I'm trying to gain some weight so I increased my carb intake. A strange pattern from the last 2 days. I eat but my BG ends up high, near 200, so I shoot another unit of apidra to bring it down ... 2 hours later is even higher !! (about 50 points) the meal is usually brown rice, baked potatoes and some protein (chicken or fish) I don't get it, any ideas ?
I'm 34 years old - T1 3.5 years ago usually with relatively good control (until now it seems)
I'm a fairly high carb eater but baked potatoes and brown rice for lunch is even beyond my capacity. I had to gain some weight after diagnosis and I've done it by increasing healthy fats in my diets. My lunch will include a salad heavily dressed with olive oil and some sunflower seeds or almonds. By packing on the calories with healthy fats instead of carbs you minimize the post meal spikes although I have a tendency to drift higher at around 3 to 4 hours out as the fat and protein hit.
Good luck -
I suspect it is the protein causing the spike later. And that really is a LOT of carbs for lunch. If you have to keep correcting you should certainly reconsider your meal choices. Good luck. I prefer fresh fruit for lunch and never have a trouble with it :)
If it's one meal running up, or down 2 hours later, I will usually try adjusting my carb-insulin ratio a point in the direction I want to go. I have to agree w/ Maurie that rice and potatoes is pretty extreme in the carb portion.
Brown rice and baked potato is a pretty hard combo to bolus for. I can't eat rice at all (white or brown makes no difference). Both together would probably put me close to 300. You might want to consider reducing the carbs a bit, perhaps substituting some vegies or a salad for the brown rice.
So would you say that if you eat 50gr of rice or 25gr rice and 25gr potatoes the result is different ? Supposedly carbs are carbs no matter where they come from, at least that's what my endo says, but as I suspected, is not a linear game.
Actually, you are right, it is not a linear game. Some carbs are more difficult to bolus for accurately than others. We are all different but for me it is rice and cereal. I can bolus for the right amount of carbs and still be high.
Thanks,I was aiming for 80 gr per meal, it just seems really hard for me to gain weight, I've always had a really skinny constitution and if I reduce the carb intake I feel like I'm going to disappear. I'm 5'10 - 132 lbs
Another option to maintain or gain weight is higher fat; that will give you more calories but not impact blood sugar maintenance.