is changed by the liver into glucose which is released relatively slowly (at least compared to carbs) at about the 3 hours mark. = Better matching.
You would need to discuss alterations of insulin doses with your doctor or DSN as carbs are reduced, to prevent hypos and by looking up dietdoctor.com you can ascertain the effect of very low carbs on your body and what adjustments you may need to make, particularly about salt and magnesium intake.
Again the above is just a suggestion, a way to deal with what is happening now.
I do hope your diagnosis is sorted soon but at least if your BSLs are improved that is one less worry for you.
Best Wishes.
Last edited: