Still spiking loads after eating anything… help/advice needed

[Indy1282]

So I posted on here a few years back about spiking really high no matter what I eat and it’s still ongoing… it doesn’t seem to make any difference if it’s low carb or not.

Just as an example today. Tuna sandwich on brown bread. Carbs are 20g per slice so 40g in total. 20g of protein in the tuna so take that in to account and take 14 units of Fiasp ( yes the carb to insulin ratio is high)

Pre bolused @ 12pm ( 6.8 ) waited for Libre to drop - 30 min in and got arrow down and started eating on 5.9 ( can’t wait to go any lower otherwise I will hypo)

1.5 hours later and I’m on 11.6 and still rising. This happens at almost every meal. There is no way my BS will be in range after 2 hours so I will have to correct and then will almost certainly go low.

I still spike if I eat low carb or not- a chicken salad with greens will still require 6-7 units.

I haven’t eaten breakfast for years as I spike every time. Even eggs or yoghurt with a few berries will spike to the point where I am chasing a high for the rest of the day.

I’m just absolutely done with it.

I also have Hashimotos ( medicated with Levothryoxine ) and am heavily overweight.

I am 5”3 and 16.7lbs.

I take 24 units of Tresiba and 40 - 50 units of Fiasp a day.

My GP is terrible and just say take more insulin and I’m not under the care of an Endocrinologist.

 

[grantg]

what is your overnight fasting graph like relatively flat? might be worth doing a fasting test if levels creep up slowly maybe can do a little more in the morning. appears you have a fair whack of insulin resistance. is it possible to perhaps do a short walk 15-20min before and after meals to help the muscles use up the sugars a little more effieciantely? with a larger walk/swim maybe after your evening meal. exercise should help reduce the amount of insulin required. not 100% sure if you've done DAFNE course, could be worth while asking your GP for a refresher even if you have already.

To help with your weight you would require to exercise more than your cal input. (that will have the added bonus of reducing insulin resistance over time). fitbit/apple watch even a cheaper end smart watch should be able to help with working out how many cals your actually burning off each day.

you should be able to ask your gp for a referal to see at least a DSN, asking alongside for a referral for a diabetic dietician should prove useful.

if you like flatbread could try cottage cheese flatbread, very few net carbs approx 3g and just shy of 200 cals: 1 egg, 125g cottage cheese. 1/4 teaspoon garlic powder, 1/4 teaspoon oregano/parsley, pinch salt/pepper to taste small knob melted butter. preheat oven 180degrees whisk ingrediants til smooth. 12x8inch tray line with baking sheet cook for 25-30 minutes until browned. needs to let it cool for 5-8 minutes before removing it from the baking sheet. goes well with chicken/beef slices and tunamayo or chicken can also bake it for around 35 minutes and use as a base for homemade pizza

there are loads of keto breads available although texture / taste is very different some toast not too badly

 

[becca59]

What I will say is Type One’s are not expected to have their levels back in range after two hours. Insulin continues working, the length varies depending on the insulin. I know that I can take four to five hours but will drop back. If I injected correction doses after two hours I would go hypo.
That doesn’t help with your spikes, but it could just be that your ratio is incorrect. Or that you could do with a different insulin. Fiasp is notorious for not working quickly after you have been taking it some time.
Are you on Metformin? That is being prescribed these days to help with insulin resistance.
And by rights you should be under consultant led care as a Type One. It is actually in the Nice guidelines.

 

[Marikev]

Am relatively new to this game, but I seem to remember being told, by someone at some point that long acting insulin dose should roughly be the same as the quick acting doses, over the course of the day…
You seem to be taking twice as much fast acting as long acting…..
I find adding vegetables, or fibre, or roughage to my meals flattens out the spike somewhat.
There is a diet ‘guru’ who advocates eating your plate of food in a certain order and eating some kind of pickle/salad before the ‘main event.
Even a minimal amount of light exercise seems to have a flattening effect on my ‘spikes’…

 

[grantg]

Am relatively new to this game, but I seem to remember being told, by someone at some point that long acting insulin dose should roughly be the same as the quick acting doses, over the course of the day…
You seem to be taking twice as much fast acting as long acting…..
I find adding vegetables, or fibre, or roughage to my meals flattens out the spike somewhat.
There is a diet ‘guru’ who advocates eating your plate of food in a certain order and eating some kind of pickle/salad before the ‘main event.
Even a minimal amount of light exercise seems to have a flattening effect on my ‘spikes’…

long acting purpose is just simply to keep glucose levels steady. which in turn gives flexibility with meal times and the likes of. 100% agree adding certain foods can help to flatten spikes (but will prolong the spike) and indeed exercise has an effect too