1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2021 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
  4. Guest, stay home, stay safe, save the NHS. Stay up to date with information about keeping yourself and people around you safe here and GOV.UK: Coronavirus (COVID-19). Think you have symptoms? NHS 111 service is available here.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

Here I go again!!

Discussion in 'Type 1 Diabetes' started by kelp84, Mar 13, 2016.

  1. Type1Bri

    Type1Bri Type 1 · Well-Known Member

    Messages:
    881
    Likes Received:
    876
    Trophy Points:
    153
    Lower carbs and less insulin should avoid the big highs followed by steep drops
     
  2. tim2000s

    tim2000s Type 1 · Expert
    Retired Moderator

    Messages:
    8,914
    Likes Received:
    11,784
    Trophy Points:
    198
    The other thing to look at is timing of insulin doses. You may need to bolus earlier to avoid the mealtime spikes.
     
    • Like Like x 2
  3. BeccyB

    BeccyB Type 1 · Well-Known Member

    Messages:
    466
    Likes Received:
    537
    Trophy Points:
    153
    My Libre graphs always looked very similar to yours @kelp84 but they're slowly starting to look better. @Type1Bri is right but I'm a real carb-addict so I'm resisting the sensible advice at the moment! I have found that as @tim2000s said bringing my bolus forward has made a real difference in flattening the curve out. Word of warning though - don't do what I did the other day - I took my bolus thinking I was going to get lunch shortly and then got engrossed by something and the next I knew I was hypo!

    Keep going - you'll get there
     
    • Like Like x 4
  4. tim2000s

    tim2000s Type 1 · Expert
    Retired Moderator

    Messages:
    8,914
    Likes Received:
    11,784
    Trophy Points:
    198
    I think we've all done this!
     
    • Like Like x 2
    • Agree Agree x 2
  5. mentat

    mentat Type 1 · Well-Known Member

    Messages:
    409
    Likes Received:
    185
    Trophy Points:
    83
    Gee, those spikes are nasty! Here are some options for dealing with spikes:
    • Reduce daytime basal; if you have less basal you should be able to take more fast-acting insulin which will help tackle the spike. Some options for reducing your daytime basal are:
      • Go back to Levemir. Since Levemir lasts ~12 hours it is easy to have higher basal at night and lower basal during the day, just take a lower dose in the morning than the evening.
      • Change your Lantus schedule. You may want to have different morning/evening doses or get rid of the morning dose altogether.
      • Get a pump
    • Inject earlier for meals (if you are not sure what you will be eating you can inject SOME insulin in advance and then top up when you eat)
    • Rub the injection site vigorously. Blood flow means the insulin will enter your bloodstream faster, and finish acting sooner. Make sure your injection site isn't cold. Doing some brief intensive exercise can help as well.
    • Try different injection sites. Overused injection sites can release insulin more slowly; also some people find certain areas of their body work a lot better.
    • Eat fewer carbs with a meal (increase meat and veg).
    • Eat meals that are slower to digest (fats and fibre are great for this, as they are not digested until the small intestine).
    • Take more rapid insulin and then eat a snack ~2 hours later while the insulin is still active.
    • Try a different fast-acting insulin (such as Apidra); although they are not that different on average, certain people get much better results with particular insulins.
    You'll get this under control!
     
    • Informative Informative x 1
  6. kelp84

    kelp84 · Well-Known Member

    Messages:
    48
    Likes Received:
    50
    Trophy Points:
    38
    Hi Everyone!

    So my latest HbA1c was 7.8, this was down from the last one of 8.5
    Still a little higher than I would like but it is going in the right direction for the first time in years!
    Thank you all so much for your help! I really appreciate it!

    I am aiming for 6.5 haha, this may be a bit too far lol :)
     
    • Like Like x 5
    • Winner Winner x 1
  7. kelp84

    kelp84 · Well-Known Member

    Messages:
    48
    Likes Received:
    50
    Trophy Points:
    38
    So does anyone ever actually feel like they are stuck on a merry go round time warp?
    The lowest I ever got to was 60 and that’s no good!
    My levels shoot all over the place and I never seem to get any better grrrr .... I see so many people with good levels so I know it’s possible but I just never seem to get there ..... and I know if you keep doing the same things expect the same results so I have tried all sorts!
    My libre graph NEVER stays in the green for a whole day ... ever!!!!
    If anyone has ever been through this and managed to get to a decent HBa1c it would really be good to hear how you did it in the end :)
     

    Attached Files:

  8. becca59

    becca59 Type 1 · Well-Known Member

    Messages:
    2,092
    Likes Received:
    2,669
    Trophy Points:
    198
    I’m not a big fan of ultra low carb, but do try to keep things as low as possible. Also, I have found the best way to avoid a large rollercoaster is to inject a good time ahead, split my dose of bolus which seems to catch the quick acting and the slower acting carbs. I ditched the spuds, rice and pasta for veg alternatives. This helped. It is not to say that I don’t deviate from time to time, but on those occasions I am prepared for a high rise hit. However, I never eat cakes and other desserts.
    Having said all that, some days, for reasons known only to diabetes, I cannot seem to avoid high rises no matter what I have done or eaten. Those days I have learnt to not stress about, accept them and move on.
     
    • Agree Agree x 3
  9. Chris Bowsher

    Chris Bowsher Type 1 · Well-Known Member

    Messages:
    207
    Likes Received:
    245
    Trophy Points:
    103
    @kelp84 one effective way to reduce your hba1c is to focus on the night time BG levels.

    You are asleep for on average 33% of the day. You're not eating (hopefully) during that time, so if you can get your blood glucose down to a normal level before bed and keep it there overnight you will significantly improve your hba1c.

    do this by A) making sure your overnight basal requirements are met correctly and B) eating no less than four hours before bed, then checking and correcting (either up or down) before you go to sleep. Some people are scared to take fast acting insulin before bed, but if you know your correction ratios you can safely make adjustments.
     
    • Agree Agree x 2
  10. Chris Bowsher

    Chris Bowsher Type 1 · Well-Known Member

    Messages:
    207
    Likes Received:
    245
    Trophy Points:
    103

    edited to add throughout the day i like work within the cycles of my fast acting insulin. i allow five hours between injections, pre bolusing an hour before eating meals (in normal conditions) and checking BG 2 & 4 hours after meals. i take around 10 BG readings a day and up to 6 fast acting injections, including corrections,
     
    • Like Like x 1
  11. kelp84

    kelp84 · Well-Known Member

    Messages:
    48
    Likes Received:
    50
    Trophy Points:
    38
    Thank you Chris! This is great advice
     
    • Friendly Friendly x 1
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook