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Intermittent Fasting morning blood sugar spikes

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DiabeticDanny

Newbie
Messages
1
Type of diabetes
Type 1
As a type one Diabetic, I have been giving intermittent fasting a shot. I wake up with good readings (around 6 mmol/L at 9am); however, around once I eat my first meal I notice a large spike in my blood sugars (around 13 mmol/L at 2pm). I am currently on an MDI regime.

I am not too sure what to do. I thought of injecting a little bit of fast acting insulin to prevent ketones from lack of insulin (1 unit at 9am with a 1:10 insulin-to-carb ratio), but this made me go from a 7mmol/L to a 4mmol/L. Perhaps do I need to reduce it to half a unit?

Any advice would be greatly appreciated for I am not too sure on how to manage my sugars in this situation?
 
DiabeticDanny said:
As a type one Diabetic, I have been giving intermittent fasting a shot. I wake up with good readings (around 6 mmol/L at 9am); however, around once I eat my first meal I notice a large spike in my blood sugars (around 13 mmol/L at 2pm). I am currently on an MDI regime.

I am not too sure what to do. I thought of injecting a little bit of fast acting insulin to prevent ketones from lack of insulin (1 unit at 9am with a 1:10 insulin-to-carb ratio), but this made me go from a 7mmol/L to a 4mmol/L. Perhaps do I need to reduce it to half a unit?

Any advice would be greatly appreciated for I am not too sure on how to manage my sugars in this situation?
Click to expand...
Hello @DiabeticDanny:)

Need to ask a few questions before I can (hopefully) tailor the correct advice.

When is your first meal and do you test at any time between waking at 9am and your first meal?

What are you typically eating when you see large BG spikes and do you get spikes at any other time of the day?

What is your estimated daily carb intake?

When do you take your basal insulin, and is it once or twice per day?

You mentioned ketones, are you attempting dietary ketosis or have you seen an unintentional build up of ketones?

Have you ever tried a basal rate test to see how accurately that dose is set?

https://mysugr.com/basal-rate-testing/
 
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