We are pleased to announce that as of March 4, 2025, an updated Rich Text Editor has been introduced in the MyFitnessPal Community. To learn more about the changes, please click here. We look forward to sharing this new feature with you!
What was you bedtime/evening BG?
Replies
-
July 19th: 1020
-
July 20th: 1051
-
July 21st: 891
-
176
0 -
BarneyRubbleMD wrote: »July 21st: 89
I'm jealous of your nighttime numbers Barney0 -
BarneyRubbleMD wrote: »July 21st: 89
I'm jealous of your nighttime numbers Barney
My meal-time insulin has a lot to do with that and the Metformin and Invokana I take probably helps as well.
Without an appropriate dose of meal-time insulin to match the carbs I'm eating at my meals, my blood sugar #'s would continue to rise throughout the day and end up higher than I like by the time I'm ready for bed. For me, if my blood sugar goes above 140 mg/dl, I get hungry and if they get above around 200 mg/dl it can trigger an eating binge which really messes me up. Low blood sugar #'s just make me shaky until I eat something (#'s too low are from too much meal-time insulin but I try to stay a little conservative on the meal-time insulin so this rarely happens).2 -
I've only been in meal time insulin for a little while but it's really helped alot. I was usually over 200 all the time. I'm in a sliding scale for it. I've only had a few readings over 200 and that's always due to eating wrong. I run the range from 80s to 170s1
-
July 22nd: 991
-
259...dang it if I didn't have that ice cream.0
-
July 23rd: 941
-
July 24th: 941
-
260..0
-
259...dang it if I didn't have that ice cream.
Since ice cream, caramels, etc., are probably a permanent part of your diet, it seems like a pretty sure bet that you're routinely under-dosing your mealtime insulin and that you'd benefit from adjusting it according to the actual carbs you're ingesting (as @BarneyRubbleMD suggested).
??0 -
July 25th: 950
-
173.0
-
259...dang it if I didn't have that ice cream.
Since ice cream, caramels, etc., are probably a permanent part of your diet, it seems like a pretty sure bet that you're routinely under-dosing your mealtime insulin and that you'd benefit from adjusting it according to the actual carbs you're ingesting (as @BarneyRubbleMD suggested).
??
I wouldn't say they are a,permanent part of my diet. I do treat,myself every so often (less and less rewarding with food). I know I need to do more with carb balancing. How do you figure out dosage based on actual carbs vs based on BG?0 -
259...dang it if I didn't have that ice cream.
Since ice cream, caramels, etc., are probably a permanent part of your diet, it seems like a pretty sure bet that you're routinely under-dosing your mealtime insulin and that you'd benefit from adjusting it according to the actual carbs you're ingesting (as @BarneyRubbleMD suggested).
??
I wouldn't say they are a,permanent part of my diet. I do treat,myself every so often (less and less rewarding with food). I know I need to do more with carb balancing. How do you figure out dosage based on actual carbs vs based on BG?
I try to always pair my carbs with a protein so that if I have 50 grams carbs in a meal, I'll match that with about 50 grams protein in that meal (note: my macros are 40% fat & 30% for carbs & protein). I just wouldn't trust having a meal or snack that's almost all carbs--I think that would hit me too hard & really spike my BG.
To make it easier for me to figure out my meal-time insulin (novolog) dosages, I tend to eat the same meals so that I can look back in my MFP diary to a previous day and see what I had, what pre-meal & post-meal BG I had and what the carbs were and use that as a guide for figuring out what insulin dosage I'll need in next identical meal. The reason my insulin dosage might be different is because the pre-meal BG might be higher or lower at my upcoming meal compared to the same meal a few days earlier & I adjust accordingly and I check that adjustment when I do my post meal BG check and make notes of anything to do differently the next time I have that meal. For example: If my pre-meal BG is lower than before, I'll need less meal-time insulin this time to handle that same meal, and if my pre-meal BG higher than before, I'll need a bit more meal-time insulin this time. I'm happy if I can have my pre-meal BG at about 100 mg/dl and 3 hours later (my post-meal check which is also my next pre-meal check) have my BG back down around 100 mg/dl again or pretty close to that--then I know the meal-time insulin I injected was sufficient to handle the meal I ate.
My meal-time insulin dosages also change (drop) over time as my diabetes improves. 4 months ago, a meal with 50-55 grams carbs would have required me to inject about 20 units of meal time insulin (novolog) to keep my peak post-meal BG under 140 mg/dl (with pre-meal BG starting at about 100 mg/dl) whereas today that same meal only requires 4 units of meal time insulin (novolog).
I've also found it beneficial to eat more frequently but smaller meals (& smaller meal-time insulin dosages). I use to have a small meal early in the day followed by a large meal at 4pm but had trouble with keeping my BG stable and controlling my appetite (I have a binge eating disorder). Since then, I switched to 4 meals/day with 3 hours between meals (typically my meals are a 9am, noon, 3pm & 6pm) with about 500 calories/meal & that has worked well since I'm not really hungry when the next meal time comes around 3 hours later whereas before I had 5 & sometimes 7 hours before my final meal, which was just way too long to wait & my hunger got out-of-control (i.e. I'd binge eat).
My goal with my meal-time insulin dosages and blood sugar readings is to try to keep my peak post-meal BGs under 140 mg/dl since above that level I get hungry and above the 180-200 mg/dl level it can trigger a binge eating episode in me where I'll never get full when I eat which will drive my BG levels up into the 400's and I'll STILL feel hungry and that is a nightmare to get under control!
2 -
July 26th: 881
-
1930
-
July 27th: 921
-
July 28th: 961
-
July 29th: 1000
-
106...1
-
July 30th: 961
-
1720
-
July 31st: 940
-
194. Amazes me since I was 114 before dinner after walking a 5k. Dinner: grilled leg and thigh, 1/2 small container coleslaw without a tsp of honey on a biscuit. Ugh0
-
194. Amazes me since I was 114 before dinner after walking a 5k. Dinner: grilled leg and thigh, 1/2 small container coleslaw without a tsp of honey on a biscuit. Ugh
Hmm, depends what's in the cole slaw and biscuit of course, but judging from MFP's hit-or-miss database, that could have totaled 35g+ net carbs, not counting the chicken. (For comparison's sake, Dr. Bernstein's daily allowance is around 30g.)0 -
194. Amazes me since I was 114 before dinner after walking a 5k. Dinner: grilled leg and thigh, 1/2 small container coleslaw without a tsp of honey on a biscuit. Ugh
I'm thinking probably the biscuit, but you gotta watch out for purchased cole slaw. A lot of places make it with added sugar.1 -
August 1st: 921
This discussion has been closed.