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

Sugar spike

alphabeta

Well-Known Member
Messages
615
Type of diabetes
Type 1
Treatment type
Insulin
Hello everyone,
I have a question regarding the post meal spikes; I get a reading of 300 to 350 after 2 to 4 hours after breakfast but it ends up lower than 180 generally speaking by lunch.. after dinner it can spike to 350 to 400 then go back to 250 after 4 hours and lower than 110 in the morning. I use Mixtard 30 in the morning and I mix my own dosage of NPH and Actrapid at night (I used Mixtard 30 at night but see my older posts to see why I stopped it). No I don't want Basal-Bolus regime because I'm more confident using the premixed insulin. My question is would this spike impact me? Would it damage my organs in the long run? What is your spike? Thank you
 
alphabeta said:
No I don't want Basal-Bolus regime because I'm more confident using the premixed insulin. My question is would this spike impact me? Would it damage my organs in the long run? What is your spike? Thank you
Click to expand...
A spike of 350mg/dl (19.4mmol/l) doesn't spell confidence to me - no offence.

Have you tried basal/bolus before? It's much better for overall control.

19.4mmol/l will not do your body any favours whatsoever. How damaging that will be to you is an impossible question to answer.

My highest reading today was 8.1mmol/l 30 minutes after lunch; I'm using Levemir/Novorapid.
 
I recognize that 350 is too much but I'm aiming for a range of 200-250 and then the long acting insulin can handle the rest.. basal bolus regime was discussed by my doctor but he refused (or avoided the whole talk at once)
 
As for the morning spike that is how I was for the last 8 years.. and my hba1c dropped to normal levels but then went up for other reasons
 
alphabeta said:
I recognize that 350 is too much but I'm aiming for a range of 200-250 and then the long acting insulin can handle the rest..
Click to expand...
You can reduce spikes by choosing more appropriate foods. Low GI works better in combatting post-prandial spikes, as does consuming a moderate amount of carbs. What are you eating for your three meals, typically?

What I do know is that your spikes are bad news; and it's clear that things aren't working out for you currently. I'd be looking at better means of insulin therapy, such as basal/bolus.

alphabeta said:
basal bolus regime was discussed by my doctor but he refused (or avoided the whole talk at once)
Click to expand...
You should really find out why he dodged the topic. Basal/bolus is the preferred choice of insulin therapy for virtually every T1D and should be the initial regime chosen by doctors if they know anything about diabetes. There are rare circumstances where mixed insulin therapies are preferred over basal/bolus; but even then - it's still much harder to achieve similar results on a mixed insulin vs basal/bolus.
 
Last edited:
alphabeta said:
I recognize that 350 is too much but I'm aiming for a range of 200-250 and then the long acting insulin can handle the rest.. basal bolus regime was discussed by my doctor but he refused (or avoided the whole talk at once)
Click to expand...

These are the targets for blood sugar. Scroll down for the little table:

http://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html

Your 200 and 250 are approx 11 and 13mmol, and your 350 is 19.4mmol. I wouldn't want my blood sugar to be that high. In particular, spikes after meals are linked with neuropathy. It's best to keep spikes to a minimum.

Here's a website with figures in mg dl and with good info:

https://www.diabetesselfmanagement.com/managing-diabetes/blood-glucose-management/strike-the-spike/
 
OMG thank you so much that was a good read definitely!!
 
You must log in or register to reply here.
Menu
Log in
Register
Cookies are required to use this site. You must accept them to continue using the site. Learn More.…