Highs highs and highs...

Your diabetes is not out of control, Revontuli, don't worry about that. You've only been diagnosed four months and there are bound to be teething problems, so try not to get too worried about your results. There are many reasons why sugars sometimes go high two + hours after meals, and it may just be that you need to get your insulin / carbs ratios adjusted, or your background insulin tweaked a little.

I know it's easier said than done, but try not to feel too discouraged. We've all been there, so shout if you need any more advice

Good luck with the appointment and let us know how it goes

hei hei

What other insulin are you on besides Lantus? - do you know how long it takes to start working and how long it stays in the system?
If it's something like humalog it will mostly have gone by 5pm if you injected at 12 or 1pm. So if you are going low at 5 and haven't injected again in the meantime, I wonder if maybe your Lantus dose is a little high?

Three things I'd do:
1) inject before the meal. Ideally, inject as soon as you see the carbohydrate and can work out how much insulin you need.
2) I'd stop worrying about the post-meal spikes. They are coming down quite quickly, and I bet if you inject earlier on they'll improve. I'd suggest that you even maybe don't test, if it is making you worry, until about 4 hours after a meal.
3) If I had your blood sugar readings I'd DEFINITELY reduce my basal insulin. If you are going hypo more than 5 hours after your Novorapid injection it's almost certainly the basal dose that is causing it. Try reducing by one unit, see how it goes for a couple of days, maybe even reduce again after that if it's still a problem.

Try & learn the carb values of your most common meals, for example an egg sized potato =10 grammes of carb. Download a food database app to your phone if you have a smart phone (my fitness pal is one option). I agree with others, reduce your basal by a unit at a time if you keep going hypo more than 5 hours after eating. You may find then that you then need to increase your insulin to carb ratio which will reduce those highs after meals. HOWEVER do one thing at a time, otherwise you'll never know which adjustment worked.

DON'T WORRY about 12-14 after a meal for a couple of hours. It's not ideal, but some people (me included) can never get those values down, but still have overall pretty good control. You're very early in your adjustment/learning period it can take a few years to learn everything, it's a complex disease with many variables, it takes experience to consider them all at the same time.

Ask about a DAFNE course, it'll teach you about carb types & values, how fat affects carb absorption & you'll probably learn a lot about diet; most people do & it'll help you manage your diabetes better. Remember, a diabetic diet is basically a normal healthy diet: not too much fat, slow acting carbs, plenty if fruit & beg, easy on the sweet stuff. You don't need to cut out sweet things completely, just be sensible & have them with a meal when you can add the sweet carb to your mealtime injection. But the sweet stuff will always cause a bigger spike after your meal, so don't be concerned.

Managing diabetes is an art, you'll get there & discover what works for you. What I have always found is that I am not a "normal" diabetic, I seem to react to everything differently to how my doctors tell me that I should react. You'll find, on this forum, that there's many "not normal" diabetics, so many that I wonder where the doctors get their "normal" diabetics from. So don't be disheartened if you don't react exactly as you're told "most" people do!

This forum is a great place to find help & support from others like us. It'll get easier over time. Chin up :?

Hiya!

Revontuli said:

Well, I'm good at adjusting carb/insulin ratio but maybe it's because lately I've eaten more carbs than before and it doesn't have a very good effect on me.

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I have this problem. I usually low-carb, but I have a tendency to increase my carbs gradually over a period of time and as I do, my insulin:carb ratio increases and I get worse control immediately after meals - higher spike followed by mild hypos. When it happens a few times, I know it's time to give my body a break and reduce those carbs! I know some people on here can manage higher levels of carb and just inject to cover it, but that doesn't work for me. I guess you need to find your own level and decide what you're prepared to 'trade-off' - BG or carbs.

Smidge