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Type 1 Diabetes
High sugars - insulin not working?
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<blockquote data-quote="tigger" data-source="post: 1345318" data-attributes="member: 11023"><p>[USER=303461]@passittotheleft[/USER] are you always eating when you're high? If so that might be part of the problem. Looking at the information you've given above you post meal rises are low (1.3-3 mmol). You should expect to have that increase when you're eating. The issue is that you're not going down again. I'd recommend that before you eat next time, test, bolus and then test again before you actually eat. Then test 2 hours later. That won't get your basal right but might give you an idea of your post meal rises. The other thing to remember is that when you end up at a certain level for a while the body often assumes that's your normal and it's hard to move off it.</p><p></p><p>Other good but very boring advice is stick to identical food for the same meal for a couple of days to make sure your carb ratio is right. Also are you weighing your bread and using the correct carb/g rate for the type of bread? I know it's really basic but it's shocked me how much portions have increased over the years since I started strict carb counting again. As an example a standard slice of bread in the 80s when I was diagnosed was 10g for wholemeal and 15g for white. It's now easily 15g for wholemeal and only if really quite small. </p><p></p><p>And do basal test if you can. It's a complete pain (10 hours no food min) but gives such good information.</p><p></p><p>I wouldn't recommend going to A&E or calling 111. They are unlikely to have people who can give you anything more than general advice. You'll just sit there getting stressed and that's not great for levels either.</p><p></p><p>Good luck. I know it's a complete pain but you can get there.</p></blockquote><p></p>
[QUOTE="tigger, post: 1345318, member: 11023"] [USER=303461]@passittotheleft[/USER] are you always eating when you're high? If so that might be part of the problem. Looking at the information you've given above you post meal rises are low (1.3-3 mmol). You should expect to have that increase when you're eating. The issue is that you're not going down again. I'd recommend that before you eat next time, test, bolus and then test again before you actually eat. Then test 2 hours later. That won't get your basal right but might give you an idea of your post meal rises. The other thing to remember is that when you end up at a certain level for a while the body often assumes that's your normal and it's hard to move off it. Other good but very boring advice is stick to identical food for the same meal for a couple of days to make sure your carb ratio is right. Also are you weighing your bread and using the correct carb/g rate for the type of bread? I know it's really basic but it's shocked me how much portions have increased over the years since I started strict carb counting again. As an example a standard slice of bread in the 80s when I was diagnosed was 10g for wholemeal and 15g for white. It's now easily 15g for wholemeal and only if really quite small. And do basal test if you can. It's a complete pain (10 hours no food min) but gives such good information. I wouldn't recommend going to A&E or calling 111. They are unlikely to have people who can give you anything more than general advice. You'll just sit there getting stressed and that's not great for levels either. Good luck. I know it's a complete pain but you can get there. [/QUOTE]
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