morning bolus

[sviskan]

I find it very hard to bolus the right amount of insulin in the mornings. I have checked my basal several times and it is fine. But my bg is always high (above 200) 2 hours after breakfast; and then 1 hour later it has always dropped to below 100 (often even below 60). This happens no mather when I eat my first meal. I normally eat a good yoghurt with crunch. Any ideas on what I can do about this problem?

[spike]

I find it very hard to bolus the right amount of insulin in the mornings. I have checked my basal several times and it is fine. But my bg is always high (above 200) 2 hours after breakfast; and then 1 hour later it has always dropped to below 100 (often even below 60). This happens no mather when I eat my first meal. I normally eat a good yoghurt with crunch. Any ideas on what I can do about this problem?

what type of insulin? Humalog?

you might need to lead your breakfast by a few more minutes, to give it time to work to cover the type of food you are eating. if u do that, you might also have to slightly cut down the dosage to prevent going low later on.

yogurt is a quick in/quick out type of food.

try something with protein and less quick sugars. Many cereals won't work well either, so be careful what you select. I eat an English muffin with PB and that holds me pretty level as compared to anything else I've tried for breakfast.

[sviskan]

I am on novorapid (it is basically the same as humalog).

I think it might be a good idea to postpone breakfast half an hour or so, but that means I have to get up earlier (hmm).

I really want to keep eating yoghurt with cereal in the mornings. I like it.

[spike]

I am on novorapid (it is basically the same as humalog).

I think it might be a good idea to postpone breakfast half an hour or so, but that means I have to get up earlier (hmm).

I really want to keep eating yoghurt with cereal in the mornings. I like it.

1/2 an hour is too long to wait, using Novorapid unless your bg is really high. How long are u waiting now? not at all? if so, just try 15 minutes.

if it doesn't work, I suggest you revisit your desire to eat a food that is so quick to bring up your bg, followed by a crash.

[sviskan]

I am not waiting at all right now. I like sleeping.

You are right; 15 minutes and then shoot a little less than normal.

I hope it works out. If not, I have to switch over to bread. For me, bread is the one thing I never bolus wrong to.

[JediSkipdogg]

I have that same problem in a sense. My BGs can shoot up really high at 2 horus and return to normal at the 4 hour mark. For me, as long as I'm normal at the 4 hours with breakfast I'm satisfied.

[Shotokan]

I find it very hard to bolus the right amount of insulin in the mornings. I have checked my basal several times and it is fine. But my bg is always high (above 200) 2 hours after breakfast; and then 1 hour later it has always dropped to below 100 (often even below 60). This happens no mather when I eat my first meal. I normally eat a good yoghurt with crunch. Any ideas on what I can do about this problem?

Symlin might help you. It works for some of us.

[JanTx]

Have you tried some of the low carb yogurts? The one I eat is 4 oz - 70 calories, 0 fat, and 7 carbs. I add 1/4 c. Fiber-all and a few almonds to it. 23 carbs total. I eat that about 7:00 and have a cheese/fruit snack around 10:00. You might could adjust what you're eating rather than changing all together. (of course, you may prefer changing all together to changing your yogurt!)

[melissata]

I have never tried this, but if you are using a pump, this may be worth a try. It is one of John Walsh's ideas, and makes a lot of sense to me for high glycemic foods. Basically, you stop your basal for a couple of hours, and add it to the bolus for the food. It gives you more insulin to deal with the food, but overall it is not more insulin. Here is a link if anyone is interested.

DiabetesAdvocacy Pumping Tips (http://www.diabetesadvocacy.com/pumping_tips.htm)

[RLK]

I'm intrigued by the idea of the Super Bolus, particularly at "that time of the month". Maybe this is what I need to squash those terrible highs I have after eating... Has anyone used this method for dealing with post-meal highs?

[lilituc]

I second adding fiber to it. The new supplements can be mixed with yogurt and you'd never know it was there. The fiber reduces the spike.

[xMenace]

I found cutting back my breakfast helped greatly. I no longer believe breakfast should be the biggest meal of my day.

[silverbullet]

I have this same problem with breakfast. But I have come up with a solution to at least my problem. I used to drink a Super Big Gulp Diet Coke every morning and the same thing that you discribed happened to me. Spike at 180-220 two hours after eating and then crash down to 60-90 at three hours. I have greatly reduced the amount of caffeine and it has pretty much left my numbers in a better place. 100-140 at two hours and 80-110 at three hours. So I went from drinking 44oz to only 24oz sodas. Ocasionally I still spike so the next day I prove to myself it was the soda by skipping it all together and this proves that I am doing the correct bolus. Breakfast seams to be the only meal that the caffeine screws with my bg. It has also seemed to help to wait on the caffeine until 2 hrs after breakfast. I don't know give it a try? The caffeine supposedly causes addreneline to enter the blood stream that then tells your liver to dump sugar into the system causing the spike.

[sviskan]

Wow, thank you for all your tips. I have never heard of many of them before: coffeine, switching basal to bolus...
As for symlin. I dont know what it is, and I dont think I can purchase it where I live.

The yoghurt and the cereal that I eat are the best I can find in the store considering sugar, fat and fibers (maybe I should try adding some more fibers).

This morning I ate a bun instead of the usual yoghurt, and it worked out much better.

JediSkipdogg: I can not allow my sugar to jump like this in the morning, because I am currently trying to get pregnant. But, when thats all over I will return to my usual breakfast and live the consequences.

[Cyborg]

I try to avoid cereal in the morning because of the associated spike in bg that I get. Symlin does help, but it makes breakfast an event rather than something to grab on the run. Now I usually grab a South Beach Diet High Protein cereal bar for breakfast.