BG Lows and Mealtime Insulin

By Anonymous Latest Reply 2012-05-17 16:26:52 -0500
Started 2012-05-15 14:54:58 -0500

This has bothered me for some time, and I really don't know what I should be doing. For example; yesterday I felt a little lightheaded, it was about 15 minutes to 1/2 hour before my regular meal. I decided to test my BG, it was 64, for me this is a low reading.

You are probably saying I should of eaten more for breakfast, I eat the same food for breakfast everyday, some days I'm fine, other days I'm high, and like yesterday I was low.

Now for my question. Normally, you would eat something then check your blood sugars in about 15 minutes to see if you are back to normal.

With your meal just minutes away should you, eat to bring your BS up, then eat your regular meal, then do your insulin, or should you forego the insulin all together.
I've tried that, then my supper BG test would be extremely high over 180.
I'm so confused as to what to do.

Also, I'm disabled, so exercise is not a factor here.

11 replies

ShellyLargent 2012-05-16 13:56:33 -0500 Report

I have this problem too once in a while when I've taken more insulin than my breakfast carbs… What I do, is if it's within about 30 minutes of my normal lunchtime, I'll just go ahead and eat my lunch. I only eat about 15g to 25g of carbs at lunch anyway, so I will wait to take my insulin until after my 2-hour BS check for lunch. If I'm high, thenI'll take a correction then. If it's closer to an hour or longer away from my lunch, then I'll go ahead and eat 2 or 3 glucose tabs to keep my number from dropping any further. I don't take any insulin for lunch and will only correct after the 2-hour BS check if needed.

Anonymous 2012-05-16 14:32:09 -0500 Report

I will try this in the mean time before I go see my physcian next month, but, I'll still ask him about the nutritionist and the chart. Thank you.

red flower lady
red flower lady 2012-05-16 00:37:54 -0500 Report

I assume you are talking about lunch since you ate breakfast? Try eating a snack between your big meals. Try eating a glucose tab or two(fast acting carb) and then check bg. Once it is back to normal, they work fast, take your insulin and then eat the regular meal.

You can't skip the insulin because the food you ate to raise bg can make bg go too high, and the regular meal will make it go high as well. If you eat the same thing for breakfast and have highs, then you didn't do the right amount of insulin. Did your dr give you the chart for bg numbers and the amount of insulin to go with it? Are you on a sliding scale or do you take the same amount of insulin at every meal?

I have always been a type 1 which is insulin dependent and use the sliding scale.

Anonymous 2012-05-16 07:14:56 -0500 Report

Yes, most of the time my lows are for the lunch hour. Doctor wants me to stay, with 3 basic meals and no snacks.

I do, take glucose tabs, and do the insulin before meals, then eat my meal, and again sometimes I will hit a low for supper.

That is why, I was not sure if I should forego the insulin, until supper time.

My doctor has me on a strict level of insulin not a sliding scale. Never received a chart with numbers on it. I take 18 units of Humalog before meals, and 40 units of levimer at breakfast time (or in the morning).

I consider myself a newly diagnosed type 1 diabetic, it's been only about 4 1/2 years. Doctor lists me as an uncontrolled diabetic.

red flower lady
red flower lady 2012-05-16 10:23:44 -0500 Report

I hope you are seeing an endocrinologist, they specialize in diabetes and work with you, sometimes a general dr only does tratment one way. I have never heard of a dr telling someone on insulin Not to have a snack between meals. By snack, I mean small apple and cheese, or peanutbutter, etc. not a unhealthy one or a large portion. You should have seen a nutritionist that helps you with what to eat and when and the portion sizes. For instance, I am suppose to eat a snack and the dr said just grab some peanutbutter and crackers, I hate peanutbutter, so I eat turkey. I don't eat three large regular meals, but break it down to six small meals so as not to be hungry, and work with my insulin. I haven't always eaten this way though.

I have been a type 1 since childhood, and I don't even do 18 units before a meal! You would have to have a high bg number before the meal which would bring it down along with the meal to be eaten, or you are eating alot at the meal. Do you do the Levimer and Humalog at breakfast? If so, this is why you are low before lunch and would need the snack. You seriously need to ask the dr to put you on a sliding scale and ask for the chart. This works better as we don't eat the exact same meals, so our bg is different and requires the proper amount of insulin for the bg. You also don't want to be taking too much insulin when the need isn't there, it puts weight on, etc.

You can gain control of the diabetes when treatment is right and you are following meal plans and getting some exercise in. Counting carbs and portion control are important along with the right dosage of meds. Don't be shy about asking to try the sliding scale and asking to be sent to a nutritionist if you have not seen one. This is why it is so important to see a dr who specializes in diabetes as they have all the referals and tools needed and will automatically go over them with you an make changes as needed.

Good luck:)

Anonymous 2012-05-16 10:41:56 -0500 Report

Yes he is an endocrinologist. I have other health issues besides being a diabetic. I have also seen a CDE but not a nutritionist. I was told only to eat peanut butter and crackers if I had a low, or before going to bed at night.

I will ask the doctor when I see him next month about the sliding scale and the chart. Also, if I can be seen by a nutritionist.

I'm on medicare, and can't afford to see many doctors, because of the co-pay.

Thank you for your understanding, and giving me an insight as to what I need to do.

red flower lady
red flower lady 2012-05-16 16:29:48 -0500 Report

You are welcome. I also have many other health issues and was just at the cardiologist this am for stress test. You can call the drs office and request he give you the sliding scales bg ranges and insulin doses that go with the numbers. You can either pick it up at office, or the office can email it to you. It isn't anything that requires an office visit, since you are using insulin and doing bg checks and not new to it. If he doesn't want you to do this then ask him why and what would it hurt for you to try for a few weeks. I don't know your health issues, but I have never met a dr who wasn't up for the sliding scale. You get better control doing it this way.

Have any other questions, just ask me I don't mind. Also please let me know how it goes.

Anonymous 2012-05-16 20:28:18 -0500 Report

I too see a cardiologist, also, pulmonary specialist, urologist, gastroentrologist, othopaedic doctor and a general physcian. I'm on Pain medicine (only take when in extreme pain.)

I will contact the doctors office and see if they can send out a chart with the sliding scale.

Thank you for all of your help.

red flower lady
red flower lady 2012-05-16 21:36:16 -0500 Report

Hey, did you steel my drs? Wait, instead of urologist I see a cancer specialist and add on vascular specialist. I hope to still be alive when my youngest finishes colleges and medical school to be a cardiologist, maybe can cut out a few drs then?

I really think you'll like the scale once you try it, just be insistant on getting it:)

Anonymous 2012-05-17 05:24:59 -0500 Report

Sorry did not steal your Drs. I also have to add Nephrologist. But, if I did, I'll be glad to give them back to you. LOL

I will be calling this morning. I will see how it all works out. Thanks again for the info.