Well hello! Nice to meet you!
I am not really sure how everything around here works yet, since I am very very new to this forum, but I didn’t seem to find any thread to answer my question. If there is one, please direct me there and I am very sorry for wasting your time. Otherwise, please bear with me, 'couse it’s gonna be a long one.
I am 23 years old and a recently diagnosed T1 diabetic (about two months in at this moment). Since my c-peptide revealed that my pancreas still produces some insulin, with 0,8 ng/mL, my doctor only prescribed bolus insulin for me, Humalog to be exact. He told me that I should eat at least 120g of carbs a day, since aparently I wasn’t eating enough (because I was suspecting diabetes and waiting for all of the blood tests to arrive). This was so I can feel full and not be hungry all day long, as I used to be. Also, he told me to only test my blood sugar before eating, and not after. I am now thinking that is because he did not want me to see the really high values post-meal and freak out as much, at least not in the beggining.
So, therefore, in the beggining (meaning 2 to 3 weeks in) I would just eat pretty normal stuff, about 40g of carbs and just avoiding sugar for the most part. I would measure everything and bolus accordingly. Things seem to work pretty ok, since I only took my blood sugar before the meals, meaning that even if I went high after a meal, I wouldn’t really know, because when the time came for another meal of the day, my blood sugar has already lowered to the initial value.
In the third week I was sent to a nutrition specialist to create ‘‘kind of’’ a meal plan (meaning that she gave me some options to try out and see what the results are). I started trying out the meals, seeing which one does what to my glucose levels and found things that work better and things that don’t work that well. I guess that’s normal.
Problem is, a couple weeks in the diagnosys I start digging the internet up for information, as one would, and see how everyone talks about testing your blood sugar 2 hours after the meal as well, and so I start to do so myself. And now, don’t get me wrong, I knew the blood sugars were going to be higher after, of course, but did not have a grasp of how high they were going to be. Now I also have the Freestyle Libre and I am able to see EVERYTHING, which is pretty scarry, not gonna lie…
Now, the thing is, no matter how I pre-bolus, and I always pre-bolus, I seem to get huge spikes afterwards. And even with the foods I tought worked pretty good, I am seeing quite a high spike about an hour or two after the meal. I have tried bolusing anywhere between 5 to 25ish minutes before meal, and nothing really seems to do it for me. Probably I should mention that I keep away from fast carbs 90% of the time and it doesn’t really seem to make a difference. I am also afraid to correct afterwards, since in the end, after about 4 hours, the blood sugar does come down slowly and so I fear that if I was to correct, I would end up really low before the next meal.
Now, I am wondering, is it that I may be needing basal, or it’s just that I haven’t quite grasped how Humalog works for me? In any case, I am pretty exhausted of trying and trying and not geting very good results, since I see so many flatliners around here, and the internet in general, and I am nowhere near that. At this point I get anxiety everytime I eat and I have decreased my carb intake again, hoping that it’s gonna help somehow… I should also mention that during night I run pretty low, but then in the morning I usually am around 140.
All in all, to sum it up (because I did write a lot, sorry about that), I am wondering if basal insulin would help me control the spikes better or if it has nothing to do with it? And if it’s the latter, how can I have a better understanding of how my boluses work so I can avoid going so high after a meal?