Type 1 White carb probs

[Steady0480]

I never know what to do when eating fatty foods or white carbs for my evening meal. I can be between 4 and 8 when I go to bed but every morning when I test I will be between 14 and 20 no matter how much insulin I do.i can quickly bring my levels back to normal in the morning but hate testing and seeing it so high.

I know that it is the white carbs / fatty foods that do this to my blood sugar because I have experimented with not eating white carbs / fatty foods for my evening meal and my blood sugar is fine in the morning. Can anybody tell me what they do to overcome this. I can't be the only diabetic with this problem?

 

[ButtterflyLady]

The best way to stop carbs from increasing your blood sugar is not to eat them.

 

[CarbsRok]

I never know what to do when eating fatty foods or white carbs for my evening meal. I can be between 4 and 8 when I go to bed but every morning when I test I will be between 14 and 20 no matter how much insulin I do.i can quickly bring my levels back to normal in the morning but hate testing and seeing it so high.

I know that it is the white carbs / fatty foods that do this to my blood sugar because I have experimented with not eating white carbs / fatty foods for my evening meal and my blood sugar is fine in the morning. Can anybody tell me what they do to overcome this. I can't be the only diabetic with this problem?

Have a look at splitting your insulin dose, this helps many

 

[tim2000s]

I know that it is the white carbs / fatty foods that do this to my blood sugar because I have experimented with not eating white carbs / fatty foods for my evening meal and my blood sugar is fine in the morning. Can anybody tell me what they do to overcome this. I can't be the only diabetic with this problem?

This one is a tricky one. If you eat white carbs and fat together, you tend to get a longer acting effect that often requires more insulin. If you were eating them earlier in the day, you would probably check and then use a correction dose. Unfortunately, you can't do this when asleep. Other than using a pump, there is very little that works with this phenomenon (and I already split dose my basal, so have a decent handle on the effect of this stuff combination).

As has been mentioned, the best bet is not to eat them, or set an alarm to get you up around 1am to administer an additional bolus to counter the ongoing rise.

This blog from @martykendall might help explain it: https://optimisingnutrition.wordpress.com/2015/08/10/insulin-dosing-options-for-type-1-diabetes/

Basically fats massively reduce the speed at which any glucose in a meal is absorbed, but also seem to decrease insulin sensitivity. The result is that there is often ongoing glucose release into the blood well after the bolus shot has worn off. This requires additional bolusing to manage it.

With fast carbs (I don't like the term White Carbs as I find wholemeal bread, brown rice and other non-white carbs act just as quickly), typically they shouldn't push your glucose up high overnight if your ratios are correct. If you are seeing this happening, then it is possible you need to review your basal level and bolus ratios.

As I mentioned first, if you are having the two together, then there is a huge amount of trial and error required to determine how you need to dose and when.

Sorry it's not a straightforward answer.