Control

Van anybody explain why my blood sugars go up when i have exactly the same breakfast every day?

Welcome to the forum


From your results above, your blood sugars go down after breakfast more than they go up, but I would agree it inst the same all the time, which is typical of Diabetes......

But because you are having the same thing for breakfast and same insulin dose it looks highly likely that the unpredictable fluctuations will be down to your background insulin......

You probably need more or less BI from breakfast onwards, your BI need could then change again from dinner on wards......

Because of this it would be wise to do a background check by doing some carb free testing between breakfast and lunch.....this will tell you whether or not you need more or less BI........

As you on a single dose, even if you do find that you need more or less, you probably wont be able to change it because it will effect the rest of your day and cause problems at other times.....

What background insulin are you on? I suspect Lantus!!

I would recommend splitting, however consulting with your diabetic team should be your first course of action, provided you are not confident enough on your own to make changes.....

Few follow up questions, I notice that sometimes your taking your breakfast at any time between 06:30-10:30 is the rest of your routine moving in the same way or are there some occasions where your having breakfast 4 hours after waking?

I ask as dawn phenomenon relates to hormones floating around for a while after you wake which as I understand it can hamper the effectiveness of the insulin which is why (like me) you have a 1:1.5 ration for breakfast but 1:1 for all other meals. If however your waking at the same time each day and having breakfast at different times then the levels of these hormones may vary quite significantly which in turn will impact your insulins efficiency to either a higher or lower effect and give you variable results.

There can be a number of factors that can impact how well or poorly insulin can work though. Are your activity levels quite constant? for example if you cycle to work some days and drive others then on the days you drive you'll need more insulin to get the same result as exercise can make a little insulin go a long way.

Do you have a hot bath/shower some days and not others? Your generally talking sauna levels to see a significant impact but like exercise heat can improve the efficiency of insulin.

As novorapidboi26 says though you need to verify your background insulin (BI) level is correct first. The idea is that if for some crazy reason you decided to fast for a day your BI should keep you level from morning to bed. To check it is fairly simple. Have your breakfast as normal but then come lunch if your levels are normal, just have a salad or something free from carbs or sugars (remember dressing for salads can have carbs so try to avoid them), if your levels low then skip it that day as you need to sugars to bring them back up, but if they are high but only by a little don't give a correction and have the carb free lunch. come dinner test again if you have only gone up or down by 2 or 3 units then your background is spot on, if there has been a big change one way or the other that will tell you that your background is either to high or to low.

When you know your background is right then you know that the QA insulin is dealing exclusively with your meals and not that it's picking up slack for a low BI or that a high BI isn't dealing with part of your meal sending your into hypos.

One thing I did notice looking at your readings is your corrections, on one occasion you gave a +8 correction. DAFNE guidelines are (or were when I did the course 7 years ago) that you should never take a correction of more than 4 units no matter how high your BG level. If you find yourself needing to take corrections more than that then you have misjudged the carbs somewhere or if it's a regular thing, your ratios are off.

Also at lunch on the 3rd of April you took a +5 correction for a 14.1 reading. Assuming that 1 unit of QA will take you down 3 BG units then your correction would have potentially pulled your BG level down to 0. The fact it didn't and you regularly go up after lunch makes me wonder if your ratios should all be a little higher BUT you need to get your background right first before you start to play with ratios. But more importantly in the short term I'd say you need to be more careful with your corrections and think about if the correction your giving runs the risk of taking you into hypo figures.