I learned something new tonight. Whenever I have a large/fatty meal/high carb meal, I always struggle with delayed spikes that hit me in the middle of the night, but one thing I never thought about was the effect of alcohol, which I thought helped with blood sugar. I’m often drinking wine or a few glasses of scotch when these delayed spikes happen. Tonight I didn’t eat carbs but just had a steak, vegetables and too much wine. I took 3 u of R which usually does the trick, but went low pretty quickly which was unusual. Now at 3 in the morning I am running high, and decided to look this up:
I will say I think alcohol would tend to lower my blood sugar when pumping, but I don’t see the same effect on MDI and usually have the opposite problem. It could be because I’m older and don’t drink nearly as much as I used to, but I’m wondering if using rapid-acting insulin as a basal is more affected by alcohol than Levemir.