BG 2 hours after eating?

[nantomsuethom]

What is your bg level 2 hours after eating?
I am reading that some people get upset if their bg isn't back to normal by then (100-120 or so).
If Thomas' bg is less than 150 2 hours after eating he has to eat a snack because he will go low, 3 hours is just right.

[Amanda_Jo22]

Nancy, I am the same way as Thomas. It could be his sensitivity to insulin. It also could be that Novolog has a longer kick to it, if he's using Novolog. I think that for the majority of people, two hours is just right. However, YMMV.

[Starlight]

Im always lower after dinner sometimes low. Maybe its becuase i've had a huge insulin drop lately

[nantomsuethom]

He does use Novolog in his pump.
He was 108 after breakfast today and ate a snack. He also had cake for breakfast. I think he drops faster when he eats simple sugars (cake, candy etc.).

[camjen1]

I'm confused :confused: If he took a correct bolus for his meal and if his basals are set correct then why would he go low? I have no knowledge of this insulin sensitivity thingy. LOL :)

[nantomsuethom]

Thats what I dont understand either.
Most of the time it works but sometimes he will drop quick.

We had a 2 hour meeting on diabetes the other day at work. The nurse (that works with a pediatric endo) told us to never rely on the calculation that the pump does for you because it may be wrong at times. :hmmmm:
We have never checked to see if the pump did the wrong math, didn't think we had to. :stupido3: Has anyone ever checked?

[Amanda_Jo22]

You know what Nancy, I have never thought to check either :hmmmm2: I was just so happy when I didn't have to carry around my pocket calculator everywhere.

As far as the insulin sensitivity thing...how my CDE explained it to me was that my rates are set to the closest rates possible...but because I'm so sensitive to insulin, they can't fine-tune the rates close enough to my actual needs. It's a lot better though since I switched to the Animas pump with smaller increments. The other thing is that Novolog does have a longer tail than Humalog, so you may want to see if Humalog works for you. Unfortunately it doesn't work very well for me.

Nancy one other thing you might want to try, that my CDE suggested to me, is to try and do an extended or combo bolus over the span of three hours. You'll have to play a little w/the rates...I usually use 60% now, 40% later.

[nantomsuethom]

I never thought about an extended bolus for regular meals. I think I will have him try that when he eats low fat meals (or junk food) to see if it works.

Something else someone told me that I have never heard before. You should never keep you insulin in the refrig. door. All the opening and closing of the door breaks down the insulin. We have always kept Thomas' insulin in the door.

[buzzborne]

Something else someone told me that I have never heard before. You should never keep you insulin in the refrig. door. All the opening and closing of the door breaks down the insulin. We have always kept Thomas' insulin in the door.

Never heard of that before.... think I better move my insulin into a drawer in the main bit then!!

[David]

MY BGL is rarely back to "normal" at 2 hrs and I dont get upset if it isn't. At 2 hrs you still have much of your insulin still on board (IOB). I may be high and have to correct, but often, my Cozmo pump will say "BG is below target or may drop below target. No correction suggested" , and usually my BG will be back to normal in a short time when it says this. The main reason for this is what food I have eaten (glycemic index). Some foods absorb and peak my BG more quickly than others and it takes some time for infused/injected insulin to catch up with it sometimes. Another reason is how much insulin has been infused/injected. A large bolus will take longer to completely absorb than a small bolus will even though both may be the correct amount for the carbs eaten. Humalog/Novolog/Apidra is much better at this than the old Regular insulin was, but they're still not perfect. That's why Symlin has recently started being used by some.
David

[rzrbks]

Wouldn't a major factor be the Type of food eaten coupled with what types of activities envolved in after eating and before 2 hour check.

I KNOW, that if I'm out doing stuff, especially as hot as it has been lately, if I bolus at the normal 1:15 ratio, I'm going to be low at the 2 hour reading.

Last night, for example, bolus for supper at 1:15 ratio and was out in the yard messing with trees and practicing my golf swing---2 hour reading was 65/3.6---not the best place to be.


If I had been sitting on my posterior watching the telly, prolly would have been fine.