Thank you Susie and Dennis for following this thread and the inputs you’ve shared.
Some background on me if it helps understand where I’m at in this journey:
I’m six weeks into my diagnosis. I’m 37 and, although I have a desk job, I’m moderate to very active most of the time. However, since being diagnosed, I’ve tried not to be as active so that I can 1) gain some weight back, and 2) learn how I’m responding to insulin and carbs before adding strenuous activity into the mix. This was the advice of my doctor; I’m mostly walking and doing some light strengthening exercises now.
I’m taking 12 units Basaglar 1x/daily in the morning. I was on 13, but 12 seems to keep my BG more level throughout the night, where as 13 dropped it <40-50. My doctor started me on 1:15 bolus ratio (I use NovoLOG flexpens), but she understood I’m very proactive and data-oriented (she gave me a G6 right away), so I’ve been able to try some modifications to my ratios (just ever so slightly).
My goals right now are as follows in order of priority:
- Stay below 200 post-meal: I’m currently learning about post-meal spikes.
- Less than 2-3 hypo events (<70) a week.
- Spend 50% in target range 80-150 (while I’m learning; will increase the goal to 70% eventually).
- Fine-tune my carb ratio (breakfast, lunch, dinner).
- Learn how to correct my lows and sudden drops without overcorrecting.
#1 & 2 are what my doctor prescribed. She also gave me the 150 target, but I set my goal to 50% in range and I try to aim for 110 when dosing and correcting.
I have less than 2 or 3 hypo or <70 events a week right now, especially after getting my basal dose to 12. My biggest challenge has been timing the post-meal spike. But, I’m learning what foods do what and have been able to predict how some meals will play out. Except for dinner (which is what brought me to this forum).
For dinner, my doctor said my long highs were either an “inappropriate glucagon response,” too high fat/protein meal, or not enough insulin. Your responses around the fat/protein influences are helpful and have helped give me some guidance on data to pay attention to. However, I haven’t been eating porterhouse steaks by any means. I’ve been under 30grs of protein most of the time. I did notice I eat a lower % of carbs at dinner compared to breakfast and lunch. Perhap[s that is the outlier…
Again, appreciate your support and responses. I’m not aiming for perfection, but I am trying to build my understanding quickly. I have twice been able to do a correction dose 4 hours after a meal and fast and find it brings me down by 100 mg/dl over 3 hours. So I tend to only correct when above 200 accordingly. But it didn’t work at dinner the other night. The joys of T1D it sounds like :p.