Spikes in blood sugar

By BandonBob Latest Reply 2010-11-23 18:01:30 -0600
Started 2010-11-22 10:36:16 -0600

I realized something I haven't really asked about. I test every morning when I getup and two hours after meals and I haven't had a reading above 150 in more than 15 years. My question is how high does the level have to be to constitute a spike?

8 replies

Harlen 2010-11-22 11:13:45 -0600 Report

for me its anything over 145 and a low is 65 but thats just me
each ov us is difrent
Hope this helps

CaliKo 2010-11-22 11:06:37 -0600 Report

Hi BandonBob, and welcome to the site.
I had that very same thought when I first came here and read some of the posts. In CDE case, I was taught to take readings fasting, before meals, two hours after, bedtime, and even between 2-3 am if I happen to wake up just to see what BG is going on at night. I asked questions, here, too, and was told to test every 30 minutes from the beginning of eating something until the levels go down, usually at 1 hour or 1-1/2 hour, so you know exactly what each food does to you. Now, you don't have to do every food every day, just keep a journal and use the information to improve your eating habits. If you are wondering about oatmeal or that fruit snack etc. It's just a tighter level of control, and a tool to help keep complications away. I've been told different things about how high a reading can be. Many diabetics go by 140 being the line you don't want to cross, at least not often. I hope you find this helpful, and good luck!

BandonBob 2010-11-22 14:48:07 -0600 Report

Thanks for your reply. My only problem is that I am with the VA and they only give me supplies to test twice a week so the others I have to pay for and on a fixed income that is a pain. I don't think I could afford the regimen you recommend.

CaliKo 2010-11-22 15:00:31 -0600 Report

Well, that does make it difficult. I'm hoping it means you have very good control if they think you only need to test twice a week. I would say only test for spiking if there's a food you are particularly concerned about then. I haven't done it real often myself, but every once in a while I do. Like I love to have pear slices with peanut butter for an afternoon snack, and I was afraid that was too much carbs, but I tested and it is fine for me. Maybe the peanut butter slows down the carbs in the pear, I don't know. I don't eat peanut butter very often because of the fat, but its an occasional treat.
I hope you have a wonderful Thanksgiving!

BandonBob 2010-11-22 16:04:43 -0600 Report

I do have control with my A1c running between 5.8 and 6.2 for the last 18 years and my fasting blood sugars averaging 92 and 2 hours after eating averaging 125. The problem is from what I have heard from other vets is that all vets get supplies for twice a week as the vA has not gotten with the idea of daily testing let alone testing more often than that. You have a great Thanksgiving too. As I am alone I am going to work at the free citywide Thanksgiving Dinner given here in Bandon. That way I won't overeat.

lmb2749 2010-11-23 11:53:41 -0600 Report

Hi, Bob. I also go to the VA for medical care. I do have CHAMPVA insurance, though, so I don't know if that makes a difference… but, I get supplies to test daily. And my doc says if I need more than what they send me I can let him know and he'll send an extra 'script, because he wants me to test daily. He did say the VA only approves testing every other day. Every once in a while I test before a meal and then 2 hrs after if I'm concerned about something. I try not to do that very often right now because I don't want to run low on supplies because, like you, I'm on a fixed income. I'm newly diagnosed (3 wks) so I don't really know a lot about anything yet. I have heard that the supplies are expensive if we have to pay out of pocket but I haven't really checked yet.
It sounds like you have things under control. My doc told me to try and get my readings under 140 on morning tests. I take Metformin and since it kicked in I usually do run right around 140. Some mornings about 170. I'm still learning. I tested fasting at 191 and A1C 7.4 three wks ago.
Have a blessed Thanksgiiving

BandonBob 2010-11-23 18:01:30 -0600 Report

Thanks for your reply. I don't have the CHAMPVA so I think it makes a real difference. I'm happy for you as you are he first Vet I have contacted who gets daily testing supplies. Maybe my doctor just doesn't know how to write it up. If the doctor prescribes something like Januvia or Byetta for you which are not in the formulary for the VA don't forget that the companies manufacturing them has assistance for people with low incomes. That's how I get the Januvia for free when the normal cost is over $400.

CaliKo 2010-11-22 16:17:17 -0600 Report

It does sound like you have excellent control of your bg, with or without much understanding from the VA.
And I think that's a lovely, giving way to spend Thanksgiving.

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