Spikes after meals

rajg007

Newbie
Messages
1
Type of diabetes
Type 2
Treatment type
Insulin
Any advice for mum please.
HB1ac is 60, She’s a vegetarian 77 year old Asian lady with limited mobility.
She currently takes 10u of lantus in the morning with 2 metformins.
Her after meal spikes are going to 18/19, as most of her diet in carbs being Asian.

Thinking of starting novarapid for lunch, which sort the spike out at lunch time. But if she takes novarapid at dinner, she goes hypo at night.

Any advice please to stop the hypos?

Thks
 

Antje77

Oracle
Retired Moderator
Messages
19,835
Type of diabetes
LADA
Treatment type
Insulin
Thinking of starting novarapid for lunch, which sort the spike out at lunch time. But if she takes novarapid at dinner, she goes hypo at night.

Any advice please to stop the hypos?
Sounds like her dose needs some adjusting. She'll need to contact her diabetes nurse or doctor to talk about that, we can't give dosing advice on here.

Good luck!
 

mariavontrapp

Well-Known Member
Messages
275
Type of diabetes
Type 2
Treatment type
Insulin
Yes looks like doctor may need to adjust dose, but diet needs adjusting too! Replace breads and white rice with pulses, beans and brown basmati rice (small portions). Meat and vegetable dishes should be fine unless some extra type of carb is being added. Avoid the sweet puddings. If she keeps taking more and more insulin, she will just put on weight. It can't healthily be done by drugs alone
 

ianf0ster

Moderator
Staff Member
Moderator
Messages
2,522
Type of diabetes
Treatment type
Diet only
Dislikes
exercise, phone calls
Yes looks like doctor may need to adjust dose, but diet needs adjusting too! Replace breads and white rice with pulses, beans and brown basmati rice (small portions). Meat and vegetable dishes should be fine unless some extra type of carb is being added. Avoid the sweet puddings. If she keeps taking more and more insulin, she will just put on weight. It can't healthily be done by drugs alone
@rajg007 says mum is vegetarian and is asking for advice to stop the hypos. At 77 with a not terrible HbA1C of 60 and having eaten high carb food for all her life, I fail to see how your dietary advice is relevant to her situation.