Problem Lowering Dinner Readings

singh · #1 (**permalink**) 08-07-2008, 09:26 AM

hy guys
I have new query my reading after one hr meal reaches 180 and then it comes bak to 165 in 30 mins then goes back to 180 in next 30 mins , so it takes about 3-3:30 hrs for me to bring it arnd 130-135 mark bfr sleep i want it to get lower < 140 within 2 hrs as recommended.I would also like to mention that i have started doing some walk after dinner for about 20 mins to lower it.Any other suggestions?I take 6 units of mixture 30/70 humalog at night
Regards
Singh

Cormac_Doyle · #2 (**permalink**) 08-07-2008, 09:57 AM

Quote:

Originally Posted by singh

hy guys
I have new query my reading after one hr meal reaches 180 and then it comes bak to 165 in 30 mins then goes back to 180 in next 30 mins , so it takes about 3-3:30 hrs for me to bring it arnd 130-135 mark bfr sleep i want it to get lower < 140 within 2 hrs as recommended.I would also like to mention that i have started doing some walk after dinner for about 20 mins to lower it.Any other suggestions?I take 6 units of mixture 30/70 humalog at night
Regards
Singh

Mixtard 30/70 and other pre-mixed insulins are rarely a good idea.

You would find it much easier to control your BG if you switch to MDI

singh · #3 (**permalink**) 08-07-2008, 10:08 AM

k but i am taking two injections a day and bcoz i am gonna start work soon i dont have time to for injection in afternoon so rather than 4 injections a day i prefer to take mixture 30/70 in evening and night

Kendall · #4 (**permalink**) 08-07-2008, 10:35 AM

If you don't want to take any extra injections, you could still do one shot at the normal time but draw up both insulins separately. A vial of short acting and a vial of NPH (or another long acting) could work well. Then you could take extra short acting to cover the dinner. I agree that pre-mixed insulins give very little control.

Another thing that has really helped my after meal BGs is pre-loading...waiting 15-20 minutes after my shot to eat the first bite of food. Limiting carb intake at dinner if it is a particularly difficult meal could be helpful as well.

iDream · #5 (**permalink**) 08-07-2008, 11:38 PM

Depends on what you're eating. Fat will slow the absorption and slow the rate at which you can lower you sugar, at least thats what I've learned through my experiences.