What was you bedtime/evening BG?
Replies
-
1580
-
1040
-
1770
-
911
-
1350
-
1152
-
840
-
LOL, take my Humolog before dinner because my pre dinner levels are usually high which makes my bedtime number lower. Today I was 96 awakening/before breakfast and 106 before lunch but had a couple cookies and peanut this afternoon and was 241 before dinner. I'm all over the place actually.
Tonight's bedtime # is...... 1120 -
LOL, take my Humolog before dinner because my pre dinner levels are usually high which makes my bedtime number lower. Today I was 96 awakening/before breakfast and 106 before lunch but had a couple cookies and peanut this afternoon and was 241 before dinner. I'm all over the place actually.
Tonight's bedtime # is...... 112
Dang. If a couple cookies spike your BG to 241,would another bolus be helpful?0 -
I didn't need to take a shot before I ate, but I don't know if it was just the cookies or other factors but it stopped well enough after ...0
-
Conleigh, it sounds like your doctor hasn't discussed bolusing mealtime insulin before eating based on what you plan to eat at all? Is that the case?2
-
Not trying to be a party pooper (or cookie killer..) but spikes are a good thing to avoid.
I got a real jolt from this sobering article:
https://proteinpower.com/drmike/2006/04/19/low-carb-caveat/
"... patients with diabetes who have fluctuations in their blood sugars incur more free radical damage than those with high but not fluctuating blood sugar levels."
1 -
1000
-
Not trying to be a party pooper (or cookie killer..) but spikes are a good thing to avoid.
I got a real jolt from this sobering article:
https://proteinpower.com/drmike/2006/04/19/low-carb-caveat/
"... patients with diabetes who have fluctuations in their blood sugars incur more free radical damage than those with high but not fluctuating blood sugar levels."
Anyone have an idea how a spike is defined other than BG going up then down? like how much time is considered "normal" for BG to come back down (I figure it takes some time for the body to sense the raised BG after eating, tell the pancreas to release some insulin {hopefully enough}, & move that BG into the cells so the BG can drop back down to pre-meal #'s)?
2 -
BarneyRubbleMD wrote: »Not trying to be a party pooper (or cookie killer..) but spikes are a good thing to avoid.
I got a real jolt from this sobering article:
https://proteinpower.com/drmike/2006/04/19/low-carb-caveat/
"... patients with diabetes who have fluctuations in their blood sugars incur more free radical damage than those with high but not fluctuating blood sugar levels."
Anyone have an idea how a spike is defined other than BG going up then down? like how much time is considered "normal" for BG to come back down (I figure it takes some time for the body to sense the raised BG after eating, tell the pancreas to release some insulin {hopefully enough}, & move that BG into the cells so the BG can drop back down to pre-meal #'s)?
That's a good question!
Dr. Kraft's study of patterns of glucose response (book: Joseph Kraft, Diabetes Epidemic & You) might provide some insights on the magnitude of spikes and the importance of rebound time.
The question in the post above posed by Dr. Eades seems to be concerned with the absolute range of BG over time, as opposed to within a certain number of hours post-meal:
"Would a blood sugar level that stayed at around 180 (definitely diabetic) most of the time cause the same, more, or less free radical damage than a blood sugar that fluctuated between 100 (upper end of normal) and 250 (pretty high), but averaged by HgA1c measurement at about 180?"0 -
227...rheddmobile wrote: »Conleigh, it sounds like your doctor hasn't discussed bolusing mealtime insulin before eating based on what you plan to eat at all? Is that the case?
Haven't discussed that at all but I understand the concept.0 -
BarneyRubbleMD. Be all the cookie killer you want. I knew I shouldn't have eaten them and did it anyway. I am having some issues with staying on the right path when all i want is what I know us bad. Thanks0
-
rheddmobile wrote: »Conleigh, it sounds like your doctor hasn't discussed bolusing mealtime insulin before eating based on what you plan to eat at all? Is that the case?
Confirming...i take my number before meals and take injection bases on sliding scale. Is that what you mean?0 -
rheddmobile wrote: »Conleigh, it sounds like your doctor hasn't discussed bolusing mealtime insulin before eating based on what you plan to eat at all? Is that the case?
Confirming...i take my number before meals and take injection bases on sliding scale. Is that what you mean?
I've never taken insulin so hopefully someone more experienced will be along, but my understanding is that's only half of the process - the other half is figuring out how many carbs you plan to eat and how much insulin will cover the expected rise in blood glucose based on your food. The theory is that you should predict your spikes and stop them before they happen.2 -
rheddmobile wrote: »rheddmobile wrote: »Conleigh, it sounds like your doctor hasn't discussed bolusing mealtime insulin before eating based on what you plan to eat at all? Is that the case?
Confirming...i take my number before meals and take injection bases on sliding scale. Is that what you mean?
I've never taken insulin so hopefully someone more experienced will be along, but my understanding is that's only half of the process - the other half is figuring out how many carbs you plan to eat and how much insulin will cover the expected rise in blood glucose based on your food. The theory is that you should predict your spikes and stop them before they happen.
@ConleighS , @rheddmobile ,
Yep! This is it! It's exactly what I do "in a nutshell" at each meal and it has helped immensely with keeping my blood sugars stable throughout the day, otherwise, my blood sugars be all over the place & I'd be trying to play "catch-up" before bed with a small snack & another meal-time insulin dose which really never worked out well for me.
I also figured out that I needed to make an "estimate" as to just how much my own pancreas (being a Type-2 diabetic who still had a somewhat-functioning pancreas) could "help out" (i.e. supply some insulin) by looking at my blood sugar (both pre and post meal) of my prior meals, even back to the prior day, to see what I needed for meal-time insulin and more importantly IF it kept my BG under decent control (not high or low), because IF it did not & my BG had gotten high, I'd now need more meal-time insulin than expected to counter that due to my pancreas getting "tapped out" (that's how I explain it) of what insulin it could supply due to my prior meals excursion into higher than desired BG territory. For example: if yesterday I had a breakfast of pancakes & donuts driving my BG up over 300 mg/dl (typical for me at the time), my pancreas would be "tapped out" today and I'll need more meal-time insulin to deal with today's carbs than I would normally need if I had just stuck with a healthier breakfast of eggs & ham with some low-to-moderate carbs items thrown in, which kind of helps keep me motivated to stick to my planned meals (including an occasionally planned treat into my meals) so that I keep my blood sugars stable throughout the day & night, week after week.
Back when I was binge eating, which I called a "cheat meal" about once every week to 10 days, which always contained a lot of carbs, that binge meal would send my BG up over 300 mg/dl (& sometimes over 400 mg/dl) & even after I used my meal-time insulin at bedtime (w/o food) to bring it down to "normal" by morning, ALL my meals for the following week would require more meal-time insulin at each meal than what was required for my meals during the days before my binge meal. It's like once my pancreas got "tapped out", it took at least a week (or more) of increased meal-time insulin at each meal with the required dosage slowly dropping a little each day until I was back down to the meal-time insulin dosage I was originally at before my binge meal occurred. For quite some time I'd be on 8-10 units of meal-time insulin for my meals (typically 50 grams of carbs at the time), then have a binge episode and wham, now the next day for the same pre-binge meal it will take 25 units of meal-time insulin to keep my BG in a decent range but my meal-time insulin dosage MUST be slowly decreased a little bit each day or my BG will get too low & I'll get hungry, shaky & irritable (& if that happens, I may have to eat something or just drop my meal-time insulin dosage a bit more at the next meal to adjust for that & document that in my notes or MFP Food Log Diary so I have something to reference the next day). Note: I typically eat the same set of meals, which I really like, for "simplicity" with all this meal-time insulin dosing stuff.
Back in my binge eating days (my last binge was on 5/7/2017), I had to always look back a day or two to see what my meal-time insulin dosages were along with how well my BG was doing at those dosages & carb amounts I was eating to gauge how much meal-time insulin I would need for the present meal & its carb amount along with the pre-meal BG to get me to a decent post-meal BG. So, basically, a one meal binge of a lot of carbs (granted, this was a huge carb meal), would take me 1 to 2 weeks to "recover" from to get back to where I was with my meal-time insulin dosage & BG's before the binge, which made me really focus on doing whatever I could to fix my Binge Eating Disorder (BED) to stop those binges or any other larger-than-planned carb excursions that would affect my efforts to get & keep my blood sugars stable.
2 -
BarneyRubbleMD. Be all the cookie killer you want. I knew I shouldn't have eaten them and did it anyway. I am having some issues with staying on the right path when all i want is what I know us bad. Thanks
@ConleighS ,
I think @RalfLott is THE "cookie killer" you're looking for... LOL !
Cookies & Cupcakes use to be binge triggers for me for me so I've had to avoid them for now until I feel "safe" including them again and when I do, I know it will have to be part of a planned meal so I stay within my calorie and carb targets, otherwise, it's just too easy to go overboard with those.
I have in the recent past substituted a Gbutter cookie (peanut butter cup flavor) for an after-meal (typically with my coffee) cookie treat in place of a regular cookie. This worked well because they are high protein (12g) & low carb (5g, 2 g fiber, 1g sugar), fat (5g) and 120 calories which is similar to any other "treat" I may want but I don't find these as "addicting" as other high-carb treats. What I really like about these is that I can make just one at a time and don't have to "risk" having a whole bag of them laying around. Gbutter is a nut butter (made from cashews, I think) and a 2-tablespoon "glob" (i.e. a coffee scoop) of this stuff on a plate and in the microwave for 30 seconds turns it into a soft, flat cookie that's not too sweet but seems to "work" when I'm in the mood for a cookie with my coffee. It does fall apart easily so I just eat it with a fork. They also make other flavors (Brownie Batter I also like) but those two are the only ones I've tried.
Gbutter website:
https://www.gbutter.com/inside-the-jar
2 -
BarneyRubbleMD wrote: »BarneyRubbleMD. Be all the cookie killer you want. I knew I shouldn't have eaten them and did it anyway. I am having some issues with staying on the right path when all i want is what I know us bad. Thanks
@ConleighS ,
I think @RalfLott is THE "cookie killer" you're looking for... LOL !
Cookies & Cupcakes use to be binge triggers for me for me so I've had to avoid them for now until I feel "safe" including them again and when I do, I know it will have to be part of a planned meal so I stay within my calorie and carb targets, otherwise, it's just too easy to go overboard with those.
I have in the recent past substituted a Gbutter cookie (peanut butter cup flavor) for an after-meal (typically with my coffee) cookie treat in place of a regular cookie. This worked well because they are high protein (12g) & low carb (5g, 2 g fiber, 1g sugar), fat (5g) and 120 calories which is similar to any other "treat" I may want but I don't find these as "addicting" as other high-carb treats. What I really like about these is that I can make just one at a time and don't have to "risk" having a whole bag of them laying around. Gbutter is a nut butter (made from cashews, I think) and a 2-tablespoon "glob" (i.e. a coffee scoop) of this stuff on a plate and in the microwave for 30 seconds turns it into a soft, flat cookie that's not too sweet but seems to "work" when I'm in the mood for a cookie with my coffee. It does fall apart easily so I just eat it with a fork. They also make other flavors (Brownie Batter I also like) but those two are the only ones I've tried.
Gbutter website:
https://www.gbutter.com/inside-the-jar
Oh, my......
0 -
Oct 13: 920
-
1760
-
@BarneyRubbleMD, @RalfLott does at that. You all are so more educated than I on all this. It all makes my head spin.
I don't know that I have any real triggers, I just love breads and pasta, and like sweets every now and then. I struggle with not eating what I want and know I should be focusing on what I should have, even though I'm down 113 lbs.
Ps. that Gbutter stuff sounds like it could work for my periodic sweet cravings.
More later, good night.0 -
@ConleighS -
Well, from agonizing personal experience... it's tough sledding to get off anything you're addicted to, especially if you're still on it.
In your case (pancreatic issues), I'm guessing that carefully dialing in your insulin regimen might a huge step forward!
2 -
BarneyRubbleMD wrote: »Not trying to be a party pooper (or cookie killer..) but spikes are a good thing to avoid.
I got a real jolt from this sobering article:
https://proteinpower.com/drmike/2006/04/19/low-carb-caveat/
"... patients with diabetes who have fluctuations in their blood sugars incur more free radical damage than those with high but not fluctuating blood sugar levels."
Anyone have an idea how a spike is defined other than BG going up then down? like how much time is considered "normal" for BG to come back down (I figure it takes some time for the body to sense the raised BG after eating, tell the pancreas to release some insulin {hopefully enough}, & move that BG into the cells so the BG can drop back down to pre-meal #'s)?
That's a good question!
Dr. Kraft's study of patterns of glucose response (book: Joseph Kraft, Diabetes Epidemic & You) might provide some insights on the magnitude of spikes and the importance of rebound time.
The question in the post above posed by Dr. Eades seems to be concerned with the absolute range of BG over time, as opposed to within a certain number of hours post-meal:
"Would a blood sugar level that stayed at around 180 (definitely diabetic) most of the time cause the same, more, or less free radical damage than a blood sugar that fluctuated between 100 (upper end of normal) and 250 (pretty high), but averaged by HgA1c measurement at about 180?"
@RalfLott ,
Thanks for the link--interesting study but what an awful BG level (180 mg/dl) to use--I'd hate to 'average' that! That BG level is almost "binge territory" for me (i.e. IF my BG get up to around 200 mg/dl and kind of "hangs there" instead of quickly coming back down, it typically triggers a binge eating episode in me and that pattern of eating will continue to repeat until I get those blood sugars down to decent levels (at least under 140 mg/dl so I don't feel hungry anymore).
1 -
Oct 14th: 931
-
BarneyRubbleMD wrote: »BarneyRubbleMD wrote: »Not trying to be a party pooper (or cookie killer..) but spikes are a good thing to avoid.
I got a real jolt from this sobering article:
https://proteinpower.com/drmike/2006/04/19/low-carb-caveat/
"... patients with diabetes who have fluctuations in their blood sugars incur more free radical damage than those with high but not fluctuating blood sugar levels."
Anyone have an idea how a spike is defined other than BG going up then down? like how much time is considered "normal" for BG to come back down (I figure it takes some time for the body to sense the raised BG after eating, tell the pancreas to release some insulin {hopefully enough}, & move that BG into the cells so the BG can drop back down to pre-meal #'s)?
That's a good question!
Dr. Kraft's study of patterns of glucose response (book: Joseph Kraft, Diabetes Epidemic & You) might provide some insights on the magnitude of spikes and the importance of rebound time.
The question in the post above posed by Dr. Eades seems to be concerned with the absolute range of BG over time, as opposed to within a certain number of hours post-meal:
"Would a blood sugar level that stayed at around 180 (definitely diabetic) most of the time cause the same, more, or less free radical damage than a blood sugar that fluctuated between 100 (upper end of normal) and 250 (pretty high), but averaged by HgA1c measurement at about 180?"
@RalfLott ,
Thanks for the link--interesting study but what an awful BG level (180 mg/dl) to use--I'd hate to 'average' that! That BG level is almost "binge territory" for me (i.e. IF my BG get up to around 200 mg/dl and kind of "hangs there" instead of quickly coming back down, it typically triggers a binge eating episode in me and that pattern of eating will continue to repeat until I get those blood sugars down to decent levels (at least under 140 mg/dl so I don't feel hungry anymore).
Yep, those are two scary scenarios.
Is hard to find studies that apply cleanly to our individual situations, and it's also tough to do reliable n=1 self-experimentation with so many unseen variables at play (sleep, stress level...).
But time + knowledge + dedication = results, most of the time, and you've obviously got it pretty well figured out!0
This discussion has been closed.