Tight control during Change in eating habits

[Lynne1]

Hi all-

I was doing well w/my eating habits and am having a bit of a setback. Now my numbers are up even though I thought I had my ratios right. How do you all account for changes in eating habits? A temporary basal rate change?

Also, does anyone have to set a temporary basal rate when they eat something high in fat to compensate for the release of triglycerides into the bloodstream. Combos of fat and carbs seem to increase my bgs much more and for a longer period of time than I would expect...even with a dual bolus.

[spike]

Hi all-

I was doing well w/my eating habits and am having a bit of a setback. Now my numbers are up even though I thought I had my ratios right. How do you all account for changes in eating habits? A temporary basal rate change?

Also, does anyone have to set a temporary basal rate when they eat something high in fat to compensate for the release of triglycerides into the bloodstream. Combos of fat and carbs seem to increase my bgs much more and for a longer period of time than I would expect...even with a dual bolus.

I have 2 basal profiles. one is about 16/day and the other is about 14/day. One of those is for periods when I'm active every day and the other when not. If you use the temp rate, it only goes for what, 24 hours max? I use the temp rate to reduce hypos for exercise, and temp rates at night when I think I've eaten too much stuff too close to bed time. I tend to get high in the middle of the night if I snack to cover a low, after 8 PM.

[Lynne1]

I tend to get high in the middle of the night if I snack to cover a low, after 8 PM.Me too. Why is that?

[spike]

Me too. Why is that?

Not sure except that anytime I'm inactive, my bg's tend to elevate because my basals are based on SOME activity. At night, I'm fine IF I don't snack late, and couple a late snack with inactivity AND DP that starts around 3 AM, it's easy for me to go overboard treating mid-late evening hypos.

What I've been doing lately if I've had a snack is to check before I go to sleep, and if I'm over 125, I'll set up a square wave bolus over 2-3 hours, of around 2-3 units depending. I either hit it right on the money, or still end higher than I'd like to be. So far, I haven't gotten badly hypo when I've done that, but I should warn anyone else to think carefully about their own reaction to late night boluses.

[Cyborg]

I try not to eat late night to avoid bolusing and going low at night, or not bolusing and having high bg all night. I do have a higher ISF and lower insulin to carb ratio at night for when I do have a late night snack.

I don't change my basals to compensate for food. I do find that when I am losing weight, I have to increase my basals. For some reason, I run higher when losing weight.

Since my ratios are pretty fine tuned and I am pretty good at carb and/or protein counting, I simply check at the 2 hour mark and take a correction bolus if needed. If I am too close to target at the 2 hour mark, I watch closely and usually end up popping a glucose tab or 2...