So, like a lot of people, I tend to get higher blood sugars after breakfast (which I rarely eat) or morning coffee (which is a “must have” every day) than after any other bolus in the day.   Until about 6-12 months ago my post-meal highs were something like 150-160.  Lately, though with all the other variables I’ve introduced (post-pregnancy, nursing, hormones, stress, etc) it was getting to be like 250…even 300 some mornings.  I always felt guilty about it but did I give up my morning joe?  Heck no!  I’ve just been keeping the problem on the back burner for several months knowing I would eventually have to deal with it.  Now is the time.

Realistically, I need to reassess my entire insulin regimen including my basal rates (but for me that’s phase 2 after hormone-adjustment phase 1), so for now I’m experimenting with less conventional ways to bolus in the morning that might make the difference.  It looks like I may have found one!

For the past several days, I’ve been giving myself a square-wave bolus over 30 minutes and then actually drinking my morning cappuccino starting at minute 45.  Look at these CGM results:  On this day, I took my bolus about 7:45 and drank my coffee about 8:30.  The little bump you see about 9:30 never got over 140.

It’s not the most ideal but it’s working for now so I’ll take it!  What do you do for post-breakfast (coffee) highs?