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<blockquote data-quote="Deleted Account" data-source="post: 1761174"><p>Wow, that’s a lot to answer.</p><p>I assume you are seeing these rises and falls on a Libre?</p><p>Trying to work out how to avoid the rises when eating depends on what you are eating - different foods are absorbed/concerted to glucose at different rates. This varies per food per person but the glycemic index (GI) gives you some ideas. Basically, the higher the GI the faster it is absorbed. Pure sugar has a GI of 100. Fat slows the absorption so something fatty, such as chocolate will have a lower GI (and, hence, not good to use to treat a hypo).</p><p>The rate NovoRapid works also varies per person but it tends to start working after 15 minutes, last for between 3 and 4 hours with a peak at an hour.</p><p>Using the Libre, with some trial and error, you can try to get the peak carb absorption to match the NovoRapid peak for different meals.</p><p>You may find some heavy carbs/fatty meals, such as pizza, last a long time so may need multiple injections.</p><p></p><p>Given the NovoRapid profile (lasting up to 4 hours), it is not unreasonable for it to take up to 4 hours to bring your BG down after eating some meals.</p><p>As the hb1ac provides an average BG for the last 3 months, it could have some impact on your test. But, matching the amount of insulin to your food is most important compared to when to take it ... the “how much?” is learning to walk whereas the “when?” is learning to tango.</p><p></p><p>You mention waking on a low. What is your usual BG when you go to bed? If it is lower than 5, it maybe worth eating a small snack like a digestive biscuit or slice of toast without insulin before going to bed to stop the lows.</p><p>If you go to bed higher and always wake low, you may want to tweak your Lantus down by 1 unit and giving it a few days for your body to stabilise.</p><p></p><p>Sorry about the essay in response. Good luck ... and don’t stress about a few highs ; our bodies are not computers, they are not always predictable.</p></blockquote><p></p>
[QUOTE="Deleted Account, post: 1761174"] Wow, that’s a lot to answer. I assume you are seeing these rises and falls on a Libre? Trying to work out how to avoid the rises when eating depends on what you are eating - different foods are absorbed/concerted to glucose at different rates. This varies per food per person but the glycemic index (GI) gives you some ideas. Basically, the higher the GI the faster it is absorbed. Pure sugar has a GI of 100. Fat slows the absorption so something fatty, such as chocolate will have a lower GI (and, hence, not good to use to treat a hypo). The rate NovoRapid works also varies per person but it tends to start working after 15 minutes, last for between 3 and 4 hours with a peak at an hour. Using the Libre, with some trial and error, you can try to get the peak carb absorption to match the NovoRapid peak for different meals. You may find some heavy carbs/fatty meals, such as pizza, last a long time so may need multiple injections. Given the NovoRapid profile (lasting up to 4 hours), it is not unreasonable for it to take up to 4 hours to bring your BG down after eating some meals. As the hb1ac provides an average BG for the last 3 months, it could have some impact on your test. But, matching the amount of insulin to your food is most important compared to when to take it ... the “how much?” is learning to walk whereas the “when?” is learning to tango. You mention waking on a low. What is your usual BG when you go to bed? If it is lower than 5, it maybe worth eating a small snack like a digestive biscuit or slice of toast without insulin before going to bed to stop the lows. If you go to bed higher and always wake low, you may want to tweak your Lantus down by 1 unit and giving it a few days for your body to stabilise. Sorry about the essay in response. Good luck ... and don’t stress about a few highs ; our bodies are not computers, they are not always predictable. [/QUOTE]
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