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Thread: High Peaks
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  #12 (permalink)  
Old 03-27-2008, 10:59 AM
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xMenace xMenace is online now
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Quote:
Originally Posted by JJM335 View Post
Lizzie:

There's another possibility which is that you are for some reason more insulin resistant in the afternoon. You are eating 1 bagel, which should be about 50 g carbs. I don't know your numbers but with me I work on 4.5 g per 1 mmol, so with no bolus you would expect a rise of about 11 i.e. 5.7 + 11 = 16.7. Since you went to >14 this implies that your bolus had almost no effect whatsoever in the first 2 h and then worked "all at once" over the next 90 mins.

I don't want to exclude any of the other posters' ideas, just that you might consider that it is actually some sort of basal abnormality. Do you exercise at lunchtime? I see similar spike effects after a hard session in the gym.

Joel

For many if not most of us, our basal needs drop off dramatically in the afternoons. This would explain your tendency to drop. With MDI I almost always needed a snack in the afternoons. With my pump I can tailor to my needs.

Some afternoon basal testing would be worthwhile.
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