Hello people!! :) my name is Robert, i'm 24 and i'm very grateful that i ran across this wonderful family shortly after i was dx-ed, because i have learnt many things about how to manage my D, i'm more like a shy poster but i'l break the ice with this one.
Lately i have a problem with my BG and the problem is that last week after i ate a lot of ice cream my bg's went crazy, yeah...i rarely eat "sugar" but when i do i tend to over-eat :(. Actually the bg's after meals are good(95-120) but i see that my bg's between meals are just rising without eating anything or with no reason what so ever. For example last evening i had a small hipo after eating (66) but i didn't ate anything because i was sure that my bg will raise and yes, after 1-2 hours my bg was 90 ? So till now my finding would be that:
1. Liver dumping? i heard that this exist even to normal people and seems the perfect answer but can this go for a long time ?
2. Insulin Resistance ? lately i had to go to sleep around 2 in the night and from what i know, this can cause serious insulin resistance, especially that my morning bolus dose is not enough anymore ?
3. My pancreas production is just slowing down more ? Since i am LADA and still have some production, can say that i just have to increase my Lantus dose? But my afternoon and evening meals - doses are the same as before...
4. Slow digestion ? is this even a plausible reason ?
It's not the first time i experience this but it seemed more random, sometimes it just stops and then it comes back, usually after i over-eat with sugar, and it stops when i do very intense exercise but not always.
I know that this may not seem like an actual question, i just want to find out if this happened/s to you and what can i do to manage it better beside infinite corrections or if it's something common to diabetes. I also know that the best way is to speak with my endo but i will meet him only in ~2 weeks. Thanks and sorry for the wall of text!
How recently were you diagnose? If it is quite recent, your insulin body's production may indeed be declining. I also think that slower digestion is a more longterm situation - gastroparesis usually occurs after many years of living with D. Insulin resistance can come into play if you have type 2 in your family tree (do you?) Unfortunately, having type 1 (and/or LADA) doesn't protect you from the insulin resistance that is type 2 if type 2 runs in your family.
Hi Robert, afew thoughts first icecream is one of those things that can really bite you in the but later, like any fatty food you may do better injecting 1/2 hour after eating the icecream this is what my son did before he started pumping, also if your post bs's are higher maybe you need a touch more long acting, do you use lantus, oh yes I see you do perhaps a bit more? It sounds like are quite knowledgeable and doing quite well, with your analytical thinking you will do well managing your diabetes. best wishes, amy
Thanks for the replies!
I was dx-ed 8 months ago. I’m doing 6-8-4 humalog and 6 lantus which seems quite low. My dx hba1c was 8.1 and the last 3 hba1c were 5.5/5/5.5, i try to manage it as good as i can and i am the special one in the family, no diabetes at all.
I know that LADA can be a nightmare until my pancreas shuts down completly with all the constant change but i’m trying to understand as much as i can.
I also forgot to mention that i eat a lot of fatty stuff like peanuts and almonds but in raw, is fat food a double edge sword when coupled with fairly high carb?
I don’t have an I:C ratio because it was pretty straightforward untill now.
I’ts weird anyway because the only bolus change i saw was in the morning where i need 1 more unit for the same meal but the afternoon and evening dose is the same but still the basal BG If i can call it like that is just raising, if the pancreas is shuting down, wouldn’t also all the basals be affected? Weird.
That’s why i’m considering liver dumping, maybe it just throws fat/carb into the system and doesn’t know when to stop…like a daylight dawn phenomen 
Agree with that! What is again weird is that 2 days ago my afternoon “basal” BG was perfect 86, no raise or anything like that and that’s why i’’ reluctant to raise my basal insulin…but y-day again raise…today again from 109 to 159 which seems much.
hi Robert about the fat, good fat combined with healthy carbs is great, it is the nasty fat say in restaurant food or lots of icecream, pizza etc that can get you later, you are early in the game here, I think you are doing fantastic with aic's in the 5's, remember you are in this for the long run it is great that you have an analytical mind but there will be some days you will just be scratching your head thinking what the heck!! try to find the middle ground where you are always aware but living your life just the way you want to.
Hi Robert,
Great job with your A1Cs in the 5s!!
I don't have any useful advice but it seems like you are doing a really great job of sorting things out! And asking questions is great! There are a lot of people here who will be able to help!
Best wishes,
marty1492
I agree with what others have said. Typically, insulin resistance is about how much insulin it takes to bring your blood sugar down, either from a meal or when correcting. Your fasting blood sugars are a complicated function of different hormone signaling and your insulin production and while it is also affected by insulin resistance, that is a smaller factor.
And while I am a T2, I also have to encourage you to not sweat the small stuff. And your number 1-2 hours after a meal is a mixed reaction to your mealtime insulin and your basal. What really matters is your fasting blood sugar 3-5 hours after a meal or right before the next meal. Generally, I would do a total happy dance just to get my fasting blood sugars down to 90 mg/dl before my next meal.
In the long term, you will have to adjust your basal insulin as things change (they always change). A good way of figuring out how much to change your basal is to add up all the daily corrections you make to restore a "normal" fasting blood sugar and then add that into you daily basal dose. My bet is that if you added it up (correcting a 90 mg/dl to a normal 83 mg/dl), that is such a small change it isn't possible or worth doing. If your fasting blood sugar is 150 mg/dl, then you really some basal adjustments to make.
