Quote:
Originally Posted by drummingfool  If I stay with that at breakfast, my sugar rockets but then comes back down after about two or three hours. If I lower it to taking more insulin, I stay normal in that period of time but then drop like crazy. |
Assuming you are correct about those two facts, at around the two hour mark, it's pretty good bet that one or a combination, of three things, are happening.
1. You are getting a release of hormone/adrenaline etc (for example dawn syndrome) that coincides with your breakfast time. The equivalent of having an influx of quick acting carbs than you don't bolus for. But not so much as to keep you high, the presence of sufficient insulin soaks it up in the end.
2. The action of the food is too fast. You are eating too high GI/fast simple sugar, for breakfast. So you technically have the right dosage, but the action of the carbs is much faster than the insulin, leading to a definitive high but then a definitive return as the carbs burn out early.
3. The action of the insulin is being deferred. You are having resistance OR absorption problems at that time. Both potential tricky and complex issues to deal with.
Background resistance and absorption issues seem to be areas with little knowledge about how they work, especially in type 1s. I suppose we are talking about characteristics of the blood that interfere with the action of the insulin. I know I seem to get it. Wish I could comment more than that.
The first practical thing to look at is local absorption: injection technique and injection site, although unless you have particular areas you use only for breakfast, it's strange you are not getting problems during other meals.
Whatever way it goes, modifying your breakfast would be a generic way to minimise this problem. Less carbs, lower GI carbs/wholegrain etc alternatives, skip the juices, etc, will help prevent such a big spike.
