What was you bedtime/evening BG?
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July 19th: 1020
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July 20th: 1051
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July 21st: 891
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176
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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
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July 22nd: 991
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259...dang it if I didn't have that ice cream.0
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July 23rd: 941
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July 24th: 941
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260..0
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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).
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July 25th: 950
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173.0
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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!
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July 26th: 881
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1930
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July 27th: 921
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July 28th: 961
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July 29th: 1000
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106...1
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July 30th: 961
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1720
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July 31st: 940
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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
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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
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