Dealing with large carb meals

Thank you very much for the advice, I will try the 3 way split, as it is at the moment I'm only eating about 6-8 cp's a day. I'm having a nightmare with dawn phenomenon and getting my lantus dose right. Nothing seems to be going right at the mo. I've only been doing dafne for about a month. Finding the carb counting ok. I've been diabetic for 19 years and only now taking good control since my teenage years. (29 now). Hopefully having a pump by the end of July.

I,m sorry its only advice, there's no fix solution for high carb meals yet, ,but hopefully this will help.
You've mentioned an important factor in control just not high carb meals buts in general control
That's the BI insulin something I never took a lot of notice of until the last 15 years before Dafne I always tested before bed and in the morning so I got the message early that the BI was correct
Also god bless him my very 1st consultant some 40years ago believed in carb free meals so he in some way helped me understand the purpose of the BI although it took me some years to take it in.
Yes your correct getting the lanus right is a big advantage in your control
How much do you take?

Changing my BI every day at the moment. I'm on lantus and take it 7 and 7. Yesterday evening took 9 units but still hypo at 12. This morning took 41. Had breakfast at 5am and just checked bs. (10.9) however may go up till 12 due to dawn phenomenon. Bloods rise from 3am-12pm. (nightmare). I will probably try doing 8 lantus this eve.Although I find when I reduce pm lantus, I normally need to increase am. Not sure how much to do tomorrow morning yet.

Not to confuse the issue but I've been looking into injection technique recently and it occurs to me to ask are you injecting into muscle? If you go past the fat and inject into muscle then the rate of absorbition is much quicker which would explained why you went low. If you are you Would know about it through, when it happens to me I end up wanting to swear like a squadie as it is far from a nice feeling.

Different locations will also react faster than others so might be worth trying alternative sites. That said the only two areas I can manage are belly and thighs of which belly is fastest and dropping your trousers at the dinner table is generally frowned upon so not the easiest one to do anything about but food for thought perhaps.

Have you noticed a pattern in your evening and morning BG
Try not to change things from 1 advent lantus from my experience takes two days to a week to show any changes, record all tests
To set your BI you'll need to do a carb free meal, check with your Dafne nurse if your unsure
This may seem an up hill climb, but once done its a down hill sprit for the rest of your life
Other conflicts such as injection sites needle length etc etc are a factors which should be considered
I use an 4mm needle I'm about 12 stone 5"6 but where all different discus this with your Dafne nurse.
Many type 1 fear night time, I know I've been there hypo while you sleep etc
I got over this by understanding how the BI works.
This is a good starting point, you,ll need to test and test for a couple of weeks
But once this is right the QA is easier to put right.
I didn't know that 3am in the morning if your BI is correct is the lowest level your BG will reach
So if your concerned test at this time
Remember your not alone I've been where you are now it will get better with time and as your self-confidence increases you,ll be in control
Like you I'm looking to go on a pump

Normally I go hypo before 3am so don't bother testing after that. About a week ago I done 8 units of lantus in the evening. I was 6 before bed and 8 when I woke. Oh and 6.2 at 3am. I thought that was great but through the day I was high. I consulted my diabetes nurse( not dafne trained) and she told me to increase my pm lantus cos it wasn't enough through the day, although I explained that I would hypo at night if I did. Followed her advice and that is exactly what happened. So going to try the 8 again and slowly increase my am lantus. I don't think I am injecting into muscle as it is not painful. I always do lantus in my thigh and novo rapid in my belly.

I always use 4mm needles and weigh 9 stone at 5"4.

taniahealy said:
Normally I go hypo before 3am so don't bother testing after that. About a week ago I done 8 units of lantus in the evening. I was 6 before bed and 8 when I woke. Oh and 6.2 at 3am. I thought that was great but through the day I was high. I consulted my diabetes nurse( not dafne trained) and she told me to increase my pm lantus cos it wasn't enough through the day, although I explained that I would hypo at night if I did. Followed her advice and that is exactly what happened. So going to try the 8 again and slowly increase my am lantus. I don't think I am injecting into muscle as it is not painful. I always do lantus in my thigh and novo rapid in my belly.

I always take my lantus 7 and 7. Last night I took 8 units and was 12.2 at 10:30. When I got up 6:15am which I normally do. I was 4:8. This was a result for me. The first time I haven't had a hypo during the night for over a week. Did set my alarm for 3am but was too lazy to get up. Do you think I should reduce my pm lantus again tonight, cos there was still a drop. I don't normally eat after lunch so am wondering if this is also making me drop through the night. Really appreciate everyone's reply's. It's good to talk with people who have been in the same boat.I was running at 10 all day yesterday, so going to increase my lantus this morning.

Forgot to mention. I'm going onto the pump because I have real bad dawn phenomenon, I go up from the time I wake till about lunch time, if I woke with a bs of 5 then didn't do any insulin, then by lunch I would probably be reaching 30. ( no exaggeration). When I get up between 6 and half past, I have my porridge straight away and do my insulin at a ratio of 2:1 this way I'm ok by lunch. It's a real pain, good job I enjoy my breakfast.