I'm having a post-prandial spike, followed by a low, pretty routinely.
This is typical:
7:45a: BG 107/carb 42/bolus: 10.5U (wait 15-20 minutes before eating)
9:33a BG 204/correction bolus 3.35U
11:20a BG 78
8:00a: BG 205/carb 20/bolus 5U
9:37a: BG 197
10:04a BG 180
12:33p: BG 159/carb 22/bolus 5.55U/1U extended 1 HR
1:16 BG 180
2:56 BG 172
About 2-2.5 hours later, my blood sugar falls into the normal range, or goes low. It doesn't seem to matter whether I eat carbs with protein. My CDE suggested an extended bolus (I'm using the omnipod, just started about a week and a half a go.) I've tried waiting 15-30 minutes before eating--I use humalog--but I still see the spike.
I just can't figure out what to do. If I hold back some insulin for the extended bolus, it seems like it would just make the short-term spike worse. I've tried holding back about 20 percent, for an hour, but it doesn't seem to help. Any tips appreciated.