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?