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<blockquote data-quote="KK123" data-source="post: 2404917" data-attributes="member: 451727"><p>Hi [USER=522049]@Jeremy.M[/USER] , there is a lot of great information in these responses, I'm learning new things myself! One thing I would add is that it is nigh on impossible to identify any one thing that might be affecting your levels at any one moment in time. You might try to follow the exact same pattern in a day but the effects will still manifest themselves differently one way or another. You can end up chopping and changing frequently and quickly and <em>still </em>not get the numbers you want, in fact that can make things worse. That's why, for type 1s in particular, the targets are set fairly widely (ie, they know you are likely to reach a 10 or above sometimes). I'm like you in that I prefer to be between 4 and 8 mostly and I can achieve that with fasting levels.</p><p></p><p> When I eat I like to be no higher than 7 after a meal but accept that sometimes it won't happen (I went for a carvery the other day, over indulged on roast potatoes and zipped up to a 12 after 3 hours having never done that in the last 3 years). I did not rush to do a correction on the basis my insulin was still working (up to 5 hours) and lo and behold, by hour 4 it had dropped back into the 5s. IF I had rushed to correct it it is likely I would have gone swiftly into a hypo around hour 4/5.</p><p></p><p> I was told on a course that unless you are sky high (as in the teens at least) 2/3 hours after a meal or your level has stubbornly stayed high well after the 5th hour or so, then don't correct. Correcting at hour 2 (as you did) especially when it was only around the 10 mark, can have the opposite effect, ie, your levels are slowly dropping themselves (because of your initial dose), then suddenly they go into a panic because you've added more insulin, so they drop faster and your body starts releasing its supply of glucose and whips it UP again. Also any insulin you may still be producing of your own could also be working and you'd have NO control over that being added to the mix and wouldn't even know when it decides to say hello to your injected insulin.</p><p></p><p>I know it's really hard at the start as you want everything to be well controlled but I would say maybe ease off a little with the 2 hour corrections because this 2 hour target isn't really intended to be a mantra for type 1s but more of a guideline as to whether a meal was 'ok' ish (for type 2s), with type 1s it can take 3/4/5 hours to get back to pre meal levels. x</p></blockquote><p></p>
[QUOTE="KK123, post: 2404917, member: 451727"] Hi [USER=522049]@Jeremy.M[/USER] , there is a lot of great information in these responses, I'm learning new things myself! One thing I would add is that it is nigh on impossible to identify any one thing that might be affecting your levels at any one moment in time. You might try to follow the exact same pattern in a day but the effects will still manifest themselves differently one way or another. You can end up chopping and changing frequently and quickly and [I]still [/I]not get the numbers you want, in fact that can make things worse. That's why, for type 1s in particular, the targets are set fairly widely (ie, they know you are likely to reach a 10 or above sometimes). I'm like you in that I prefer to be between 4 and 8 mostly and I can achieve that with fasting levels. When I eat I like to be no higher than 7 after a meal but accept that sometimes it won't happen (I went for a carvery the other day, over indulged on roast potatoes and zipped up to a 12 after 3 hours having never done that in the last 3 years). I did not rush to do a correction on the basis my insulin was still working (up to 5 hours) and lo and behold, by hour 4 it had dropped back into the 5s. IF I had rushed to correct it it is likely I would have gone swiftly into a hypo around hour 4/5. I was told on a course that unless you are sky high (as in the teens at least) 2/3 hours after a meal or your level has stubbornly stayed high well after the 5th hour or so, then don't correct. Correcting at hour 2 (as you did) especially when it was only around the 10 mark, can have the opposite effect, ie, your levels are slowly dropping themselves (because of your initial dose), then suddenly they go into a panic because you've added more insulin, so they drop faster and your body starts releasing its supply of glucose and whips it UP again. Also any insulin you may still be producing of your own could also be working and you'd have NO control over that being added to the mix and wouldn't even know when it decides to say hello to your injected insulin. I know it's really hard at the start as you want everything to be well controlled but I would say maybe ease off a little with the 2 hour corrections because this 2 hour target isn't really intended to be a mantra for type 1s but more of a guideline as to whether a meal was 'ok' ish (for type 2s), with type 1s it can take 3/4/5 hours to get back to pre meal levels. x [/QUOTE]
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