post dinner highs?

Hi guys,

Just looking for some feedback regarding the highs I've had post-dinner on monday & tues.

I've narrowed it down to one of two things:

1) bad CP count.

Meal on monday was: 50g pasta(dry weight)= 3.5cp
salad (minimal cp)
chicken breast
apple (1.5cp) + blueberries (tiny amount)+ 3 dessert spoons
of natural yoghurt (1cp)

Tuesday: 3 egg sized new potatoes (3cp)
fishcake (1.5 cp)
salad
fruit salad as monday

That seems right to me but I'm open to correction, maybe i've missed something?

The other possibility is a bad ratio.

I'm judging it to be around 0.75:1 but it looks otherwise. The only thing that makes me have doubts is that if I use the same ratio for supper before bed, it works no problem. IS it possible for sensitivity to move around so much late in the day?

BI has been checked using nighttime tests and zero carb meals and it looks correct from where I'm sitting.

So any suggestions from anyone would be welcome.

Hi Chris,
I would be inclined to agree with your ratio for your dinner is too low and would maybe need to be increased as when you increased it from 0.7:1 to 1:1 your bedtime BG had dropped from 13.2 to 8.3.
Difficult to say for sure with only a few days of data but given that the rest of your BGs seem fine my guess would be to up your dinner ratio by a little more and see what happens.
The only thing I would be concerned of is you are low in the morning and wouldn't want to risk hypos through the night/early morning. I would do a 3am BG check to be on the safe side.
How did you get on yesterday and today? Did you have a hypo yesterday morn as you went from 13.2 to 4.6 on tue with a dinner ratio of 0.7:1 and then was 8.3 at bedtime on wed night and you upped your dinner ratio to 1:1?
The other option would be to increase your evening BI by 1 unit but again you would need to be careful of hypos through the night, would advise doing a 3am check if you choose to increase either your dinner ratio or BI.
I would try making one small change and see how you progress over a few days.

You seem to have tight control for most of the day which doesn't leave much room for making big changes.
You may want to seek advice from your DAFNE tutor or DSN before making any changes?

Good luck!
Cheers,
Anele.

Hi Anele,

Thanks for your feedback. I had a chat with my Dafne tutor yesterday and they agreed with our thoughts as well
So I'm sticking with 1:1 this evening and seeing how it goes before possibly moving to 1.25:1 tomorrow if needed. But no issues with hypos as the diary shows.

It's nearly there, just a couple more tweaks and hopefully I'll have the structure settled-- for now!

Chris loughrey said:
Hi Anele,

Thanks for your feedback. I had a chat with my Dafne tutor yesterday and they agreed with our thoughts as well
So I'm sticking with 1:1 this evening and seeing how it goes before possibly moving to 1.25:1 tomorrow if needed. But no issues with hypos as the diary shows.

It's nearly there, just a couple more tweaks and hopefully I'll have the structure settled-- for now!