Newb here, diagnosed 5/1/20 with BGL over 300 during a non STEMI heart attack. Turns out I have a bad heart valve. I won’t see an endo until next Friday, 3 month after diagnosis. I have been working with my PCP who recommended increasing basal (Lantus) by 1 unit every 3 days until I was in range. I started at 20 units daily and I’m up to 45 units now. I have also been increasing bolus (Humalog) a little at a time, based on meals/carbs. I’m monitoring BGL with a Freestyle Libre but making decisions based on a One Touch Ultra 2. Everything has been trending in the right direction (I’m keeping an .xls chart to track progress and variability between the two measurements). Avg. BGL is 125 with 50/50 time in target (120 - 80).
Every morning I get 3 -4 hour spike of about 35 points which bumps me from about 110- 120 to around 150 - 160. I have started compensating by adding a little more bolus every day, but not seeing any real improvement. This morning, fasting BGL was 120 and shot to 202 by finger stick two hours later. I had consumed a Boost Glucose Control shake - 16 carbs, 190 calories. I did add some bolus (10 units, which is a good bit for me) and BGL is slowly coming down. I seem to be extremely carb sensitive anyway, but this seemed unusual. Could all the heart meds be an issue?
I have only really seen DP or FOTF issues in the T1 forums here. Am I missing something? Thanks in advance.