High all, been on the pump for 4 weeks now, Animas 2020 with Novorapid, and everything is fine except my post breakfast BG’s.
When was on MDI I never had a problem at all with my post breakfast BG levels and would never get a rise of more than 2mmol when I tested 1 hour, 1 hour 30 mins or 2 hours after I’d eaten. I also used to take my Novorpaid and eat straight away.
Now with my pump I have my fasting Basal set ok 24 hours a day and don’t get a rise in BG of more than about 1.5mmol right through the day or night.
So the only problem that I have is that some days post breakfast my BG level will go up by about 5 mmol 2 hours after eating and, while it does come down a bit it will remain high until I do a correction Bolus in the afternoon.
Initially I thought that my breakfast insulin:carb ratio was wrong but I don’t think it is because some days I can wake with a similar BG have exactly the same breakfast and take the same Insulin and my 2 hour post BG rise is only around 2mmol.
So has anyone got any ideas why, on some days, I get this problem with high BG readings after I’ve eaten and then on other days I don’t get any problems at all?
My initial thoughts are that I’m going low in the night and waking up insulin resistant or that I may not have my morning Basal set correctly (I get a rise in BG between 7 and 10 which I have to up my Basal for) or that I need to Bolus and eat straight away when I wake as I know when on MDI if I didn’t Bolus and eat first thing in the morning my BG would start to rise (I thought I’d got round this with the pump though by increasing my Basal rate in the morning).
Does anyone else have a similar problem and if so what is causing it, Is there anything I should be looking for with night time BG checks