I have never tested after meals. But I think in order to improve my hba1c which was last time 80, I think looking more carefully at what my blood sugars do might help? I follow DAFNE.
I always test before meals, varied tesults no pattern as such. Today I had for breaky 1 grilled egg, 2 bacon, some baked beans (not measured) and 1 slice toast. Blood sugar before breakky was 12.1 which I took 1 unit for and 4units for beans n toast. 2 hrs latermy blood sugar is 15.
My question is, do people do correction doses if high 2 hrs after a meal or is it best not to? I know I need to keep testing b4 and after and to try to eat balanced meals ( am trying to lose weight). I dont really know how my insulin levels are with different foods, cept chinese takeaway which endz up with high bg no matter what I inject!
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Hi CatsBD!
I've just been on a DAFNE course and I was shocked by the amount and type of carbs that course participants were being encouraged to eat. The trainers brought biscuits and chocolate in for us, we went out for a meal that involved huge portions of chips, pies, burgers and jam doughnuts. We had a buffet involving sausage rolls, bread rolls, crisps, cake etc and we were told not to test after meals - you'll see if your insulin dose was correct by seeing what your next pre-meal figure is. Absolute tosh! If you want good control of your BG, you must test 2 hours after your meals to see what the effect of that meal and the insulin dose you took was. I promise you my BG have never been so badly controlled as they were for the whole of last week - I was seeing double-figures every day. Most well-controlled Type 1s reduce their carbs to considerably below the 'normal' carb intake. Some of us reduce them further. How low you take them is a matter of personal choice and how consistent your BG is.
I do correct if my BG is high at two hours, but I take a lot of things into account before I do it e.g. how much active insulin I have on board, what food I ate and when the sugar from t is likely to be released etc. Get your BG lower and more consistent before attempting corrections.
Incidentally, DAFNE also taught that you don't need to take vegetables, beans and pulses into account when bolusing - unfortunately, many of us find that this is not the case and we DO need to jab for those or our BG will rise too high. Specifically, we were told to jab only for the sauce on baked beans - not for the beans themselves (so the 'of sugars' part rather than the 'total carb' part) - I can't speak for anyone else, but I have to jab for the 'total carb' content of baked beans as I do for any other carb. They also said you don't need to jab for any snack with 10g carb or less in it - I certainly DO need to jab at that level or my BG will rise by around 3mmol.
Take care
Smidge
Smidge, that is absolutely astonishingly bad advice from the DAFNE course. No testing after meals? No blousing for carbs in veg? A carb is a carb is a carb, doesn't matter if it's in a spud or a lettuce leaf, it all adds up!
Truly shocking!!!
Oh that was only the tip of the iceberg of bad advice, Sam. I think I'm traumatised by it LOL.
Seriously, I'm determined to do something about it but I don't know what yet. I'll start a new thread on the subject of DAFNE later if I get time rather than hijack this one, but if you want to read more about my week from Hell, I gave daily updates on another forum - diabetes support forum . org (all one word but I can't give the url or write it properly as this forum is a bit silly with things like that and blanks it out!) It was beyond shocking!
Smidge
Smidge, that is absolutely astonishingly bad advice from the DAFNE course. No testing after meals? No blousing for carbs in veg? A carb is a carb is a carb, doesn't matter if it's in a spud or a lettuce leaf, it all adds up!/quote]
Absolutely right Sam, a carb is a carb and it will raise bg eventually. I've just had my Sunday roast and although I weighed and calculated the potatoes, yorkshire puds and gravy on my plate I still did a rough calculation for the veg, if I didn't there's a good chance my postprandial bg would be high.
Oh that was only the tip of the iceberg of bad advice, Sam. I think I'm traumatised by it LOL.
Seriously, I'm determined to do something about it but I don't know what yet. I'll start a new thread on the subject of DAFNE later if I get time rather than hijack this one, but if you want to read more about my week from Hell, I gave daily updates on another forum - diabetes support forum . org (all one word but I can't give the url or write it properly as this forum is a bit silly with things like that and blanks it out!) It was beyond shocking!
Looking forward to what you have to say Smidge, I'm gonna bet that it's different to the many 100's of positive posts we have had about the DAFNE course over the years
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