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Type 1 Diabetes
Morning spikes / Afternoon lows
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<blockquote data-quote="Smiffy1967" data-source="post: 314617" data-attributes="member: 48378"><p>Hi all having a few problems with the old Diabetes which some of you may be able to help with</p><p></p><p>After 15yrs of bimbling along quite nicely I'm having real problems with spikes after meals especially in the mornings</p><p></p><p>I've traditionally had weetabix, shredded wheat, toast or porridge and hasn't caused a problem but now I get really bad spikes after. From BG of 6-7 I have had spikes 2hrs after a meal of upto 16 :shock: so have cut down on carbs but still spiking. I even tried a low carb shake of 2g and still got a spike of 11 from 7</p><p></p><p>I have tried delaying eating after injecting but can only delay by 20 mins as I arrive at the office at 8:10 & officially start at 8:30 Injecting before this would mean doing it on the train. This helped slightly. My readings after 4hrs before food is back to normal. I mentioned this to my dietician and she suggested giving more insulin to combat the spike or change my carb ratio but when I reiterated the levels were back down before the next meal and I would hypo she didn't give anymore suggestions.</p><p></p><p>That's problem No.1 the second is in the afternoon my levels plummet dramatically. The spike is still present but not so great. I have changed my carb ratio, had snacks, apples, crackers etc but still struggle to not go hypo by 17:00.</p><p></p><p>I have checked my basal by fasting and am sure it is correct</p><p></p><p>For info I'm on Levemir and Novorapid </p><p></p><p>I have booked an emergency appointment with a diabetic nurse tomorrow but any suggestions would be gratefully received</p><p></p><p>As an aside I read on the forum that somebody was testing an hour after meals...with the spikes I'm getting I would be scared :shock: <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite9" alt=":eek:" title="Eek! :eek:" loading="lazy" data-shortname=":eek:" /></p></blockquote><p></p>
[QUOTE="Smiffy1967, post: 314617, member: 48378"] Hi all having a few problems with the old Diabetes which some of you may be able to help with After 15yrs of bimbling along quite nicely I'm having real problems with spikes after meals especially in the mornings I've traditionally had weetabix, shredded wheat, toast or porridge and hasn't caused a problem but now I get really bad spikes after. From BG of 6-7 I have had spikes 2hrs after a meal of upto 16 :shock: so have cut down on carbs but still spiking. I even tried a low carb shake of 2g and still got a spike of 11 from 7 I have tried delaying eating after injecting but can only delay by 20 mins as I arrive at the office at 8:10 & officially start at 8:30 Injecting before this would mean doing it on the train. This helped slightly. My readings after 4hrs before food is back to normal. I mentioned this to my dietician and she suggested giving more insulin to combat the spike or change my carb ratio but when I reiterated the levels were back down before the next meal and I would hypo she didn't give anymore suggestions. That's problem No.1 the second is in the afternoon my levels plummet dramatically. The spike is still present but not so great. I have changed my carb ratio, had snacks, apples, crackers etc but still struggle to not go hypo by 17:00. I have checked my basal by fasting and am sure it is correct For info I'm on Levemir and Novorapid I have booked an emergency appointment with a diabetic nurse tomorrow but any suggestions would be gratefully received As an aside I read on the forum that somebody was testing an hour after meals...with the spikes I'm getting I would be scared :shock: :o [/QUOTE]
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