Fozzologs

RSS Feeds

About...

These posts are the creation of Doran L. Barton (AKA Fozziliny Moo). To learn more about Doran, check out his website at fozzilinymoo.org.

Right Side

This space reserved for future use.

Taking more aggressive action to combat post-prandial spikes

Posted: 24 November 2014 at 16:52:20

I've been reading the book Think Like a Pancreas by Gary Scheiner and I've found it is quite interesting and informative. I think any adult Type-1 Diabetic or caregiver of a Type-1 Diabetic would benefit from the information in the book.

I'll be posting a full review of the book in the next couple of weeks after I finish it.

One thing, however, that has me somewhat concerned is Scheiner says in his book that post-prandial (post-meal) blood sugar spikes shouldn't go over 180 mg/dL because it creates stress on your renal system (kidneys). My post-prandial spikes regularly go over 200 mg/dL so I realize I need to take some more aggressive action to counteract that.

This morning, for example, I bolused my Novolog about 10-15 minutes before eating breakfast and included extra units to counter the morning rise (glucagon, perhaps) I've been experiencing every morning lately.

Here's the result:

Morning CGM reading

Scheiner makes three recommendations in his book that I am considering. One, of course, is bolusing a few minutes before eating. That one isn't always practical or predictable, but I will try. The second is engaging in 10-15 minutes of exercise after eating. That is usually doable. Third is adding an injectible like liraglutide (Victoza) to the therapy.

I tried Victoza a couple of months ago after my endocrinologist gave me some samples to try. The nausea induced by it was rough, my blood sugars became less predictable, and I was training for a half-marathon and worried about the unpredictable blood sugars might spoil it.

Now, however, I'm in a better position to try it again, so I think I will start using Victoza again in the next day or so.