Postprandial Spikes

You’d think after 27+ years with diabetes, I’d have this figured out by now. But I clearly do not.  Most recently I am struggling quite a bit with postprandial spikes.  Roller coaster spikes most of the time.

My Endo put me on Farxiga a couple of years ago which definitely helps.  But it still doesn’t quite bring it down enough.  I can most definitely tell a difference when I forget my Farxiga in the morning, though, so I know it is helping.

He tried me on Metformin but that didn’t do anything at all for me so I stopped taking it after a while.

I already exercise almost every day.  I eat mostly low carb foods. Even with that, it spikes more than what you’d think it should. But if I eat a “normal” carb meal …. I’m chasing that high the rest of the day/night.  Every morning I eat the exact same protein bar – 18g carbs and I will spike around 1-2 hours later.

I’ve thought about other things that *might* work?   Should I try to wait longer after taking my shot before I eat? Back in the day when I was newly diagnosed I took Regular insulin and would have to wait 30 min until I could eat.  But now I take Humalog and in theory I should be able to eat right away, but I’m wondering if that could be part of the problem. Worth a shot to try waiting longer.

I am on MDI right now, too, and if I were on a pump I would try doing an extended bolus for meals.  So when I’m back on the pump I’ll add that to the list of things to try.

I am already considered “insulin resistant” based on the amount of basal insulin I need every day, and my carb ratio.  But I don’t know what to do to even that out, either?

I am open to suggestions if anyone has tried something that worked for them?  Thanks in advance!


About Shannon

I am a wife, a mommy, and a Type 1 diabetic (since '92.) I have had two successful pregnancies - one of which was with twins. I wear an insulin pump- - off and on since 1998, as well as the Dexcom CGM. I am not a medical professional, nor am I giving medical advice. I am just sharing my day to day stories of someone who lives with this disease every day. My ultimate goal is to raise awareness.
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