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oat my god...

erroneous

Well-Known Member
Messages
63
Location
United Kingdom
I am an oat lover, i eat a bowl of porridge in the morning and oat cakes thru the day with my other meals. [:p][:p][:p]
My blood sugar is often quite good two hours after a meal BUT 4 hours after the same meal i am usually very high in sugar.
So...i dunno what to do. Should i eat a smaller portion? Should i inject again 4 hours after the meal? I'm a bit confused :?:
I use novorapid with each meal and have a lantus injection in the evening.
:?:Anybody knows???:?:
 
Hi Erroneous,

Although oats have the lowest carb content of all the cereals, they still contain a high amount of carbohydrate. If you are eating so much oats that's a very high carbohydrate intake. Are you counting the carbs and matching your insulin to your carb intake?
 
Not very well i'm afraid...i'm doing approximation really. I'm doing DAFNE course at the begining of next year. I hope it will help.
I guess i should just eat less oats then :-(
 
Has it occurred to you that oats are low GI in other words take ages to get into your system. You are on rapid acting insulin which works quickly. ergo you need the peak of your insulin to cope with your carbs and what you are currently looking at is a carb regime more suited to T2s. Just my 2p worth!

Patti
On Levemir/Novorapid. Last hba1c 5.3
 
Yep...i'm sure it has to do with that!
So if i want to keep the oats, should i inject the novorapid later? Or should i inject twice?
I know when i don't eat oats i intend to have more snacks because i don't feel fed enough :oops::oops::oops:
But maybe i'll only keep the morning porridge.
I don't think i eat a HUGE amount of carbs, because when i have oats at lunch it can be my only intake of carbs, with a slice of a bread that is also low-GI.
That's really complicated :x
THe 7th of december it's my first Diabetes-Birthday...ouch :?:?:?
 
You sound like my post prandial profile. I usually do a 2 hour BS. i find with novorapid I need a top up dose (usually it equals my BS+2 units of novorapid). This smooths out my profile at 4 hours. I am type 2. My type 1 neighbour (also a doctor) finds that unless she is quite high at 2 hours post meal, she hypos at 4 hours.

My solutions have been to top up 2 hours after my evening meal. I have a larger top up if the meal has had a lot of carbs. Currys I tend to double my top up dose. My day time meals are not a problem.

I have swithced from lantus once a day to levemir twice a day. It does seem to help lower my top up dosing. My diabetologist might give me old fashioned insulin (actrapid) for my evening meals (to give a longer mode of action).

I don't carb count but have a reasonable guess. Most of my 2 hour post meal BS are bewtween 5 and 7. Rarely above 8. So I don't think I am underdosing the mealtime dose. Its just that type 2s have a funny glucose profile. This is where I am hopeful to try Exenatide or Sitagliptin in the near future. Remember that your post meal ('post prandial') BS is related to cardiovascular risk (heart attacks and strokes). So I need to control both fasting and pre meal BS as well as post prandial BS accurately. My latest HBA1C is 6.5% (2 weeks ago).

I have a bone infection in my left foot again and am off work. I have increased my insulins by about 20% to account for inactivity.

Marty B
 
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