Type 1 Keeping levels under 10

[Rae1709]

Hi All, in the morning I have my breakfast, weighing everything out and having the amount of insulin re carbs. I always have a couple of coffees before this and my levels start to rise. I have milk in my coffee and 1 sweetener. I factor in my coffees with my breakfast insulin. I will sit down and watch the news whilst eating and then maybe watch something else after this, so some mornings I sit for a couple of hours after breakfast. My reading on waking was 11.6 at 8.45am, had my breakfast at 10.00am giving myself 6 units of rapid acting insulin and 20 units of long-acting insulin. An hour later it had gone up to 14.4, then an hour after this it was 16.7. After 20 mins it was 14.1, 20 mins later 13.8, so thankfully coming down. I just don't understand why it rises so much when I do all the right things. How long does the insulin take to work? Should it rise before it falls? I don't know what I am doing wrong. Do I have to get out of bed and run around my block 10 times to get me started for the day? I go for walks with my dog everyday, lasting 1 to 2 hours and my levels come down then. Does/has anyone else had this problem and if so, what did they do.

 

[ert]

Hi All, in the morning I have my breakfast, weighing everything out and having the amount of insulin re carbs. I always have a couple of coffees before this and my levels start to rise. I have milk in my coffee and 1 sweetener. I factor in my coffees with my breakfast insulin. I will sit down and watch the news whilst eating and then maybe watch something else after this, so some mornings I sit for a couple of hours after breakfast. My reading on waking was 11.6 at 8.45am, had my breakfast at 10.00am giving myself 6 units of rapid acting insulin and 20 units of long-acting insulin. An hour later it had gone up to 14.4, then an hour after this it was 16.7. After 20 mins it was 14.1, 20 mins later 13.8, so thankfully coming down. I just don't understand why it rises so much when I do all the right things. How long does the insulin take to work? Should it rise before it falls? I don't know what I am doing wrong. Do I have to get out of bed and run around my block 10 times to get me started for the day? I go for walks with my dog everyday, lasting 1 to 2 hours and my levels come down then. Does/has anyone else had this problem and if so, what did they do.

Unfortunately injected fast-acting insulin in not like a normal person's insulin - it follows a fixed curve over 5 hours and does not match the food that you are eating. If you eat normally you will spike. On DAFNE they teach you to ignore the spike and as long as your blood sugars return to premeal levels 5 hours after injecting fast acting insulin, your dose was correct.