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!
No More Shots for Shannon 