What Y'all think?

[rzrbks]

Yesterday, Sunday 1/22/06 I used measuring spoons to get the EXACT amounts and have the EXaCT carb #s

Reading before eating 93/4.6


Had PB& J Sandwich;
Bread= 23 carbs, Jelly= 6 carbs, PB =5 carbs

Coffee with creamer and milk;

coffee= 0 carbs, creamer = 9 carbs, milk=4 carbs

Grand total = 47 carbs

Covered at 1:7.8 ratio>>>>>>>> 2 hour reading 283/15.7


this morning, exact same thing EXCEPT, decaf tea instead of coffee and covered at 1:15 and 2 hour reading 117/6.5


Any thoughts?

[DeusXM]

Caffeine's well known for raising the blood sugar, and I'd imagine that tea probably has some effect on lowering it, especially if it's a green or herbal tea.

Also, although you had exactly the same routine, it may be that your metabolism simply was different that morning, for any number of reasons.

[Harold]

Not unless you try the breakfast with coffee BLACK and decaf coffee with cream and milk. Did you have your tea with creamer and milk?

[David]

I basically agree with Deus that your metabolism acted differently in the morning. Carb counting and its affect on us is more an art than a science.

Yes, caffeine can also have a BG-raising effect on some (it does me). While tea does have some caffeine, it has a bit less than coffee.

Also, are you taking any medications? Your profile says that you're 1.5. You're not taking rapid insulin for meals? Are you taking a basal insulin? Your basal insulin, oral diabetes meds and many other meds effect BGLs and one or more of them may be peaking in the morning for you.

Don't forget wind direction, phases of the moon or other strange and unexpected cosmic anomalies either

David

[rzrbks]

DeusXM

Also, although you had exactly the same routine, it may be that your metabolism simply was different that morning, for any number of reasons.

B/G is Always high when I have coffee----when I have tea, even tea with Caffeine and creamer and milk I can cover with 1:15 ratio and be OK.


Harold

Not unless you try the breakfast with coffee BLACK and decaf coffee with cream and milk. Did you have your tea with creamer and milk?

Yes, creamer and milk, I Have to to have both in the morning if I'm having either coffe or tea.

David
Also, are you taking any medications? Your profile says that you're 1.5. You're not taking rapid insulin for meals? Are you taking a basal insulin? Your basal insulin, oral diabetes meds and many other meds effect BGLs and one or more of them may be peaking in the morning for you.

Yes, Lantus and Novolog/NovoRapid at 1:15 ratio to cover carbs ingested.


The reason I'm asking is that when I drink coffee it's taking more and more to cover the coffee. 2 years ago was able to cover with Novolog at normal 1:15 ratio and now it seems that if I want my coffe, I'll have to up that to 1:3 or even 1:2 ratio and I Don't want to do that, so, I guess coffee is gone<<<sigh>>>

Nothing else is requiring this serious of an adjustment.

Thank you very much for the input, y'all.

[koblenz]

I guess the only way to know for sure, is to skip breakfast and have only the coffee (with cream and milk of course). Test, see what happens. Then maybe do the same thing with only the cream and milk (skip the coffee). I know that sounds gross, but it should help determine which is causing it.

Also, keep in mind the phases of the planets. You might want to delay the test until the moon stops circling Uranus.

[lgvincent]

I constantly have the same problem. I can eat the same thing 2 days in a row and take the same amount of insulin each time and one day I'll have insulin shock and the next it will be high. I've been running low in the afternoons so a few days ago I dropped my Humalog by 1 unit and my blood sugar went from running around 60-70 up to 266. I have no idea why this happens. It's so very frustrating.

[DeusXM]

I guess the only way to know for sure, is to skip breakfast and have only the coffee (with cream and milk of course). Test, see what happens. Then maybe do the same thing with only the cream and milk (skip the coffee). I know that sounds gross, but it should help determine which is causing it.

You'd think that. However, if you skipped breakfast, your liver would go into overdrive dumping glucose into the blood, thus completely changing the result and the ratio once again.

Don't you just hate the human body sometimes?

[sydneya]

I constantly have the same problem. I can eat the same thing 2 days in a row and take the same amount of insulin each time and one day I'll have insulin shock and the next it will be high. I've been running low in the afternoons so a few days ago I dropped my Humalog by 1 unit and my blood sugar went from running around 60-70 up to 266. I have no idea why this happens. It's so very frustrating.


There are so many things that play the part of the BGs. I can only agree with lgvincent--It's so very frustrating.
__________________

[Cinnabon]

Why were you inclined to use a different ratio?
1:7 to 1:15
Coffee for some reason does cause spikes for some, but not for others.
The body w/ diabetes is a true unsolved mystery... sometimes it can metabolize things right , others its just plain lazy! LOL

[willow the elf]

Have you tried decaf coffee?

[Belinda]

It may be the coffee but try not drinking coffee for a while(week) and then give it a try and if it does it again you can determine it is probably the coffee. :flowers:

[vrocco1]

:dito: Agree with Belinda. You can't base anything on one or two tests. All we can hope for is to keep our averages in check. We will never have perfect control using MDI.

[Ailsa]

this morning, exact same thing EXCEPT,

You may have done the same thing those 2 mornings, but what about the rest of the day in between. a glass of wine with dinner or different exercise can carry through to the following day

[rzrbks]

I have come to the conclusion that the Creamer is NOT getting along with my insulin for some reason.

I have since had coffee with little or no creamer, B/G was ok, had tea with Creamer---B/G through the roof; had tea with milk and no creamer and was all good


I'm still not sure why I can have Decaf coffee with creamer and milk and be ok?

Ah well, part of the joy of the Diabetes LifeStyle.


You may have done the same thing those 2 mornings, but what about the rest of the day in between. a glass of wine with dinner or different exercise can carry through to the following day

You have to understand, I teach at an Adult Learning facility------45 minute drive to work----sit on my butt for eight hours(moving from chair to chair helping students)----45 minute drive home--------------what is this "Exercise" stuff you're talking about?