Questions

[e.mcgovern1]

Hello Everyone

Once again I seek some answers.

1. First thing in the morning my blood sugar can be 6. However , an hour later having just taken my morning insulin, taken my daily medication, drank a cup of tea and eaten a slice of toast, my sugar soars to 14. Any thoughts why please?

2. Patrick Holford claims the perfect breakfast is using Get Up & Go. Is this a good breakfast start?

I look forward tyo your replies.

Mike

 

[Squire Fulwood]

It's the toast, it's got flour in it.

 

[BioHaZarD]

It's the toast, it's got flour in it.

Toast = bad...

 

[phoenix]

What type of insulin are you taking? It maybe that your slice of toast is absorbed before your insulin starts working. This would particularly be true if was a high GI bread.

 

[GraceK]

I'm a T2 and have quickly learned that me and bread aren't really friends. I'd never have realised bread had such an effect on my BG if I hadn't started testing myself after I was diagnosed and I was so shocked. Had it been half a bar of chocolate then yes, I wouldn't have been surprised - but bread??? I've tried low GI which is lovely but it still raises my BG significantly so I've opted for Hovis Crackers, Ryvita and Crispbakes instead. I miss my toast but I get a kick out of seeing how I can control my BG by cutting out certain foods.

 

[Anonymous]

Look at the carbs on the Patrick Holford Get up and Go - 12g per serving. That's loads for a protein shake. The one I am using at the moment is 1.2g per serving.

 

[Squire Fulwood]

The one that makes my eyebrows raise is Bisto gravy granules which weighs in at 59.1g/100g. If you like your gravy thick so that it sticks to things this is to be considered.

However I digress.

 

[picklebean]

Toast = bad...

Erm, since when has toast been bad? :crazy:


What type of toast are you eating? Anything from white to wholemeal will give you a sharp and fast rise in your sugar level. If you want to eat toast it is better to have a multigrain bread with actual lumpy grains in it as this will be processed more slowly and you shouldn't get such a sharp spike in your sugar levels.


Also, you say you're taking your morning insulin.... what regime are you on? Do you take a fast acting insulin matching it to CHO values? If so, perhaps your ratio needs adjusting... I know a lot of people's ratio changes throughout the day. I'm not sure what our levels are supposed to be like an hour after eating as the only data I've seen is for sugar levels TWO hours after food. This is the measure most often mentioned at my diabetes clinic, perhaps it differs elsewhere, but maybe you should be more intersted in your sugar levels then instead of only one hour after eating... just a suggestion, I'm sure others can give you more info on post-meal blood sugars.

 

[phoenix]

I've just looked at some of your past posts.
The insulin you are using is apparently Insuman Comb 25, .(and this post is based on that)
It contains 2 types of insulin: regular soluble insulin to cover your meals and intermediate insulin to cover the glucose released from your liver between meals.
It has a very gradual onset

Insuman Comb 25 is injected subcutaneously 30 to 45 minutes before a meal

http://www.medicines.org.uk/emc/medicine/26469/spc .if you eat immediately after injecting (and it seems like that from your post)then it won't work fast enough to have a chance of covering the rise caused by the toast. .


This graph shows that it's at it's peak from 2-4 hours after injecting.

This type of insulin works best with regular meals and consistent carbohydrate intake . It doesn't work well if you eat 20g of carbohydrates for one meal, say breakfast one day and 4g the next nor if you vary the times of meals too much.
Because the insulins are pre-mixed you can't easily vary your meals from day to day.
People are advising you to cut down from one slice of toast (less than 20 g carb) but don't seem to be taking into acount the insulin that you take.. If you reduce your carbohydrates and still take the same amount of insulin, then you risk having a hypo later. However, If you reduce the insulin you may not have enough intermediate insulin to cover the glucose released between meals.

As picklebean says it is best to check 2 hours after and also before meals.
This link tells you how to adjust your insulin based on the before meal readings . Obviously you need to discuss making any alterations with your Nurse/doctor.
http://medweb.bham.ac.uk/easdec/prevent ... tures.html
.
If you have been taking your insulin immediately prior to insulin, then I would take it carefully, moving the timing of the injection before the meal back gradually since the absorption of these insulins can vary from person to person.

 

[hanadr]

Grace
a small bar of chocolate would have less effect on BG than a slice of most kinds of bread
Hana