Acceptable rise in bg after meal?

CrazyGramma · #1 (**permalink**) 04-25-2008, 04:58 PM

What would be an acceptable rise in bg after a meal. I rose today from 7.8/140 to 14.8/266 after 55 cho muffin. I was back down again to 8.0 in 5 hours. I don't like to pre-bolus because I often get distracted and forget to eat. Bigger bolus? Carb ratio 15 cho to 1 u. Please don't tell me to not eat the muffin. Low carb eating is not on the to-do list right at the moment - in a couple of weeks.

xMenace · #2 (**permalink**) 04-25-2008, 05:11 PM

Muffins don't usually spike me. I assume it's the high fat. A Tim's?

Where it came down only to 8, I'd say there's a rate problem. If your basal is good that time of day, then up the ratio a bit. You could also try super-bolusing. Borrow some of your next few hours basal. Definately keep trying to get it to work. Once is not a trend.

Dimes · #3 (**permalink**) 04-25-2008, 05:19 PM

How long after you ate were you at 14.8?

CrazyGramma · #4 (**permalink**) 04-25-2008, 06:09 PM

Yup a blueberry Tims! Your probably right about the basal as because it was mid day where I havent done as much basal testing. Testing the second segment of the day - noon til 6pm is hard as I have a hard time eating breakfast at 6am in order to be fasting. Also this is the time frame where the basal is just reduced.

The 14.8 was 2.5 hours after the muffin.

I thought about trying super-bolus but I havent finished my basal testing yet.

The only thing I know about the fat factor is pizza is evil. It is the only food I actually avoid because my rise is fast hi and long. Due to cho, fat and protein? A dual wave bolus would be a good idea but I dont like pizza enough to test it out right now.

solox316 · #5 (**permalink**) 04-25-2008, 07:58 PM

muffins always spike me... i avoid them, espcially from fast food-like places... could be fat delaying the cho (one might expect a low prior tho), or rate... or ratio...

menace said it "once is not a trend"... keep eating the muffin and keep trying to get it right...

Eddy · #6 (**permalink**) 04-26-2008, 01:11 AM

Blueberry muffin? So many of the commercially-prepared ones have white flour and are highly-processed. Don't eat the muffin.

Consider a small pre-bolus. Use enough that you might drop to 4.5 if you forgot to eat. Then follow with whatever you need (possibly including a superbolus, as mentioned above) when you eat.

A faster-acting insulin analog might help, too.

You also could try eating more slowly. Personally, I find this option unattractive and difficult-to-maintain.

CrazyGramma · #7 (**permalink**) 04-26-2008, 05:08 AM

Lots of options - thanks all!