1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2021 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
  4. Guest, stay home, stay safe, save the NHS. Stay up to date with information about keeping yourself and people around you safe here and GOV.UK: Coronavirus (COVID-19). Think you have symptoms? NHS 111 service is available here.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

Novorapid Bolus Problem

Discussion in 'Type 1 Diabetes' started by Jackco, Dec 13, 2020.

  1. Jackco

    Jackco · Member

    Messages:
    6
    Likes Received:
    0
    Trophy Points:
    1
    Hi, everyone, I'm on MDI with NR and Tresiba. I recently noticed that when I have a fairly high fat meal ( around 25-30 ish grams of fat) my BG will be unstable. I usually only count carbs when I bolus, but 2 hrs pot meal ( with high fat) my BG comes down to in the range that I expected. But I found that around 3-4 hr even later, my BG will slowly rise up, I think that is due to the high fat that slows down the absorption of the carbs. Are unsaturated fats like in peanut butter, avocado, nuts, olive oil...etc more easier to digest in order to prevent the delayed spike? I've heard that u can add 25% of insulin and split 50/50 pre meal and 90-120 mins post meal to cover that delayed spike. Can some one help me with this kind of issue, I have been struggling with it, also Im pretty new to T1D, so ya. I know every individuals are different, and metabolise food differently, I just want some reference so I can try on my body, trials and errors right?
     
  2. kaylz91

    kaylz91 Type 1 · Well-Known Member

    Messages:
    1,086
    Likes Received:
    932
    Trophy Points:
    173
    I don't do particularly high fat meals but personally I'd try splitting the insulin first, I only practice this for Christmas and new year dinner but I do 2/3 up front and then the remaining between my main and dessert, adding extra runs the risk of a hypo as you don't know how you'd react, also if you are pretty new things are very unpredictable making it even more difficult at times xx
     
  3. Jaylee

    Jaylee Type 1 · Moderator
    Staff Member

    Messages:
    15,004
    Likes Received:
    11,366
    Trophy Points:
    298
    Hi Jacko,

    How high is the delayed spike?

    I agree with @kaylz91 on this.. Experiment with timing on splitting the corect dose for the carbs consumed.

    You're not far wrong. We are individuals. Even different days on the same routine don't always stack up..
     
  4. Jackco

    Jackco · Member

    Messages:
    6
    Likes Received:
    0
    Trophy Points:
    1
    Thnaks~
     
  5. Jackco

    Jackco · Member

    Messages:
    6
    Likes Received:
    0
    Trophy Points:
    1
    The delayed high will go up to around 180~220 ish, depends on the fat and carb.
     
  6. Jaylee

    Jaylee Type 1 · Moderator
    Staff Member

    Messages:
    15,004
    Likes Received:
    11,366
    Trophy Points:
    298
    How long before the meal do you normally inject?
     
  7. Jackco

    Jackco · Member

    Messages:
    6
    Likes Received:
    0
    Trophy Points:
    1
    Around 5-10 mins before meal.
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook