Type 1 Highs up to 4 hrs after eating

High all. Kinda new here, M, 47, type 1 diagnosed almost 2 yrs ago. I'm doing quite well apparently, from what my consultant has been telling me at our regular appts, HbA1c has gone from 107 to 72, and all other tests are coming back very good also, but I've a question for others living with type1...

Say I was roughly, 7 or 7.5 before eating my dinner, and I injected 5 units for the 50g of carbs, and say 3 units to cover the protein, that's a total of 8 units... Maybe 4 hours later, I could still be abt 14 or 15!!! I'm only kinda noticing it now, because of my Libre, and when I test myself, it's fairly close to the mark!! I'm carb counting btw, and everything is weighed, and properly counted for.

The only time it doesn't do this, is when I train after dinner, which is abt 3 evenings a week. I first started on a 20 - 1 ratio and now that the pancreas has completely stopped, I'm on a ratio of 10 - 1...

Should I inject far more for my normal evenings, or will it make me drop like a stone later on?? Does anyone else have the same issue?? Any help would be greatly appreciated.

Jim

Yeah, it looks like I'm gonna be on a constant learning curve alright lol... Thanks for that, I'll have a lookout for this person. Cheers

kaylz91 said:

First thing first, have you conducted a basal test to make sure your basal dose is correct? Nothing else will work as it should if your basal dose is off

Are you 100% sure you need to cover the protein? sometimes too much insulin can actually cause highs as well, I know most that need to cover protein do so due to the absence of substantial carbs as with substantial carbs your body shouldn't use much of the protein at all as glucose

Are you including a lot of fat in your meals? Fat slows the absorption and can cause a delayed spike which can be worked around by splitting your bolus, I don't do it often but I do adopt the splitting bolus regime for Christmas and New Year Dinner

If your basal dose is correct then perhaps look at your bolus ratio's, they can change significantly and while your using a 1:10 it may be 1:7 or even 1:5 or lower still
xx

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kaylz91 said:

First thing first, have you conducted a basal test to make sure your basal dose is correct? Nothing else will work as it should if your basal dose is off

Are you 100% sure you need to cover the protein? sometimes too much insulin can actually cause highs as well, I know most that need to cover protein do so due to the absence of substantial carbs as with substantial carbs your body shouldn't use much of the protein at all as glucose

Are you including a lot of fat in your meals? Fat slows the absorption and can cause a delayed spike which can be worked around by splitting your bolus, I don't do it often but I do adopt the splitting bolus regime for Christmas and New Year Dinner

If your basal dose is correct then perhaps look at your bolus ratio's, they can change significantly and while your using a 1:10 it may be 1:7 or even 1:5 or lower still
xx

Click to expand...

Hiya, thanks for the reply... When first diagnosed in Jan '17 they set my basal to 20 units, and my bolus to 20 units, 3 times per day. I started carb counting within about 6 weeks, and all my dosages changed obviously. My basal went down to 14 and my bolus went to 20:1... I'm currently on 10:1 and a basal of 17 which is what I was told to use by the hospital. The reason I dose for the protein was that I was noticing that my highs were lasting quite a while, so after some reading (maybe slightly ill-informed reading), I thought I needed to take the protein into consideration.

All my meals are home prepared by my wife and daughter, and the fat is kept to a minimum because of the fact that I do a lot of cycling & training etc, so I'm lucky enough on that front. Going back to the topic of protein, maybe you could be right... maybe I don't need to inject for it, maybe I just need to inject a little more for the carb intake.. Like, I eat a really high, clean carb breakfast on a Sunday morning, then cycle maybe 60 odd miles, and at the halfway coffee stop, I'm still a tad high, but perfect when I get home.

Thanks again for the reply, I'll maybe do a few tweaks and see how I go.

Jim

urbanracer said:

I would be interesting to know what you actually ate?

Carbs like pasta do raise my blood sugars after the insulin has peaked.

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Hiya.. On a normal evening, say I had maybe 200 grams of mashed potato which is 31 grams of carbs, some boiled carrots and peas, or processed peas, which are around 16 grams of carbs, and then about 60 grams of lean meat or chicken, which, when i read up on, should be halved in weight and bolused for, so that is roughly 30 grams...

It only beats me on a day that I'm not evening training, once I train, I'm sound.

I've just been reading up on the basal tests now since you mentioned it. I'm on Abasaglar, and I take it at around 7 or 8 pm... The test seems like a bit of a chore, but also sounds like its really worthwhile. As soon as I get my head around it, I'm gonna get one done for definite...

Thanks again for your help. Talking with someone who's actually living with it, really makes things clearer..

@urbanracer @kaylz91 @ert @The Pirate Twins Thanks for all the advice... Yeah, I have spoken to someone at work who's also type1, and they have mentioned splitting doses. I've decided to wait until I speak to a particular diabetic nurse, locally, as she is type1, and she's easier talked to... Kaylz91, most of the real highs, from what I can see, seem to from after my 2 pm lunch break.

Again folks, thanks for all the help...