I signed up at tudiabetes a while ago, but have only recently begun to stalk the forums. Was diagnosed in 2008 with diabetes…reading in the 500s. Did a ton of research initially, found Dr. Bernstein and followed an extremely low carb diet, kicked up the exercise, went on Metformin and dropped by A1C almost 4 points. Life happened…separation, divorce, 4 kids, working, part-time grad student and I buried my diabetic head in the sand. I was hospitalized in January 2010 with readings near 700…started Levimir and later that year Novolog. Still didn’t take my diabetes seriously, very poor self-care and was told nothing about how to use insulin. Fast forward to about a month ago. Several situations made “it” click with me…that diabetes is real, that it will not go away, and I will still have it (and develop complications) regardless of whether I pay attention to it.
So, I began researching insulin, how it works…basal and bolus…kindled “How to Think Like a Pancreas” and have figured out a few things. I know my Novolog ratio is 1:25, and my I:C is about 1:6. It does seem like it takes forever for my Novolog to kick in. I read a post by some else who said he was extremely insulin resistance, which I beginning to think may be my situation as well. Once the Novolog kicks in I can drop pretty fast (at the 3-5 hour mark, but not always consistently). This was challenging to monitor as first as then I had to deal with correcting lows.
I am also very reactive to exercise. I would go hypo during/after exercise before I was diagnosed with diabetes. I can drop anywhere from 20-100 points after a 45 minute walk, without insulin on board.
So, my long winded introduction-set-up to ask… what is the best way to test when the novolog kicks in? Frequent bg readings? How do others with these variables manage? How do you combat the weight gain that increased insulin contributes to by causing increased resistance? Since I have been using insulin appropriately to maintain good numbers, I’ve gained 15 pounds…in a couple of weeks. I know I’ve thrown a lot out there, but would appreciate any advice.