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Originally Posted by DCaplinger  Also, when I asked him about running a C-Peptide, my Endo said he could do one, but he had a feeling he already knew what the results would be. I didn't feel like arguing then. |
I've not had the c-peptide test, but I:
- believe that would be insightful for you;
- plan to argue my case of "to establish a baseline" at my next doctor's visit.
With your spikes, drops, and odd ratios, I think a c-peptide test would provide valuable information... even if it only confirms what your endocrinologist "already knows".
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Originally Posted by DCaplinger As far as the breakfast coverage goes, I don't eat a very big breakfast. The dietician told me she wanted me to eat 3 carb choices for breakfast. I generaly get about 42 grams at breakfast, which would put me right on her target. I end up spiking about 2 hours later, however, it's usually about 6 hours after I have had breakfast, before I can really eat again, because of my job. Unfortunately, that usually leads to me going near hypo stage by 11:00 am, fully one hour before I can eat again. |
Do you go hypo if you skip breakfast and associated bolus? If so, your basal might be excessive [for that time of day].
What is your BG one hour after breakfast? If that's also high, I suggest eating lower-glycemic CHO at breakfast.
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Originally Posted by DCaplinger My education nurse has been trying to think of snacks that I can buy, that HAVE to meet the following for me to be able to eat them while on the job: |
I like Kashi cookies.
Fifteen to eighteen grams CHO per each, two-hour digestion time, and rather tasty. Mojo bars also are good, but a bit noisier and smellier.
Want something faster-acting? Dates. Yummy. The local Kroger has 8 oz. boxes (Amport foods, turquoise box with white and purple, baking section) for $2/ea. One-hour digestion time.
Faster-acting still? Raisins. Also yummy. I've not profiled them precisely enough to know the digestion time, but I know that they go faster than Novolog; I believe that they digest in about 40-45 minutes.
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Originally Posted by DCaplinger Right now, I'm taking glucose tabs when needed to prevent the hypo, but I can't follow the rule, because I can't follow that up in 30 minutes with some type of solid food. That's another reason why I worry so much about going hypo. |
I've long since quit observing the "follow up with solid food" rule. My hypos are usually fast enough that, once dispatched with fruit juice (highly recommended: Juicy Juice boxes, available in 125mL/15g and 200mL/24g sizes) or soda, I'm good to go.
Yes, soda is usually noisy. However, you could have a small bottle that you let go flat, then consume as needed -- perhaps even refilling from a 2L to minimize both plastic waste and cost. I know that a mouthful of { 7Up | Sprite | Sierra Mist } boosts me about 25 mg/dL, and does so within 15 minutes unless I'm having a particularly brutal hypo.
I don't like glucose tablets. If someone finds some without the %^*& artificial colors, please let me know! (Bonus points for finding unflavored!)
