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Split doses Novorapid

O

ono

Well-Known Member
Messages
145
HI,

I am a type 1, have been for about 2 years. (novorapid / lantus )
I test quite a lot and have had very good results with split doses of novorapid , to the point where i had nailed down precise ratios for rice, pasta, even pizza.

Sometimes the amounts of insulin change slightly, but the times at which a certain type of carb kicks in (for me) seemed to stay constant. Sudely I am experiencing a very dramatic change , for example, rice used to be say 3 units after eating and another 2 after 30minutes, that took care of the first and second wave of glucose. Now I get the second wave after about three hours.
(This is for rice with not much grease/fat on it)

Also I have noticed that the amount of insulin i need is less than before, both for the bolus and the basal.

I wanted to ask if anyone had a similar experience and any ideas on what might be going on.
Thanks!
 
162 views and not a reply? god what a success.. I'm just gonna chuck myself in the river : D
 
I read your post but didn't have any immediately helpful ideas.

Insulin requirements can go down for a number of reasons such as if you've lost a reasonable amount of weight recently or if you're doing a little bit more exercise than you used to (eg weight training, walking a bit more than you used to, climbing stairs instead of using lifts etc).

Is it right that you've only had diabetes for 2 years? If so, the changes could be related to the insulin your pancreas is able to make. I think I had times in the first 2 or so years after being diagnosed when my sugar levels would start going lower than normal and it seemed like my body was healing itself.

Sadly, it was just temporary and my insulin requirements went back to what they were. Keep an eye on your sugar levels. If they start trending gradually upwards, it could be a sign that your honeymoon phase is beginning to tail away though.

Sounds like you've got a hang of things so keep up the good work.

Ed
 
alaska said:
I read your post but didn't have any immediately helpful ideas.

Insulin requirements can go down for a number of reasons such as if you've lost a reasonable amount of weight recently or if you're doing a little bit more exercise than you used to (eg weight training, walking a bit more than you used to, climbing stairs instead of using lifts etc).

Is it right that you've only had diabetes for 2 years? If so, the changes could be related to the insulin your pancreas is able to make. I think I had times in the first 2 or so years after being diagnosed when my sugar levels would start going lower than normal and it seemed like my body was healing itself.

Sadly, it was just temporary and my insulin requirements went back to what they were. Keep an eye on your sugar levels. If they start trending gradually upwards, it could be a sign that your honeymoon phase is beginning to tail away though.

Sounds like you've got a hang of things so keep up the good work.





Similar thing with me..although I ultra low carb and exercise my insulin requirements are quite low at the moment but I'm less than 2 years in myself from diagnosis and I am monitoring carefully for any trends upwards as I suspect I'm in some sort of honeymoon period too.

Paul

Ed
Click to expand...
 
Hi,
Thanks for the reply.
That's the thing though, I understand that insulin requirements go up and down, as it has in the past, but what is happening now is different:
Before, when I ate rice, my main peak of BG came about 40 min. after eating, now it comes 2 or 3 hours later, even though there isn't much fat in the rice at all.
 
Has there been any difference in the type of rice you're having?

Brown or basmati rice tends to take longer to be digested than white rice.

When you talk about the main peak of your BG numbers after meals, has this got bigger, smaller or stayed the same as when you had the peak after 40 mins?

Ed
 
Hi Alaska,
It's almost always white rice.
I would say the total BG peak has become a little bit less than before, possibly due to the erratic splutter of insulin by my pancreas, possibly due to newborn person in the house, but what is really odd and I can't explain is this delayed effect, which doesn't seem to make any sense, as my menu hasn't changed.
 
Only other things I can think of right now is:

If you've decreased your basal a bit lately, could the rise in sugar levels be any kind of result of the basal being lower than it used to be?

The one other thing is whether you've slightly increased the amount of protein you're having? -as protein foods tend to take a few hours to hit blood sugar levels. I know you said your menu hasn't changed, so I guess this second one probably doesn't apply but I thought I'd throw it in just in case.

Are you any less regular bathroom-wise at all? Constipation and other changes to bowel regularity could lead to changes in how long it takes for food to hit our sugar levels.

Ed
 
Interesting stuff to think about, many thanks.
I have decreased my basal, because I was having a lot of hypos during the day, but would that actually affect the delay in absoption of BG?, the protein might be something to look into, as is the regularity.

I guess there is a lot of things that have changed lately in terms of everyday life for me that might have had an effect, I wanted to see if there was a factor that I was overlooking, but i guess it's the nature of Diabetes isn't it? that you can't rely 100% on the ratios and times since so many factors can throw it out of balance.. : (
 
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