• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Spike in sugar level after big meal

S

Saka

Member
Messages
21
Hi, I'm 33 and have lived with Diabetes for 16 years. I use Humalog and Glargine insulins, my control is very good and I have had no complications thus far.

However, if I have a large, carbohydrate rich meal, such as a Chinese or Indian I find that my blood sugar spikes to a high level throughout the night and the only way I can manage things are by checking my sugar level and injecting, which is a bit of a pain.

I asked my doctor what can be done to prevent this spike and he suggested increasing my Glargine on the day I have the larger meal, I've tried that but the increased dose doesn't work straight away, it takes a few days before the higher dose will take effect.

My doctor suggested seeing a dietician but I'm not sure how that will help me. I mentioned about using a mid-acting insulin but he didn't think that was a good idea.

This is something that's been going on for as long as I can remember and would love some help and advice.

Regards
Ian
 
A mid-acting insulin would be an option, most of us split-dose for such meals, meaning you bolus some upfront and inject the rest 2-4 hours later depending on your bg levels and own experience, it's mainly due to the high fat content of the meal.
 
IanPozz said:
Hi, I'm 33 and have lived with Diabetes for 16 years. I use Humalog and Glargine insulins, my control is very good and I have had no complications thus far.

However, if I have a large, carbohydrate rich meal, such as a Chinese or Indian I find that my blood sugar spikes to a high level throughout the night and the only way I can manage things are by checking my sugar level and injecting, which is a bit of a pain.

I asked my doctor what can be done to prevent this spike and he suggested increasing my Glargine on the day I have the larger meal, I've tried that but the increased dose doesn't work straight away, it takes a few days before the higher dose will take effect.

My doctor suggested seeing a dietician but I'm not sure how that will help me. I mentioned about using a mid-acting insulin but he didn't think that was a good idea.

This is something that's been going on for as long as I can remember and would love some help and advice.

Regards
Ian
Click to expand...

Its the LARGE meal causing the problem, try eating he same thing but in a smaller amount, just because your plate is piled high with rice, doesn't mean you have to eat it
 
Cheers for the comments. I need to point out that I don't eat meals like this often but you can't let diabetes rule your life so it's inevitable that I'll eat a big, high carb meal from time to time.
 
Back
Top