type 1 - Blood Glucose Management, insulin questions

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Ozbob
Regular Member


Date Joined Jul 2011
Total Posts : 223
   Posted 10/29/2016 7:55 PM (GMT -6)   
Hi everyone

As a recently diagnosed Type 1, I am still trying to get good Blood Glucose control. I am taking two types of Insulin: Lantus (once per 24h) and Novorapid (before each carb meal). I am getting quite good control throughout the day on most days, except for after breakfast. I am currently taking 5 units prior to breakfast and my two hour post meal BG readings vary between 8-9 mmol/L to 10-13mmol/L (for the same Carb content). The problem I have is: on the occasions when my post meal BG reading is in the 8-9mmol/L range I occasionally drop below 4 mmol/L (a defined Hypo) at around the 3-4 hour mark. I have tried reducing my pre meal breakfast Insulin dose from 5 to 4 units, but my two hour post meal BG reading skyrockets to > 13 mmol/L. Has anyone got any ideas on a solution to this conundrum? My Endo, (being the conservative that she is) has told me that avoiding hypos should be my main focus and not to worry about the high post meal BG readings, as long as they start to drop thereafter (which they do). However I'm thinking that there must be a better way to manage this and I am concerned over the longer term of developing complications from these two hour BG spikes.

(I added something to your subject line to attract more responses...)

Post Edited By Moderator (LanieG) : 10/30/2016 1:07:12 PM (GMT-6)


theHTreturns...
Elite Member


Date Joined Mar 2009
Total Posts : 19782
   Posted 10/30/2016 2:43 AM (GMT -6)   
listen to the endo. they do diabetes, hormones etc. long term comps would be at much higher readings, that are prolonged, but at 13 and coming down I reckon ya safe. it is a creeper, so it does not mean things are going on, so keep strong. a diabetic with complications, that's me.
THE HAPPY TURTLE.

A QUOTE FROM THE HAPPY TURTLE THAT REFLECTS ME.

"COMPLEXITY IS MY WAY OF EXPRESSING MY NEEDS IN A MANNER THAT IS NEITHER DESTRUCTIVE, NOR NEGATIVE"
'

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5924
   Posted 10/30/2016 12:13 PM (GMT -6)   
There are two type 1 members here (ms Ouchie and Will-Sandy) and I hope they see your post. I am not on insulin so I can't give you any advice other than what Turtle says, to listen to your endo.

And, I changed a little of your subject line to be more specific and maybe get more responses.
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Post Edited (LanieG) : 10/30/2016 1:08:36 PM (GMT-6)


theHTreturns...
Elite Member


Date Joined Mar 2009
Total Posts : 19782
   Posted 10/30/2016 6:22 PM (GMT -6)   
am type 2 but insulin dependent. novorapid & lantus.
THE HAPPY TURTLE.

A QUOTE FROM THE HAPPY TURTLE THAT REFLECTS ME.

"COMPLEXITY IS MY WAY OF EXPRESSING MY NEEDS IN A MANNER THAT IS NEITHER DESTRUCTIVE, NOR NEGATIVE"
'

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5924
   Posted 12/3/2016 1:08 PM (GMT -6)   
I'm glad you posted that, Jim. (And welcome to the Diabetes Forum.) I'm not on insulin but I'm sure that happens a lot and there are people who end up bouncing high and dropping low because of trying to avoid these spikes.

Where in Dutchess County are you? I went to SUNY New Paltz. :-)
Lanie
"The Happy Bunny"

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5924
   Posted 12/4/2016 8:50 AM (GMT -6)   
If your son is still obsessive about control, maybe an insulin pump would be better. I'm just guessing. I hope he's doing better.

You live in a beautiful area of NY! I'm from Queens and I loved living in New Paltz.
Lanie
"The Happy Bunny"

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating
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