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Sugars rising even without carbs

Bobos2121

Member
Messages
5
Type of diabetes
Type 1
Treatment type
Insulin
Hi,

Does anybody else have the same problem as me ?

I'm a 35 year old relatively fit male. I take 38 units of lantus per day at 6pm

I take my humalog according to how many carbs I eat.

For the past few weeks my sugars have been rising even though I have not eaten carbs.

For example

Woke up @ 7:30 AM and was 4.8 mmol

@ 8:00 AM Had for breakfast 2 cups of black coffee, 2 slices of ham and 2 slice of cheese. ( I took no insulin)

@10:15 AM I was 7.9 mmol

@12:30 PM I was 9.6 mmol

@ 13:00 PM I had a steak with lettuce and tomatoes for lunch ( I took no insulin)

@ 13:30 I took a 3 unit correction of humalog

@ 16:00 I was 11.2 mmol ( I took another 3 unit correction)

I have eaten no carbs and can't understand why sugars keep rising.

Anybody have advice ? I'm struggling to keep on top of it ?

Thanks

Brad
 
hya Brad, im having same problem at mo, seeing dn in two week who hopefully can help,she did say last time that i may need a change in insulin as sometimes after a while our bodies get used to certain insulins,sorry i couldn't help
 
I know it's a nightmare ! Also I'm working out 5 times a week so I should be well within range. Maybe it's the coffee ?
 
The answer may be with your protein and fat consumption to a degree . Both will convert to glucose, at a much slower rate than straightforward carbohydrates. So strictly speaking, there is no such beast as a no carb meal, and this does need to be bolused for, albeit at a much lower dose. How much depends on the person, and it's experimentation to find out your personal bolus levels for protein and/ or fat . Personally, I bolus at 50% For protein, and 30% for fat..

It's worth a mention that tomatoes are rather carby too

Oh, and welcome !

Signy
 
 
Thank you very much

This never used to be the case for me and has only happened in last week :-(

Did you always have this ?

Brad
 
Possibly ! How long have you been diagnosed? I ask because of you are still , or have recently been in the " Honeymoon" stage, your tolerances, ratios and all round control may have changed or be changing . Having said that, it seems to do that outside of the honeymoon period too

You appear to be going on as few carbs as possible,, is this a recent thing ?

As for me, I've always needed to bolus for protein and fats, but have pretty much always eaten low carb. Apart from one time when I adopted the advice to " eat what you want and bolus for it " as an experiment,, gained weight for the first time ever, and seemed to be bolusing a small tanker of insulin for not very much food

Generally, my insulin needs are very low, and I do use a half unit pen which gives greater flexibility in dose adjustment.

Like every thing else, Brad, it's trial and error with with the bl@@dy condition to find what works for you.....and even then it could change by next Tuesday

Signy
 
This never used to be the case for me and has only happened in last week :-(

If you've recently been in your Honeymoon period then this will explain why you didn't have to bolus for low-carb meals.

I would have to inject for the meals you listed, for a breakfast of bacon & egs or a cheese omelette I nearly have to inject as much insulin as I do for a breakfast of porridge oats, as the protein and fat breaks down slowly the only way I can manage such meals is by split-dosing, meaning injecting a couple of units before eating and a couple 2-3 hours after eating before.

Try eating the same meals but bolus Brad, start with a low-dose then work your way up going from your postprandial bg readings, its a case of trial and error to get the dosage right for low-carb meals.
 
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