Author Topic: Spikes  (Read 499 times)

0 Members and 1 Guest are viewing this topic.

Offline Pattidevans

  • Administrator
  • Posts: 23,650
  • It's ONLY Diabetes. It could be something worse!
Spikes
« on: 28 December 2016, 05:00:44 PM »
I'm a little overdue for a standard eye test and since I am not seeing as clearly as I was out of my current specs I dropped into Specsavers today to make an appointment for a test (may still return to ASDA for the glasses, but the test there was very basic).  I made the appointment and queried what they actually do during the test and the Manager who I was speaking to told me this that and the other and I asked if they still inspect the back of the eyes as they used to and he told me that they do take a photo, but not with drops.  During the conversation I said I was a little concerned that my eyesight seems to have changed over a relatively short period of time and hoped it was not due to diabetes.  There followed an almost surreal conversation during which he told me that as a type one I should be OK as long as I was well managed as Type ones do not "go up and down all the time like Type 2s".  I said I thought he had that the wrong way round, to which he responded that his wife is a T1 and she always keeps between 4 and 7.  Now I didn't want to get into this too much at the time 'cos it was inappropriate but it struck me that maybe she only tests before meals, or maybe she's a low carber.  I know some on the Libre FB group do seem to be able to achieve flat lines, but they are usually doing Bernstein and I'm sorry I cannot stick to carb levels that low.  Does anyone on here, manage not to have spikes of some sort or another after meals?  I mean I can behave myself quite well as far as food is concerned, but even so and even by bolussing ahead of time I simply can't get rid of a spike over 7 if I even sniff a slice of bread.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline GrammaBear

  • Member
  • Posts: 1,731
Re: Spikes
« Reply #1 on: 28 December 2016, 06:05:03 PM »
Patti -

The only time I have anything that resembles a 'flat-line' on my Dexcom is when I've eaten just protein/fat for breakfast.  Example, if I have two or three eggs with 2 slices of our bacon, then I might have a flat line.  Any other meal I have a spike or a gentle spike depending on how many carbohydrates I have eaten.  I can bolus ahead of time or use the extended bolus - it doesn't matter.  I probably need to lower my carb consumption, but it is difficult to do.  Bread seems to provoke the sharpest spike for me.
Type 1
Tandem Tslim pump Oct 2015
Dexcom G4 CGM Sep 2007
A1C 6.5%~ Sep 2017

Offline sedge

  • Global Moderator
  • Posts: 13,785
Re: Spikes
« Reply #2 on: 28 December 2016, 09:27:25 PM »
No.  Never!
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Pattidevans

  • Administrator
  • Posts: 23,650
  • It's ONLY Diabetes. It could be something worse!
Re: Spikes
« Reply #3 on: 28 December 2016, 10:43:17 PM »
Ah well, I guess she only tests before meals!
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline nytquill17

  • Global Moderator
  • Posts: 6,465
  • It's all in the balance.
Re: Spikes
« Reply #4 on: 29 December 2016, 02:47:27 AM »
Or he - or she, or both! - got the number of the types mixed up.
T1 DX 1995
Levemir + Novorapid
 
  ~-~-~-~
"If you can't ride, can you fall?"
"I suppose anyone can fall," said Shasta.
"I mean can you fall and get up again without crying, and mount again and fall again and yet not be afraid of falling?"
"I - I'll try," said Shasta.
  ~C.S. Lewis, The Horse and His Boy
  ~-~-~-~
"There is no answer; seek it lovingly."

Offline Pattidevans

  • Administrator
  • Posts: 23,650
  • It's ONLY Diabetes. It could be something worse!
Re: Spikes
« Reply #5 on: 29 December 2016, 10:05:14 AM »
As a rule that's what I would have thought and more or less dismissed what he said, if it were not that I had seen the flat lines on the Libre group.  Mind you, they are quite a preachy lot and what they regard as "healthy eating" isn't that healthy in my opinion.  However, I would have thought his wife was a T1 as he was quite young, well young as 'in his 30s'.


Of course he was not an optician, just the shop manager, perhaps I assumed more training had been given.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline himtoo

  • Member
  • Posts: 2,457
  • Prince of Protein
Re: Spikes
« Reply #6 on: 30 December 2016, 10:15:24 AM »
I have the odd day here and there where I can avoid post meal spikes by pre-bolus and keeping the carb content below 50 carbs -- but other days I do get spikes into the upper single figures.
 
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline everydayupsanddowns

  • Administrator
  • Posts: 2,325
    • Every day ups and downs - a diabetes blog
Re: Spikes
« Reply #7 on: 30 December 2016, 07:22:41 PM »
Nope. And tbh the Libre traces I've seen from parents of CWD who have worn sensors to reassure littluns are FAR from flat too!
Mike

Type 1 since: 1991 Last HBA1c: 45 (6.3%)  Total Chol 5.0 (1.9HDL / 2.8LDL / Trigs 0.7)
Pumping NovoRapid in a MiniMed 640G
Blogging at: www.everydayupsanddowns.co.uk

Offline Pattidevans

  • Administrator
  • Posts: 23,650
  • It's ONLY Diabetes. It could be something worse!
Re: Spikes
« Reply #8 on: 30 December 2016, 07:55:20 PM »
Oh of course, non Ds have spikes too!
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline everydayupsanddowns

  • Administrator
  • Posts: 2,325
    • Every day ups and downs - a diabetes blog
Re: Spikes
« Reply #9 on: 31 December 2016, 09:13:27 AM »
And if you can't keep a straight line with a fully functioning pancreas - why on earth would we try to while flying on manual?!?
Mike

Type 1 since: 1991 Last HBA1c: 45 (6.3%)  Total Chol 5.0 (1.9HDL / 2.8LDL / Trigs 0.7)
Pumping NovoRapid in a MiniMed 640G
Blogging at: www.everydayupsanddowns.co.uk