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Old 05-21-2007, 04:53 AM
Gary_W's Avatar
Gary_W Gary_W is online now
Senior Member
I am a: Type 1
 
Join Date: Jan 2007
Location: UK
Posts: 877
Would Apidra help with my morning spike?

Hi,

Thanks to you all on here, I'm doing very well these days. Last HBA1c was 6.5 and I know that it's improved since then as I've been running lower still. It's amazing how addictive decent control can be, and with that in mind, I'm just wondering about the morning spike.

Breakfast typically is around 50-60g of carbs and this morning consisted of 2 rounds of wholemeal toast with butter and a grapefruit. Whilst I need a 1:10g bolus for the evening meal, my morning shot needs almost double that. For this meal which is 55g of carbs, I need 10 units to cover.

This morning was typical of my morning readings

Waking BG - 4.9 (88)
1 hour post breakfast 14.2 (256)
2 hour post breakfast 11.5 (207)
3 hour post breakfast 7.0 (126)
4 hour post breakfast 5.3 (95)

I'm very happy with the fact that at the 4 hour point I am back to my pre meal result, and due to my basal being bang on I know that it will stay here even if I delay lunch for another couple of hours.

What I would really like is to be back down to 7 or less at the 2 hour point just to minimise the time that I am high for. Is Apridra the way to go for me or can anyone suggest anything else?

I'm not going to beat myself up too much about this as my control is very good overall, but if a minor change can do it then great. That minor change will not be me eating 10g of carbs for breakfast before anyone suggests that

Thanks

Gary
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