post meal peaks

I am looking for help in avoiding post meal peaks. I am on 10u levemir at 8am and 5u at 8pm and a 1:1 ratio. Today at lunch time (12:30) my blood glucose was 4.5. I ate 1 wholemeal granary roll (ham & salad) small packet of crisps and an apple = 55g CHO, so had 5.5u of humalog. I thought this was relatively low GI meal - was this wrong? I had my insulin 10 mins before eating. At 3pm I was at 15.0, at 5pm it was 9.4, at 6pm at 6.2 and then I went hypo (2. at 7pm.

After a far amount of experimenting I think I am on right amount of background insulin as I have tried having carb free lunches and now my blood sugar goes up slowly if I have no carb or humalog at lunch

I am trying to conceive at the moment and the guidance for pre-preganancy is that blood glucose 2hrs after meals should be only 2 higher than before meals.

Any ideas would be really welcomed.

Hi Rachel. I have a couple of ideas, although they are speculation reallly because one day is not enough to draw a pattern. I don't know the profile of Humalog, but the hypo is 6.5 hours after the meal and I think your QA insulin should be gone by then, which would leave your BI. The other idea is insulin resistance and/ or lipos, which can reduce the effectiveness of the insulin and produce unpredictable results. Your Diabetic Specialist Nurse should be able to help with the second point. It's very frustrating when you try to do things correctly and your body just will not behave itself.

What does "lipos" mean? Not a term I have seen before.

Alan

Hi Rachel, I hope you've got your post meal peaks back under control. I've been having very much the same problem it seems like the Humalog isn't kicking in untill at least 3hours after taking it which is very frustrating especially after 6months of trial and error (Pre-Dafne) trying to get my background right I'm 99%positive that's not at fault. I've contemplated changing my QA insulin for one which doesn't peak quite so early. But since I've only been a Dafne Graduate for 2weeks I'm reluctant to try anything quite so dramatic just yet.
I'd really appreciate any thoughts and I hope the family planning is going well.

Kind Regards

Sarah

Hi Sarah, I have just about sorted the problem at breakfast by walking 2miles to work after eating which stops the peaks then. Dinner has never been so bad, but I have not sorted the lunchtime problem. I am now having my insulin about 25mins before eating which helps a bit. The family planning is going well - I am now 11 weeks pregnant!!!

Hi Rachel, I think I'll give the exercise thing ago it can't be that bad for my health lol.
Congratulations on the baby I'm glad that it's going well.
It's uplifting to hear news as good as that.

Kind regards

Sarah