Why Do We Spike?

By GabbyPA Latest Reply 2014-10-06 09:22:12 -0500
Started 2014-09-29 06:42:40 -0500

Even if you do everything right and are managing your diabetes well, you can still wake up with unexplained blood sugar spikes. Learn the causes and how to take control. http://www.everydayhealth.com/diabetes/dealin...

This is one of the best articles I have found that describes the different ways and reasons we may have spikes we don't understand. It offers some ideas on how to monitor and get under control the spikes we have.

21 replies

Grandmama16 2014-10-04 16:43:33 -0500 Report

I had a spike just an hour ago. I had a bowl of cereal with coconut milk…then saw this little Mounds bar waving at me. It's small and not that many carbs so I ate it. An hour later I decided to test…311!! Did I test too soon? Was it just the candy or cereal too? Well, I blew it, I guess.

fatso200 2014-10-02 17:06:43 -0500 Report

I'm wondering if my frequent low blood sugars are due to glipizide that I'm taking. I'm also wondering if dealing with this by intaking simple carbs is cauising low blood sugars to happen over and over again throughout the day. I notice this when I eat cold cereal for breakfast. I don't know how to stop this.

escp4177 2014-10-06 06:44:12 -0500 Report

I too was having sugar drops due to taking glipizide. I told my dr. he put me on gluemetza extended relief and it reversed my sugal level after 3 weeks he put me back on glipizide reduced my dosage to 2.5mg started to have sugar drops again. now i'm just taking metformin and have no sugar drops.

GabbyPA 2014-10-02 19:13:11 -0500 Report

I would talk to your doctor about this. I am not sure I understand your simple carbs and going low over and over...that is a little confusing to me. But if you keep going low during the day I would ask your doctor to adjust your treatments.

jayabee52 2014-10-06 09:14:32 -0500 Report

taking in simple carbs can cause a spike which means that on the other side of the spike may come a low. If one has a series of spikes then one can have a series of hypos, (aka a BG roller coaster).cold cereal can start off the day in a not so good way for a PWD

GabbyPA 2014-10-06 09:22:12 -0500 Report

Ok, I see what you are saying. An untempered carb or simple carb eaten alone is not a good idea at all. That is why balance needs to be obtained in each of our meals.

TsalagiLenape 2014-10-01 14:21:04 -0500 Report

Hi ya Gabby! I sure have missed seeing your informative posts. Thank you. I have just started taking Levemir 20 units at bedtime. As well as getting my diet in control. So if anyone has any info or ideas to help me please do. Thank you Have a great day!:)

stonehedge 2014-09-30 02:55:40 -0500 Report

I usly run in the 90s or 110 that is with no meds I use diet. Alone. So I do pay attention if I have a rise..if food does not change things I go checking out other options that might cause it

stonehedge 2014-09-29 19:56:29 -0500 Report

My b.s. Was up some for about 2weeks once..120s…my proublem..using a different meter…not all meters are the. Same…or my thinking any way

Michael_1960 2014-09-29 20:58:42 -0500 Report

My meter has been reading high, I check my b/s levels with mine, it reads very high, I check I with a co-workers and it reads much lower. Since I get my supplies through the V.A. I called them for a replacement, they told me to call the number on the back which I did, and they told me they would send me a bottle of test solution to run a test on it first, then if that's not the problem then they will send me a new one.

rcmodelr 2014-09-29 14:06:24 -0500 Report

Good article…

But can someone find something that would explain what happens on days like yesterday?

Most days I have to Bolus 1 unit per 22 grams carbohydrates I eat but yesterday, once again, I woke up around 70 so ate with an adjusted meal Bolus. ALL DAY yesterday my BG remained below 80 and 2 hours after first meal I was down in the 40's. That ONE meal Bolus was the ONLY time I ate yesterday and took a meal Bolus. I ate four more meals yesterday with absolutely NO Bolus and still my BG remained below 80.

When I went to bed this morning, my BG was still only up to 85 but when I woke up around 6 AM today, I was up to 271 so took a correction Bolus of over 2 units which should have had me back below 100 by 10 AM but instead, by 12:20 PM my BG was still only down to 231 so I took another nearly 2 unit Bolus.

Now I'm finally getting low enough I'll eat a meal before I go to work.

I'd still like to know what causes these occasional days where it seems like I may not need any injected Insulin but the next day it will seem like I need more Insulin than usual.

GabbyPA 2014-09-29 16:38:11 -0500 Report

I wonder if you ate any long lasting carbs that just caught up with you the following day? Or could it be your liver got an alert on your day before and didn't want you at 40 again and helped with the extra glucogen? If we could look inside and see what is happening it would be so helpful.

rcmodelr 2014-09-29 23:58:05 -0500 Report

I'm clueless what it could have been. All day today I was running higher than normal where-as yesterday even with eating nearly twice as much as normal and taking absolutely NO Boluses of any kind my BG yesterday still stayed below 80 all day yesterday compared to starting @ 271 this noon and only dropping to 109 by 9 PM when I ate a snack. Now I just got home from work and I'm back down around 130 but CGM says I'm still dropping so I may delay my second meal of my day until as late as between 1 & 4 AM.

And the only difference between what I ate yesterday compared to what I ate today or Saturday was the quantity of food, but the food itself was the exact same foods.

haoleboy 2014-09-29 13:44:53 -0500 Report

what is the definition of "spike" ?

jayabee52 2014-09-29 15:22:37 -0500 Report

not sure there is a medical definition Steve, but there has been a discussion on Diabetes Daily where they wrestle with the subject here ~ http://www.diabetesdaily.com/forum/type-2-dia...

haoleboy 2014-09-29 17:36:19 -0500 Report

for me a "spike" is more than a 40 point rise within the first hour after eating. I just find it strange when these "health" articles fail to define the terms … most often it is the term "low carb". I see it used all the time as in …"diabetics should eat a low carb diet" but they never quantify "low carb". The standard America diet is around 250 - 350 carbohydrates daily so a "low carb" diet could mean anything under that.


Gripper907 2014-09-29 10:39:24 -0500 Report

Dear Gabby, thanks for the heads up article on cause of spikes. This is a very informative piece on spikes and we appreciate your sharing.

Type1Lou 2014-09-29 07:58:54 -0500 Report

Good article Gabby! I struggle with occasional high fastings and recently, after my 80 minute workouts (aerobic and weight resistance) my BG will be higher than expected for a few hours, then I seem to be even more sensitive to the insulin I take after that passes. I'm still adjusting to that effect. Living with diabetes is always a challenge but one that can be dealt with.