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Thread: Spikes!
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  #3 (permalink)  
Old 04-14-2008, 06:00 AM
shiftzor's Avatar
shiftzor shiftzor is offline
Senior Member
I am a: Type 1
 
Join Date: Aug 2007
Location: UK
Posts: 549
Quote:
Originally Posted by xMenace View Post
I'm the same way in the morning. I had to cut my breakfast carbs back to 30 max, preferably 15. I also bolus 30 minutes early, and I super-bolus. A super bolus borrows later basals and moves them up front to help out with the spike.

What I'd do on mdi, which is what I assume you do, would be to cut way down on the initial carbs, bolus early, and bolus some extra. Then I'd have a small snack mid-morning to cover the impending low. You need to work it all out for yourself though!

Of course this assumes we have similar patterns.
Do you make up for the "loss" in carbs later in the day? I could split my breakfast in two but that causes other problems, since mornings are usually busy. Would you not see a bg drop before you start eating when doing your bolus 30mins early? I seriously considering doing my bolus early, I don't fancy like risking a super bolus since I might forget to snack. Currently I do not bolus before breakfast, I have considered swapping items out for lower GI but evidently it’s not going to make much of a different.

I took an example day:

Breakfast/Lunch/Dinner
20g/81g/74g (carbs) = 177g of carbs
12%/46%/42%
__________________

Standard Deviation:
18.08.08-17.09.08 SD: 2.2mmol/L or 40mg/dl
18.07.08-17.08.08 SD: 2.5mmol/L or 45mg/dl
18.06.08-17.07.08 SD: 2.1mmol/L or 38mg/dl
18.05.08-17.06.08 SD: 2.5mmol/L or 45mg/dl

HbA1c:
21.05.08: 6.2 (7.9mmol/L or 143mg/dl)
29.11.07: 6.1 (7.7mmol/L or 140mg/dl)
23.05.07: 8.1 (11.6mmol/L or 211mg/dl)
Diagnosed 27.08.06: 14.8 (24.7mmol/L or 450mg/dll)
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