So I’m not sure what’s going on here but I am beginning to get pretty frustrated. I’ve had control that was very very good ever since I’ve gotten a handle on this situation but lately I’m having more and more post meal spikes-- pretty much always requiring post-meal afrezza corrections even when I take more and more novolog before meals. For example-- today for lunch today I had a BLT with double fiber bread equaling 24g net carbs. For years I’d have just dosed for the bread and not even counted the tomato or other garnishes. I’d have dosed at 6:1 so probably 4u of novolog and not expected to see a dramatic rise in my bg post-meal-- particularly if I’m active after eating… well today (and this pattern has become prevalent lately) knowing that I’d been seeming to need more novolog lately, rounded up to a full 5u-- giving me a ratio of more like 5:1 (which seems like quite a lot for a t1/ LADA)… was 99 before eating and an hour later after being active (working on my truck) I was at 212. I decided to go for a brisk hour long walk and was still at 190 at 2hr. So I know these flukes happen but I’m afraid this is becoming more of a pattern than a freak incident with me. I took a 4u afrezza correction with knocked it down to 80ish in only half an hour-- which is a godsend… but I’d really like to avoid the climb to 200 to begin with.
Why didn’t I just dose with afrezza initially instead of novolog? Well lately I’ve been noticing a slowing of my digestion that is seeming like I digest food slower than afrezza acts so had been tending toward novolog primarily for most meals and then just doing corrections with afrezza.
Any suggestions? Why am I needing more and more bolus and responding less and less to it even when I take more?