Trying to get my insulin right

Malinda72
By Malinda72 Latest Reply 2014-08-29 22:31:31 -0500
Started 2014-08-25 14:35:50 -0500

I have been diagnosed for type 1 since May 2014. I have an endo I am supposed to see every three months but I have found that I am playing with my doses lightly to try and avoid the spikes after dinner. My endo seems to be only concerned with what my sugars are before I eat but I was told that the spikes are something we should try to control as well. I have been eating lower GI food to try and help. I am currently not using the pump. Any suggestions or should I really just be mainly concerned with before eating sugars?


11 replies

MoeGig
MoeGig 2014-08-27 16:46:54 -0500 Report

Keep playing with the doses. You end up having to be your own doctor. I shoot for 80-180. To put a lot of effort into maxing out at 140…is ok, but not necessary in my opinion. The main goal is to get your A1c in the 6's…no higher. If you shoot for less than 6, you endanger too many lows. If you achieve the goal of 6's, then it doesn't matter how you do it. I haven't used a pump yet…you still and to check. Good Luck.

Gabby
GabbyPA 2014-08-26 08:37:11 -0500 Report

What kind of spikes are you experiencing? Eating is almost always going to give you some kind of rise. If it's in the limits that Type1Lou mentions below, you are doing well. Are you having larger spikes than that? Or are you starting higher to begin with and getting into numbers you don't want to see?

Malinda72
Malinda72 2014-08-26 12:06:49 -0500 Report

I am usually under 180 which I was told was o.k. but I hear other people saying that if you can get it as low as possible with spikes, the better.

Malinda72
Malinda72 2014-08-26 12:10:14 -0500 Report

There are times when it goes beyond 180 but not too much.

Gabby
GabbyPA 2014-08-27 07:10:29 -0500 Report

As long as it's not staying up there you are not doing bad at all. A non-diabetic spike stops at 140, that is why many people have that as a goal, but 180 is not bad at all.

Silicone eyes
Silicone eyes 2014-08-26 14:38:11 -0500 Report

those aren't bad, awful spikes for a T1, Check 2 hours after a meal, otherwise the insulin is still working on it. How is your carb counting? I found better control sometimes from tweaking carbs rather than insulin.

Malinda72
Malinda72 2014-08-27 07:43:30 -0500 Report

I do check after 2 hours although my endo said thats checking too much. I do make sure I carb count and I have adjusted from 1:15 ratio to 1:12. I have gained about 10 pounds since the 1:15 ratio because I lost that when first diagnosed. I am glad for the extra pounds back though:-) I usually stay about 35 or less carbs per meal. Not a big eater really.

Type1Lou
Type1Lou 2014-08-26 07:51:38 -0500 Report

A spike is to be expected after eating…According to Gary Scheiner in his book Think Like a Pancreas, typical control would be to see a BG rise up to 180 mg/dl or 10.0 mmol one hour after eating. For tight control, a BG rise of no more than 160 mg/dl or 8.9 mmol. I've found Scheiner's book invaluable…his subtitle is "A Practical Guide to Managing Diabetes With Insulin". He's given me the knowledge I need to tweak my insulin to gain tighter control.

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