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  #15 (permalink)  
Old 12-26-2006, 01:04 PM
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duck duck is offline
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Join Date: Oct 2003
Location: Manassas, in the Old Dominion
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Quote:
Originally Posted by belyro View Post
How CAN I be, though, Duck? Most days I still get up to 8 or 10 2 hours after a meal. If I bolus less, it's definitely going to go up higher. That was my problem in the first place....2 hours after breakfast I had to be at LEAST 15 or I'd be low before lunch. Then I cut my basal in half and ended up being able to be 8 two hours after breakfast (with more bolus to compensate for the lower basal) and about 4 by lunch. I'm happy with that, but my afternoons don't work so well. I was hoping if I reduced the bolus by one or two more units it would help. Now I have to be 10 or 12 2 hours after lunch....sometimes higher, depending on whether I'm running errands or just sitting on my butt at my desk. Really and truly, if I increase my meal boluses, it's definitely going to be above 10 two hours after a meal....and there are some people on this forum who think even THAT is too high.

I'm going to an appointment with my CDE later in January (and a dietician) so I'm hoping that will give me some ideas. My best bet may be trying a low GI diet, I think.
Let me make sure I understand what your query is:

You take 6 U of Levemir at night...You eat breakfast, you bolus. But it's not your AM sugars you are worried about.

You eat Lunch, bolus. And even though you are 7 two hours later, without eating anything you continue to drop the rest of the afternoon, right?

What I am saying is, skip LUNCH--don't EAT. I know, it sucks. But you are meal bolusing for lunch, right? In theory, if you are not going to eat lunch, you don't need to bolus for it. If you skip lunch, you can get a better idea of whether your basal insulin is indeed too much in the late afternoon, or if maybe your bolus insulin lingers longer for you than the "typical" four hours. As it is, we have no idea which of the two are affecting your sugars to knock them down later in the afternoon...
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