Post-prandial spike amounts

[Rhino]

What is everyone's highest that they go on average after eating? Right now my sugar is at 132 and I try my ****edest to not get past 120, so I was wondering how everyone else usually goes with it.

[Cinnabon]

Rhino,
I watch my carbs very well and really dont have a problem. I think you could be having a change going on in your body. It seems you have been pumping fairly well for quite some time now.

[seacomp]

What is everyone's highest that they go on average after eating? Right now my sugar is at 132 and I try my ****edest to not get past 120, so I was wondering how everyone else usually goes with it.
I think most people here would consider under 120 most times, and 132 high to be darn good.:trytofly:

[Rhino]

Well again, I seem to be having the same problem from yesterday. I just checked again and I'm 158. I really don;t understand why, this has never happened like this before. I just bolused a unit and hopefully this will resolve itself.

Can anyone tell me how to do a square wave bolus? I'm not sure if the 508 is capable or not.

[lelggren]

I usually wake up at anywhere from 130-290's. Then, At breakfast, they usually go up into the mid 200's and up after eating. The rest of the day is spent going down from that high, which tends to just happen naturally. But, I'm going on Symlin in about a month or so and so hopefully that will help in those mornings :)

[stella117]

132 is not bad for post-prandial. If you cut things too close, you're flirting with danger. Going low can be far more dangerous than being a little too high. And 132 is not even close to being too high after eating.

One thing I've found is that with low GI foods, I'll be good two hours after eating but high before the next meal. My solution was to inject 20-30 minutes after eating. If you keep going higher after two hours, try that.

The other possibility is that your basal level may be too low.

[koblenz]

For lunch and dinner, I usually peak at about 140 or so and then around 120 at the 3 hour mark and around 100 or so at the 4 hour mark. I am pretty happy with that.

Now breakfast is a different story. I would peak in the low 200's about 1.5 to 2 hours post and then slowly come back down to about 120 after 4 or so hours. No matter what I did... different foods, different insulin timing, different bolus calculations, extended bolus, dual wave ... sheesh. Even my endo was like "dude, this is a tough nut to crack..." I have started using Symlin for breakfast only and now, in combination with a dual wave (combination) bolus, I rarely break 120 for a high after breakfast. Sure, it is an extra shot in the morning, but hey, it works.

I struggled with lots of different strategies for breakfast for about a year, and the Symlin solved it for me. Now I am not advocating you go out and get it, I am advocating doing whatever works for you... it just happened to be the trick for me.

If I could have a 132 peak after breakfast and not have to take an extra shot in the morning, I would be thrilled. But I have to give you props for trying to SAFELY better your control. Good luck!

[jen_slc]

Rhino, I'd be positively thrilled if my post-prandial readings never went above 132!!! Mine are always fairly high (160-250) regardless of what I eat, the guideline about your post-prandial reading being "no more than 40 points higher than your pre-prandial reading" just does not apply to me. My basal is correct, my meal ratios work very well. I just don't really trust my 2hr readings, I know better at 3-4hrs. And if I am running high at 2hrs, I do not correct because it shoots me low. I always return to normal, it just takes longer for me, and I think that's the case for a few of us here. In addition, I switched from Humalog to Novolog a few months ago, which has helped to reduce the intensity of my meal spikes. Before, with Humalog, they were even higher! So all I can really say to you is congrats for an average post-prandial of 120! :wink: I'd kill for that!

[Finn]

If you are getting consistant highs at a cetain time of day raise your basal a bit and see if that helps. I have several basal rates, and some days I have to raise or lower them (usually by .1 or .2).

The 508 will do the square bolus if you turn the variable on. Push sel 8 time(set up II), then act. The first option is the variable- push act twice and then an button arrow to turn it on. Next time you bolus, push an arrow button and it will give you options of normal, square, or dual bolus- TA-DA!

[DeusXM]

General advice from Diabetes UK is to not go above 10mmol/ (180) from a post-prandial.

Don't forget that the BG of a non-D is never rigidly between 85-110. I've seen non-Ds go up to 250 without suffering any problems. The pancreas is reactive, not proactive. Diabetes isn't 'my blood sugar goes high', it's 'my blood sugar goes high and I can't get it back to a reasonable level within 2 hours'.

[BriOnH]

Rhino, I'd be positively thrilled if my post-prandial readings never went above 132!!! Mine are always fairly high (160-250) regardless of what I eat, the guideline about your post-prandial reading being "no more than 40 points higher than your pre-prandial reading" just does not apply to me. My basal is correct, my meal ratios work very well. I just don't really trust my 2hr readings, I know better at 3-4hrs. And if I am running high at 2hrs, I do not correct because it shoots me low. I always return to normal, it just takes longer for me, and I think that's the case for a few of us here. In addition, I switched from Humalog to Novolog a few months ago, which has helped to reduce the intensity of my meal spikes. Before, with Humalog, they were even higher! So all I can really say to you is congrats for an average post-prandial of 120! :wink: I'd kill for that!

:dito: What Jen said.