Hello,
Almost everytime i eat breakfast my sugar spikes to about 300 before it comes down? Any idea why? it happens if i take my insulin before meal- or after. The only thing that I have noticed has helped is if i exercise after i eat. But i don't have the time to do that everyday.
Suggestions?

And i spike high after most meals before coming down but breakfast is the worst

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So what are you eating for breakfast? That makes a huge difference. For some of us, we may be particularly insulin resistant in the morning. This can make those carbs at breakfast particularly volatile.

ps. I like eggs and sausage for breakfast. You should give it a try.

Well who doesnt like eggs and sausage :) But i like to get carbs too- though not with my sugars going so high.
I usually eat a bowl of cereal, a bagel with peanut butter and a glass of milk.

I might sound stubborn but i know im sure if i changed my diet it might help but everyone always says "don't not to anything because of your diabetes" so if i want to eat a certain way- i want to figure out how. :)

But i am now in the mood for eggs and sausage!!

Bagel+ cereal would explain the post-parandal highs I think!

I agree "don't not to anything because of your diabetes" , but please take it with a grain of salt.
We don't have to forget we HAVE diabetes, it's something changed our lives so it can change our breakfast too.
Your kind of breakfast is hard to manage, there are many ways to try to keep bg down but consider alternatives to your food.
First, if you are on a micro, you could try to use apidra: it's usually faster to act and has shorter tails of action.
Second, give your bolus 10-15 minutes before breakfast.
Third, add something with fat to slow down CHO absorption (but it's bad for other aspetcs)
Fourth, raise your bolus, but have a "second" breakfast to prevent lows at 2 hours
Fifth keep your food but lower quantities.

Ok, ideas finished ;-)

I like my carbs too....but there does have to be a limit. Could you do the cereal OR the bagel? Could you drink almond milk instead of regular milk? (Good source of calcium, but a couple fewer carbs per glass)

I also like including higher fiber options when I want a carb-heavy breakfast....so look for fiber enriched cereals or bagels.

what are your sugars when u wake up ? i usually wake up with it in the low hundreds then i eat my bread and eggs befoe workout no insulin and i take in 20 to 30 carbs before i start . if it is say 130 when i start i only take in 10 carbs ck it about 15 min and see what its doing . if it is coming down then i take in another 15 carbs and keep going ! if u r high in the morning u probly need to adjust the evening dose .. im on lantus not the pump. also watch the fat u take in fat doesnt spike sugar levels right away but does later .

if I cannot eat first because I don't have time to wait a hour and a half before I can start working out . What I do is start with protein then start working out as sugar levels come down I take in carbs like anywhere from 13 carbs to 30 depends onhow hard you are exercising . I use a heart rate monitor to help me. If I'm training in my upper zones know I using a lot of glucose so I need more carbs. Plus my levels I the morning are at 115 to start. So I can take in 15 args before I begin

Holy cow. I think if I removed diabetes from my decision-making processes I'd be paralyzed with indecision! I've always lived by the opposite motto: factor my diabetes into every decision. It sounds kind of awful, written so starkly, but I've done it my whole life (which is not to say that I don't ever consider the diabetes-related consequences of a decision and decide I don't care). Luckily, it usually means making a generally more healthy decision than I might otherwise :)

I think I'll try making 2 decisions for a while: with diabetes and without diabetes, and see how much they differ.

Eeerily, I think that many of the decisions I'd have made without diabetes would have had *more* negative long-term consequences than the ones I made with diabetes.

Definitely the bagel and cereal. I would eat the eggs and sausage and maybe a half bagel. See if that helps.

Depending on what type of cereal you are eating a 3/4 cup could be anywhere between 20ish carbs and 40ish carbs. Add milk which if you are doing non-fat is about 12 carbs per cup, and bagels tend to be about 50carbs unless you are eating the smaller ones, and peanut butter tends to be about 8carbs.

You might be overloading on the carbs for breakfast. ADA says men should eat between 50-60 carbs for breakfast, then at lunch, then at dinner, with about a 20 carb snack in-between meals if you are going longer than 4 hours without eating. ADA says women should eat between 40-50 carbs per meal and about a 15 carb snack in between if going longer than 4 hours without eating.

Maybe try lower your carb intake and then if it still persists you might see if you doctor wants you to change your insulin to carb ratio.

Hope this helps

The ADA says... that is very funny! What is men and women anyway? From corpulent to slim? All should eat this and that? Sigh, I would like to live in the black and white world of the ADA. Ugh, actually I won't.

Just one hint: no one should need an in-between meal with fast acting analog insulins. They have been designed to just prevent that. If you still need regular in-between meals somthing is wrong with your I:C or the basal dosage is too high.

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