I hope you all are very well. if not I hope you soon be! Like to tell about my very irregular behaviour of blood glucose. You know I have in general good control for as far as it let's me (Hga1c 5.9 twice now) for what ever it is worth. I find that if there many highs and lows, they balance each other out somewhere in the middle giving a good HG. Anyway, what is happening is the surprise of it all. E.G. Before dinner my test is good and administer insulin accordingly, have a good dinner, dessert even, and promply one hour later I may be at about 40. (2.7 Can) I'm in general a happy guy, but this thing makes me mad and I use some expressions not good for printing here. So I won't! What is the good people's opinion here and I'm even open to advice after 50 years of this pesky disease or should I call it "Condition"? Your good wisdom will be much appreciated.
Curious. Have you tested in say 1/2 hour intervals after eating? A possible delay in Insulin may be the trick. I would test to see when your BS starts to rise post eating to see whats going on. Hope you can pin this one down!
Hope it’s not gastroparesis, but it could be. I have it & was diagnosed from my low 1-2 pp readings & then highs many hours later. Sometimes food hits 6+ hours after eating. This mostly happens at dinner since it’s the largest meal & when I’m least active.
Hard to time insulin with the unpredictable nature of gastroparesis. I take insulin an hour after I eat & switched to Humulin R because it lasts longer & acts more slowly. That has helped. I use Apidra for lunch & breakfast. Wacky, huh?
Meals that are high in fiber take a lot longer to digest, so I have to watch this. I’ve been told not to eat salads. Raw food takes longer to digest than cooked, but I still eat salads. I try to eat more protein at breakfast & lunch & keep protein low at dinner.
I just call my similar problem slow digestion, since it isn’t as bad as full blown gastroparesis, and hasn’t become worse in years. I don’t eat more than one carb for dinner, and it must be complex. A liquid snack during the day, such as Boost Glucose Control, works well.
In the winter, when I’m less active and on those days when I’m doing MDI, I take half my expected dose in Apidra during the meal, the rest in Regular after dinner. Makes for a lot of shots, also a bit wacky, but it works.
