Feeling very confused with these two days. Both days I had a 2 egg omelette with cheese and turkey bacon between 8-9 am. The first day I gave 0 insulin and the second day I gave a small amount of insulin for the protein. Same results both days.

Today I'm skipping breakfast and watching my basal rates, so far I was 78@8 88@9 and 105@10am. As you can see I then skyrocketed with lunch even though I know I am carb counting accurately. Not sure if I need to adjust 8am basal rate and also carb ratio for lunch or wh

22 Answers

m.73
Answered 1 year ago    reply

I had something similar happen for three consecutive days after a 5K on a very hot day. I didn't even eat and my glucose shot up from the 120's to almost 300 in about an hour in the middle of the day. Like you, I was - and am still - befuddled about the whole thing. Back in the days before the Dexcom, I would assume that I ate something I didn't expect was going to abuse me or maybe I had a bad infusion site. At this point, I am assuming that it is a dump of glucose into the system from the liver in reaction to something since the timing was the same. It's crazy - you just hope that diabetes doesn't make you crazy in the process.

grills63
Answered 1 year ago    reply

lol it is literally making me crazy. I got dex about 2 months ago and every time I pick up on a trend and make an adjustment - it messes up something else at a different time of day. Going to try and ride this out for a few more days and try different breakfast to see what my reactions are.

m.73
Answered 1 year ago    reply

I just changed my first transmitter, so I am a newbie too. I thought that what you are eating is very reasonable.


dx
Answered 1 year ago    reply

Are you experiencing the dawn phenomenon? It can vary day to day, is your b/g stable at the level your on overnight?

grills63
Answered 1 year ago    reply

My dawn phenomenon hits about 3:30am every day. Although I am still making tweaks to both my 12am and 4am basal rates, they are pretty good. So I don't think this 9am spike is that, especially since it didn't happen today when I didn't eat. I can't image the eggs would be making me react this way but I'm not sure what else it is. The other thing I forgot to mention is that when I then do a correction bolus, it still doesn't come down until after lunch.

dx
Answered 1 year ago    reply

Grills perhaps you have something going on inside, some infection or something. My DP doesn't hit until after I get up, but is different every single day! Ive mentioned this to numerous people today but when I took NPH, (I switched insulin this year) my needs changed at the start of winter and I needed nearly double the amount, then came back down in spring. It could maybe be something to do with the weather? I don't really understand that - but you are having unseasonal hot weather aren't you?

grills63
Answered 1 year ago    reply

Yes! Fall weather should be kicking in but it is still 80 degrees, over it! Maybe that could be effecting everything though!


burchill
Answered 1 year ago    reply

I have noticed that it seems to take hours for mine to come down once it has gone high. My doctor has suggested corrective bolus after 30 minutes of high numbers. I'm a little concerned that I'll be chasing lows, but I'm going to give it a try. Also, things are very seldom the same with me from day to day, even if my diet is the same......


rheba.r
Answered 1 year ago    reply

It could be because you are not eating any carbs at breaksfast and your body goes into survival mode and let's out some glucose to try and stabilize you. Try adding a small amount of a healthy carb maybe even a fruit

rheba.r
Answered 1 year ago    reply

It happens to me if I skip or forget to eat breakfast. My blood sugar will end up spiking around 9:30/10

grills63
Answered 1 year ago    reply

My only counter to that is I didn't eat breakfast at all today and stayed around 100 all morning, finally dropped low when I went on a walk to get my lunch. I thought the same thing which is why one day I had a slice of toast with my eggs and I went insanely high that day.

klapper11
Answered 1 year ago    reply

Rheba This may even be because your body is relying on that bolus insulin to keep your blood sugars level. You can consider making adjustments so that your basal insulin keeps you level, even if you end up missing breakfast occasionally.

rheba.r
Answered 1 year ago    reply

Klapper I'm not actually on a pump at the moment. I do miss being able to make those specific adjustments to my basil rate. The limit pens give you is definitely hard.

rheba.r
Answered 1 year ago    reply

Grills that's the hardest part with diabetes. We could do all the investigation and information collecting and still never figure out a why


maharaj
Answered 1 year ago    reply

I’d probably up my afternoon basals at least with a temp rate maybe 115%-125% and if it stabilizes then I’d make an adjustment


maharaj
Answered 1 year ago    reply

I got this from my endo. Use if you are eating high fat high protein

grills63
Answered 1 year ago    reply

Thank you! I had found this online and used it to bolus for a high protein high fat meal but ended up going low about 2-3 hours after. Will give it another shot


klapper11
Answered 1 year ago    reply

Hi Grills! I do a lot of basal and bolus testing with my endo. I don't think you have enough information yet to make any changes to your basal/bolus. It could be super helpful to skip lunch one day and see if your BG still follows the same spike. If so, that means that your basal rates need to be increased for after lunch. If your BG stays steady in the afternoon when you do skip lunch, that means that your insulin to carb ratio for lunch needs to be adjusted. But also consider what you have for lunch. For example, fruits and starches typically send our BGs way high, even when bolusing correctly (correct amount of insulin, plus bolusing 15 minutes before eating).

grills63
Answered 1 year ago    reply

You mean skip breakfast and lunch or just lunch? I barely made it through skipping breakfast I was so hungry lol

klapper11
Answered 1 year ago    reply

Grills Yikes, just lunch! eat breakfast and bolus as usual. lunchtime should start 4 hours after you finish eating breakfast. then start testing/tracking your BG every hour for 4 more hours and see how it trends. You can do the same with dinner too (but again, only skip one meal/day if you're doing this kind of testing) :-)

grills63
Answered 1 year ago    reply

Klapper oh thank goodness, I was like this is crazy I will die! I will try that though. Thanks for the helpful info!

klapper11
Answered 1 year ago    reply

Grills I know! I hate doing these tests all the time - they make me so hangry!


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