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Permalink Reply by denise102206 on July 1, 2012 at 5:58pm

So I'm testing after eating like the 1st,2nd and 3rd hour just to get data,and after dinner I had 134 at 1 hr,141 at 2 hrs now 3 hours later 160? I'm confused.

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Permalink Reply by christy on July 1, 2012 at 6:20pm

It will be confusing till they get your basal and bolus doses set right. It just probably means either your I:C ratio is off some, OR eventually u will have to add a correction factor. Don't expect perfect numbers right now, right now isnt about perfect numbers, it's about finding rations that work for you. Have you ever read the book Using Insulin by John Walsh...or Think Like A Pancreas by Gary Scheiner, they are probably 2 of the best books around for people learning how to dose with MDI insulin. Well worth the money and many of us have copies and still refer to them periodically.

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Permalink Reply by Shawnmarie on July 1, 2012 at 6:33pm

It also depends on what you ate. For example, if I eat a meal with beef, my numbers will rise until about the three hour mark.

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Permalink Reply by denise102206 on July 1, 2012 at 6:47pm

Yes I'm reading "Think like a Pancreas" Couldn't find using insulin when I was at library I looked though. Shawnmarie ok that makes since I had beef..so is it from the protein?
I'm suppose to take my other medicine for my pituitary tumor before bed and I suppose to eat something with it. The nurse said to just have 15g or less with some protein... I asked do I take the novolog for this and she said no.... Won't I go really high then if I don't take that? The only thing i'll be taking is the Levemir will that prevent a spike? I don't know I'm super effy about having a snack at night because I'm afraid it will go high..but they want me back on my medicine as soon as possible...

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Permalink Reply by Shawnmarie on July 1, 2012 at 6:51pm

Right now, for me, beef seems to be the only protein that has such a noticeable effect. Other meats, cheese, greek yogurt, etc., are proteins that don't seem to affect my BG much.

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Permalink Reply by Zoe on July 1, 2012 at 7:13pm

I would also wonder if you had high fat in your meal as that sometimes makes for later spikes. Also, until your basal is right that could contribute to highs between meals. I disagree with your nurse. If you are supposed to take food with your medicine, I would have a carb free snack such as cheese, meat, nuts. If you eat 15 grams you do need to bolus or you will spike. No, Levemir won't help with spikes from food as it's long acting. I would definitely suggest a carb free snack for your medicine.

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Permalink Reply by denise102206 on July 1, 2012 at 7:21pm

Thank you I was thinking the same thing.. Like cheese stick or something like that?

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Permalink Reply by Zoe on July 1, 2012 at 7:37pm

There you go!

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