Afternoon spikes

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Afternoon spikes


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Old 11-08-2016, 23:04   #1
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Default Afternoon spikes

I have most gotten my DP figured out. But I'm having a hard time figuring out my late afternoon spikes. I normally eat lunch around 11:30 and my sugars stay good all day. Then between 3:30-5:00pm they go up, sometimes a lot. And I need to take a lot of insulin to stop it from going higher. I don't normally eat between lunch and dinner, or I may have something small. I've been eating LCHF and doing pretty well. But I've always had problems with my blood sugars going up and down.
Today it is really high,

2pm 129
3:15 179
4:30 191
5:30 217

I've taken insulin at the last three readings. The amount of insulin would cause my sugar to crash if I did it at lunch. But now it just keeps going up. This isn't always typical, some days taking a higher dose is enough to keep it from raising too much, or even lowering it. Even if my sugars are at a good level I still have to take insulin, most of the time. One day my sugar was 122 at 3:30, I didn't take anything. At 5pm it was 163. Another day it was 134 at 4pm and I took a very small dose, at 5pm it was 114. Then a different day at 2:45 it was 136, I took the same dose as the above example and at 5pm I was at 184.

I know it will vary day to day depending on many different factors, but this is driving me nuts. It's all over the place.

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Old 11-09-2016, 01:26   #2
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Apologies, I forget your basal insulin regime. What kind do you take and how often?

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Old 11-09-2016, 01:34   #3
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It's pretty flexible, as needed really. Prescribed 4x day, morning, lunch, dinner and bedtime. But I have to take some when I wake up and around 3pm too. So everyday is six times a day with more if my sugars are high. I'm taking novalog flexpen, which I was just switched to a couple of months ago.

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Type 1 diabetic with a list of other problems. Migraines, extreme anxiety, fibromyalgia, osteoarthritis, back pain and pains that pop up and go away at random. Many of these issues I've had since I was young.
Boyfriend with his own health issues, the biggest being Crohn's disease and pain from a broken back when he was in his early 20's.
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Old 11-09-2016, 05:17   #4
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Here is a link to an older post about calculating insulin needs from one of our Type 1 members. Maybe it will be of some use.

http://www.diabetesforum.com/diabete...tml#post182211

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Old 11-09-2016, 20:22   #5
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Thanks, I'll look through that link. I think though it may be that my insulin is wearing off. It's normally fine 1, 2 and 3 hours after eating/taking my lunch dose. At about the fourth hour or so is when I get a spike. I guess I'll just have to take a large dose around 3:30.
I should add too that I am eating very little carbs. I haven't had any starchy foods. I don't have an exact amount but I aim for under 30g per day and am probably closer to less than 20g a day.

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Type 1 diabetic with a list of other problems. Migraines, extreme anxiety, fibromyalgia, osteoarthritis, back pain and pains that pop up and go away at random. Many of these issues I've had since I was young.
Boyfriend with his own health issues, the biggest being Crohn's disease and pain from a broken back when he was in his early 20's.

Last edited by Annageckos; 11-09-2016 at 20:25.
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Old 11-09-2016, 21:06   #6
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I'm wondering if your basal is adequate, since your BG goes up after the bolus wears off.

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Old 11-09-2016, 21:21   #7
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When I was switched to the flexpen I was also switched to lantus. I take that once at night. I was also wondering if that wasn't lasting the full 24 hours for me. I'm not really familiar with it though.

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Old 11-09-2016, 21:46   #8
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I have no experience with insulin, but I have read on the forum that some do split their basal morning and night.

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Old 11-09-2016, 22:12   #9
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I did try that a while ago, but I don't think it was enough at one time for me. My dr. wrote me a new script for more than I take in case I need to increase and I can get a new script if I need it luckily. I'm wondering if I take a second dose in the afternoon if that would help, maybe a smaller dose. I think it may be wearing off at around 16 or 18 hours.

And thank you, being able to talk to someone has really helped. I have some ideas that I have to try out now. Lots of trial and error but I think I'm getting it down.

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Type 1 diabetic with a list of other problems. Migraines, extreme anxiety, fibromyalgia, osteoarthritis, back pain and pains that pop up and go away at random. Many of these issues I've had since I was young.
Boyfriend with his own health issues, the biggest being Crohn's disease and pain from a broken back when he was in his early 20's.

Last edited by Annageckos; 11-09-2016 at 22:14.
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Old 11-09-2016, 22:38   #10
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I know this has been discussed on the forum in the past - I'll try to find a thread or two.

I did a search for "how to calculate basal insulin dose" and got several hits. From what I read, it appears that there is no basal insulin that actually lasts 24 hours.

Could your diabetes health team help you devise a better basal strategy?

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A1C in the 5% range.
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