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Is There A Time Lag?

B

Baalmaden

Member
Messages
5
Type of diabetes
Type 1
Had a hypo yesterday afternoon and took glucose and had my normal insulin and evening meal but my blood glucose has stayed high for 14 hours. I had to take extra insulin this morning to get it down. I know the body produces its own gucagon. Has anyone else noticed this time lag effect?
 
How many carbs did you consume to treat the hypo?
 
And what was your blood sugar before your evening meal? And are you sure your counted the carbs for it accurately?
 
I had 3 dextrose tablets (10 CHO) followed by 20 grams in the form of wholemeal bread. My blood sugar was 10 when I normally would have my meal so I waited after my injection for an hour then had 20 CHO brown rice and 10 CHO veg curry. MY blood was 14 at 9 pm so I had nothing else but it was still high next morning.
 
Baalmaden said:
I had 3 dextrose tablets (10 CHO) followed by 20 grams in the form of wholemeal bread. My blood sugar was 10 when I normally would have my meal so I waited after my injection for an hour then had 20 CHO brown rice and 10 CHO veg curry. MY blood was 14 at 9 pm so I had nothing else but it was still high next morning.
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There's no need to have any bread or other slow acting carbs to treat a hypo. Just have your 10 - 15 carbs for the hypo and test 15 mins later, repeat if necessary.

Did you not use any correction for the 10 and 14? Rice is world famous for causing high bloods many hours after eating as well unless you use the right type of bolus.

So I would suspect it's your method of treating the hypo and the rice that was your downfall and not the actual hypo.
 
I'm obviously a bit out of date. I knew brown rice broke down slowly but not as slowly as that. Normally my fast acting plus long acting insulin works on that sort of meal quite well and my blood sugar is pretty good, about 4 by 9pm. I'll have to find out a bit more about GI for different foods. I've been type one for 25 years and the advice on carbohydrate was pretty basic - good or bad!
 
The other aspect of hypos I was discussing with my consultant is that they've determined that after a fairly deep low (sub-3.5) the body continues to pump out glucose for 12 or so hours.
 
20 CHO of brown rice seems a very small portion to me but I know we're all different where meal sizes are concerned :cool: - sure that was correct?

So you injected for the meal you were going to have, then delayed the meal for an hour? did that injection include a correction for the 10 BS? By the time you had 30g carbs in your meal your insulin would have been partial used, so you wouldn't have enough insulin on board to cover that meal, and with rices long affect I'm not surprised your were high the next morning.

Throw in the possible liver dump too,(and then the possible grab back - probably just after you corrected in the morning - did you go low again later that morning?) best put this one down to experience. ;)
 
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