Post-meal high blood sugars - how to beat?

Hi there folks!

So I am a member of the needle club (type one) for almost 8 years now. I have recently been redoubling my efforts to get the sugars under control after I came back positive for early moderate background retinopathy in one eye. I wanted to ask a question that has been worrying me:

After my evening meal (within 30mins-1hr of finishing), I notice my blood sugars elevate to very high levels (between 14-18mmol). The insulin brings be down to within the acceptable range by the time I go to bed. Any attempt to raise my insulin dose means I hit hypo when I go to bed.

So how can I avoid this bump? I know they naturally raise after meals so is it just a case of ensuring my sugars are at the right level before the meal? Is it the short term raising of blood sugars that does the damage or is it more having it elevated over longer periods of time?


Thanks




Barney.

I decided to test at that time out of curiosity more than anything - I wondered what my sugars were doing during that time! I dont think it is down to overcarbing - my shots are quite modest and, going on the reading I get before bed, on target for how much I am eating. My pre-evening meal readings are usually a bit elevated - around the 10 mark.

If the insulin has not had time to work within 30-60 mins after eating, I am guessing the food will have? Working on the idea that, when treating hypo's, food starts working to raise the sugars within 10 minutes. I think I might give Dave's idea of doing the insulin 15 mins before the meal a try - I want to see my readings never get above 10!