doing all to lower BG

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doing all to lower BG


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Old 01-29-2018, 14:28   #1
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Smile doing all to lower BG

Hi! Ruthless here trying to learn even more on what I can do to lower BG levels to near normal while dealing with insulin and T 1 diagnoses for over 2 yrs now. Just going to regular doc who is happy with my A1c (latest is 6.2). I am back on Lantus (was on Basaglar) and Novolog for meals in a pen form. Just looking for tips to avoid the spikes which eating very low carb is staying below 130 for most part unless I eat too many nuts and then sometimes I do spike later 150'ish. I do walk about 1 1/2 to 3 miles almost daily. Probably too much info. Diagnosed started after hospitalization for Ketoacidosis.

Hello to all!

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Old 01-29-2018, 15:01   #2
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Hi, ruthless! Welcome to the forum!

You'll find a lot of information here on how to lower your BG. This is a pretty supportive environment open to a lot of ideas about how to handle diabetes.

One question most of us will have is how you define "very low carb". Many of us try to keep our carb intake well under 50 grams a day (I shoot for 30 grams a day myself). We find that taking in fewer grams of carbs means we don't need to use so much insulin (innate or provided) to counteract them. Since the body does not need many carbs to survive, it's kind of an easy win. So what do you consider "very low carb"?

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Old 01-29-2018, 15:05   #3
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Quote:
Originally Posted by ruthless View Post
Hi! Ruthless here trying to learn even more on what I can do to lower BG levels to near normal while dealing with insulin and T 1 diagnoses for over 2 yrs now. Just going to regular doc who is happy with my A1c (latest is 6.2). I am back on Lantus (was on Basaglar) and Novolog for meals in a pen form. Just looking for tips to avoid the spikes which eating very low carb is staying below 130 for most part unless I eat too many nuts and then sometimes I do spike later 150'ish. I do walk about 1 1/2 to 3 miles almost daily. Probably too much info. Diagnosed started after hospitalization for Ketoacidosis.

Hello to all!
Hi Ruthless,
I have a similar issue after I fast for 20 hours - anything a little carbish it spikes and very fast.

When this happens to me I give myself another shot of insulin - depending on what I test determines the dosage I give and for everyone it's different.

My fast acting insulin is humulog, it takes about 20 minutes to work it's magic on me but those times where I jump to over 225 mg/dl or greater I'll give myself another shot - for me running at 225, only 4 units is required to get it back down thus minimizing the amount of time it's elevated.

If you start doing this be extremely careful and maybe start out with a very little dosage at first as you don't want to go in to a hypo.

This is what I've been doing over the past 10 years to minimize the amount of time my BGs are high. It works for me but if you go down that path test often so you don't give yourself too much insulin.

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Old 01-29-2018, 15:24   #4
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Yes, thanks, I do this as well and it works however for me this Novolog is very slow so maybe I should ask doc about trying new bolus insulin.

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Old 01-29-2018, 15:27   #5
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Hi again...forgot to say I was diagnosed at 55 yrs old and sort of a health nut for most of those years so...obviously in the gene pool to become a type 1. My granddaughter who was 2 at the time had similar ketoacidosis then diagnosis about 2 months after me. Amazing timing...

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Old 01-29-2018, 15:43   #6
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Originally Posted by itissteve View Post
Hi, ruthless! Welcome to the forum!

You'll find a lot of information here on how to lower your BG. This is a pretty supportive environment open to a lot of ideas about how to handle diabetes.

One question most of us will have is how you define "very low carb". Many of us try to keep our carb intake well under 50 grams a day (I shoot for 30 grams a day myself). We find that taking in fewer grams of carbs means we don't need to use so much insulin (innate or provided) to counteract them. Since the body does not need many carbs to survive, it's kind of an easy win. So what do you consider "very low carb"?
Yes, thanks, I am currently trying to follow that 6/12/12 carb ( (except for those I need to chew something cravings when I reach for nuts...should try celery!). I have noticed lower spikes but also more lows as my insulin works too fast for protein/fibrous veges and that eating plan which reportedly works better with traditional insulin. Actually thinking of trying the pediatric pen with 1/2 unit dosing maybe or even considering regular insulin if I can't make it work with the pens.

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Old 01-29-2018, 16:10   #7
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Welcome to the forum!

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Old 01-29-2018, 16:26   #8
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I need to chew something cravings when I reach for nuts...should try celery!)
I sometimes will go for nuts when I have those cravings, but am wary that they have more protein (and, some of them, carbs) than I should be adding in. So when I just feel like munching on something, lately it's been pork rinds. They're fatty but they're also mostly air, so they don't cause too much damage to the fat/protein/carb numbers.

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Old 01-30-2018, 00:38   #9
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i certainly would not advise a type 1 to keep their carbs to under 50g a day. you can cut carbs to say 100g a day as a target Ruth. If you can keep each snack to under 20g of carbs and eat small portions during the day as opposed to meals that would help. know how much 1 unit of novolog / humalog reduces your glucose level in points. Your A1c of 6.2 (ave 130) is very good but A1c's dont show ranges both on low and high side. There is a model called Law of Small Numbers by Dr Bernstein The Laws of Small Numbers - Diabetes Solution - Dr. Bernstein's Diabetes Solution. A Complete Guide to Achieving Normal Blood Sugars. Official Web Site
that i find valuable and is framework for what i use.

There is a term MAGE or Mean Amplitude of Glycemic Excursions, a Measure of Diabetic Instability or Glucose Variability. if your able to keep your range of glucose levels between 60 and 160 with only isolated values above or below that would show you a graph of trends , spikes, and patterns.

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Old 01-30-2018, 04:10   #10
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Hi Ruth, welcome to the forum.

Is the 6-12-12 you reference from Dr Bernstein?

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