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

Type 1 levels up and down

Tylers73

Tylers73

Well-Known Member
Messages
223
Type of diabetes
Type 1
Treatment type
Insulin
Right so for example this morning 7.1 so quite good for a change. Had bran flakes 30g with semi skimmed milk gave 4 units in an hr 21.1!!!!!! Time of month does play a huge part of my levels but what do I do
 
Hmm, have you tested to see if your meter is working properly? Do you have any symptoms of a cold or feel unwell in anyway, have you checked for ketones? Sorry I don't have any suggestions regarding totm
 
Meter is fine and no I'm not unwell. Had ketones last week and as for totm obviously happens every few weeks. So just get back to normal again and then here we go again. Just don't know what to do
 
The only thing I could say is eat low amount of carbs so there's less of a spike but you ate 30g of bran flakes and probably only about 5 or 6 in the milk, testing often might help you notice so patterns :/
 
Thanks for advise but done all that never is a pattern, all over the place. And if I eat much less there be nothing of me only weigh 8 stone as it is and running out of sights
 
Hi Tylers73. Have skimmed some of your previous threads and I'm sorry you're having such a tough time of it. I'm not going to pretend I can advise on you on T1 issues... but I wonder if you are getting the best medical help and I wonder if your diabetes management is optimised. Do you see an endocrinologist? What sort of insulin regime are you on, ie basal bolus with MDI and carb counting? Since you were diagnosed with T1 at around the age of 41 (by my calculations), is there a chance you could have LADA or even a type of MODY?
 
Our bodies like to mess with us first thing, due to something called the dawn phenomenon. It's not fully understood, but most of us find that our blood sugars will rise for a couple of hours after waking. It's probably to do with the body giving out a surge of adrenaline and glucose to get us moving first thing. A non diabetic just releases insulin and its fine, but it causes difficulties for us as we don't have the pancreatic function to offset the rise. It might mean that you need to inject more short acting insulin than you would at other times of the day. Also, even before I switched to a low carbohydrate diet, I found that most cereals spiked my blood sugars massively, regardless of how much insulin I gave (usually I would inject too much in anticipation, to have high blood sugars initially, followed by a massive crash later on).
If you do make changes to your dosing, be sure to up your blood testing to make sure that you don't overdo it.
 
Trying to reply to someone that messaged me earlier but don't know how to reply to individual anyway it was catLadyNZ
 
Do you mean a personal message? Go on the envelope icon next to your name near the top of the screen and click send new message then you can add the person's name in at the top of the new message like an e-mail.
 
Tylers73 said:
Trying to reply to someone that messaged me earlier but don't know how to reply to individual anyway it was catLadyNZ
Click to expand...
If you aren't able to reply to a post, and you want me to get a notification that you've posted, just make an ordinary post and put a @ before CatLadyNZ and you will tag me in.

I usually check all new posts anyway, lol.
 
Hiya - to be honest I wouldn't test so soon after breakfast, still alot of quick acting in your system and carbs floating about, I would wait a minimum of 3 hours before testing again, also DAFNE guidelines suggest this.

If you are due on and I have plenty of experience in this field lol - you need to adjust your basal dose, my DSN recommended I increase by a third as I become really insulin resistant in the week leading up to it but discuss what increase with your DSN first. Personally I believe it's my monthly cycle that causes me the most issues, I cannot reign my BG in around this time despite my best intentions, I do plan it in my diary and work on a 28 day cycle but even with an increase on basal it's still a nightmare.. Each month I change my game plan on how to attack it but it still goes high...
 
TOTM is a MAJOR pain for me when it comes to insulin doses, I now have to pretty much double my doses to even keep ilevels under 10. Mission Impossible!!!

A couple of days later and (usually a day of lows) and everything goes back to 'normal'.
 
I would think that big a jump would be dawn phenomena, do you inject / eat as soon as you get up? This seems to help me. (I mean inject practically before getting out of bed) eating fairly soon after getting up is supposed to help curb it as well.. If it helps I'd need around 6 units to stay level with 35g carbs (my ratio is nearly 2:1 for breakfast on a work day...)
 
Juicyj said:
Hiya - to be honest I wouldn't test so soon after breakfast, still alot of quick acting in your system and carbs floating about, I would wait a minimum of 3 hours before testing again, also DAFNE guidelines suggest this
Click to expand...
There's no point in being in denial about it, though. If somebody is spiking to 21mmol this is poor control regardless of whether it happens at one hour after eating or three hours after eating. Spiking that high at all - even if just for a short time - is likely to be bad in the long term.
 
As @pinewood says, post meal spikes really shouldn't exceed 8-10mmol/l. 21 is way too high. Screw the DAFNE guidelines about testing, you need to make some changes!
 
Back
Top