I've had my pump 12 years so I don't remember every detail of spikes on MDI but I was able to control them to some extent (I tried to stay below 8.5) by having enough insulin to get my sugars in range two hours after eating, and then topping up with a small snack if necessary ('small' could mean as little as an extra 5g). I found I felt better doing this - less tired, more 'normal'. I didn't have to do it after every single meal, only the ones that caused me problems.
Then I read about timings of bolus injections and that helped too, especially with breakfast.
So yes, getting enough insulin in and topping up with a snack does work for me. I put 'does' there not 'did' because I used exactly the same method in order to get very tight control during my recent pregnancy.
Timing as @tim2000s said is important. You could also inject and split your lunch into two parts if you can (if you eat fruit with your lunch eat it an hour later). You can do with extra snack as you say but I would prefer to save a bit of my lunch for later (which is actually the same but you eat less)
Wow DD......those bg levels are very low. My consultant would jump out of her skin and I would have to face the 40 degrees about my awareness of the hypo feeling and told to pack it in. I also do a bit of low carbing but at higher targets than yourself and so far life has been fairly good
I hope so. Far too little understood about T1D by GPs.I think give it time, all type 1s will slowly go back to consultant care with any luck as many GPS don't understand the bolus basal regime very well and don't think using a carb ratio matters or testing bg more than 5 times per day. Seriously people might just as well use twice daily insulins and watch the carb a bit more
I think give it time, all type 1s will slowly go back to consultant care with any luck as many GPS don't understand the bolus basal regime very well and don't think using a carb ratio matters or testing bg more than 5 times per day. Seriously people might just as well use twice daily insulins and watch the carb a bit more
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