Need Quick Info on BS Readings!

[Lee]

Does anybody have information on what blood sugar should be after eating? At the 1 hour mark?

I am asking becuase my Ex has decided to disagree with the Doctor's orders that she should be below 180 two hours after eating and feels like this is untrue and she should be in range continuously with no highs after eating, therefore we should adjust her insulin.

[yeswe'rebothD]

it's nearly impossible, IMO to have that happen (no spikes, continously in range) unless someone does not have diabetes. Even in a non-diabetic person, their bg will fluctuate with meals. Not to the degree of those with D, but still...

We don't treat a high after a meal, only use that reading to adjust I:C ratios if needed, we only treat highs at mealtime unless there's illness or some other extenuating circumstance.

And just to be snarky, I'm gonna ask your Ex if he's been trained as long as the Endo has in diabetes management? :p

[MysticSisters]

Shouldn't your BS spike a bit shortly after eating? I mean the food is still in your body and it takes the insulin some time to work. As well as not all of the food being released into the blood stream yet. That's why you wait two hours or so for the insulin to do it's job.

Right?

[funnygrl]

There's no way to adjust insulin to be "normal" 1 hour after eating without going low later.

[momtojess]

I dont know what the # is, but mama2H just posted earlier today a lecture that said even nonD people can spike (i thik to 160 or so) after meals.

I agree with the others it probaly is near impossible to prevent a spike, unless it was all very low/no carb.

[Lee]

I agree with every single one of you! I will look at that study. I really want some hardcore ranges that people should be 1 hour after eating. I am very worried that he will adjust her I:C and make her drop.

[Kaylee's Mommy]

its nearly impossible for you to not spike after a meal, you could try pre-bolusing, if you don't do that already... it will cut the spike down a bit.. if you adjust the carb ratio then she will most definitely go low later, its a two or three hour makr that he should be looking at.. if you want, you can show him some of Kaylee's graphs, she has a cgms, so we see exactly what she's doing after eating.. you can PM me if you want a few graphs:)

has your ex gone to any of her dr appointments? maybe invite him (if you two are on those types of grounds where you can be at the same appointment together;) )to her next appointment, let him write down all his questions and suggestions and let the endo and her diabetes team give the answers... most of the time they are more willing to listen to the dr. than to an ex/wife/girlfriend... or whatever.

good luck!

[twodoor2]

If you have a copy of "Using Insulin," John Walsh talks about this. If you are in target range 1 hour after getting your dose of insulin, there is a high probability you will go hypoglycemic by the time your duration of insulin action is over. If you are in low target range 2 hours after, there is a high probability as well.

[wilf]

I'm not sure why your ex is measuring an hour after a meal..

Type 1 Diabetes by Hanas on page 131 offers this sage advice:
"Don't go looking for high blood glucose readings."

The recommendations (on page 137) in that reference text are for BG levels 2 hours after eating. They state that 90-140 is ideal, 145-180 is acceptable. Same as your endo.

[twodoor2]

On page 147 of my edition of "Using Insulin" (2003 edition) is a nice graph that shows a curve if your starting BG is 90. It indicates that postmeal readings are better when you bring your blood sugar below 150 mg/dl before you begin to eat. In the graph, if you're already around 120 by the time 1 hour has arrived, you will plummet, and this is if your blood sugar is 90 to begin with.

Basically what John Walsh says that is if your blood sugar, after one hour, has risen less than 40 mg/dl, your carb bolus may have been too large. When you carb factor is correct, your blood sugar will return to within 30 mg/dl of your starting blood sugar after 3.4 to 4 hours with Humalog or Novolog, and 5 to 6 hours with Regular.

[wilf]

On page 147 of my edition of "Using Insulin" (2003 edition) is a nice graph that shows a curve if your starting BG is 90. It indicates that postmeal readings are better when you bring your blood sugar below 150 mg/dl before you begin to eat. In the graph, if you're already around 120 by the time 1 hour has arrived, you will plummet, and this is if your blood sugar is 90 to begin with.

Basically what John Walsh says that is if your blood sugar, after one hour, has risen less than 40 mg/dl, your carb bolus may have been too large. When you carb factor is correct, your blood sugar will return to within 30 mg/dl of your starting blood sugar after 3.4 to 4 hours with Humalog or Novolog, and 5 to 6 hours with Regular.

Further to my earlier post, I agree 100% with Marsha on this.

Bolus insulins work for 4 hours. If you're in range at 1 hour, you've still got as much 70% of the bolus yet to take effect and you are almost certainly going low.

[Lee]

Thank you everyone! I was able to go to Amazon and perform searches on the books mentioned and take pictures and email the facts! I really needed that! I appreciate your help so much!

[LantusFiend]

I personally rarely go high at one hour. I think it depends on the type of food and the person's digestion.