How do you feel about the initial spike after food

[mytype1.life]

Makes sense to me, well said! Remember it's not as simple as what you eat - there's so many other contributing factors, some of which you can't control.

 

[x Carol x]

For instance, my DSN has told me that 7% is the gold star for HBA1C, anything lower and there is no extra benefit, if possible, great if without consistent hypos, but 7% is where we should be aiming for. I make that out to be an average BG of 8.5, which I think is certainly achievable down the road.

Interesting. I was always told by my DSN I should aim for between 6.5 and 7.4% but since last year that seems to have changed and she now wants it at 6.5% or lower. Looks like things are different depending on which area you live in.

 

[phdiabetic]

Some spike is inevitable - I used to be able to eat without going up by more than say 0.5, but that often ended up with me having a hypo so I don't think it's worth it. I'm ok with 7's, slightly less ok with 8's, grumpy with 9's and 10's and extremely concerned with anything above 11. Recently I've been trying very hard to avoid hypos (spent the last 2 months above 3.9, yay!) so I've had to accept a slightly higher spike than I would like (i.e. 8's).

 

[pinewood]

I'm ok with 7's, slightly less ok with 8's, grumpy with 9's and 10's and extremely concerned with anything above 11.

This sums it up very nicely for me; I feel exactly the same.

For me, beating spikes is about adequately pre-bolusing and/or exerting myself physically after eating (even just walking). Easier said than done, but once you've cracked it for a certain food it gets easier. If I didn't have time to pre-bolus as much as I'd have liked to then some light exercise after eating can make a world of difference at getting the insulin acting more quickly.