Understanding Blood Sugar Fluctuations

Living with diabetes can feel like a rollercoaster, especially when it comes to managing blood sugar levels.

For those navigating the challenges of Type 1 diabetes (T1D) or Type 2 diabetes (T2D), unexpected spikes can occur after treating lows. 

The Scenario: Low to High Blood Sugar

Picture this: a low blood sugar reading prompts treatment with 15 grams of carbs. After some time, the blood sugar returns to a normal range. But then, an hour and a half later, it jumps to 180 mg/dL. This situation is common among those using insulin pumps with algorithms.

Understanding the Algorithm

When blood sugar is low, insulin pumps can decrease the basal rate to prevent further drops and, in some cases, help raise blood sugar levels. This adjustment means that while carbs are consumed to treat the low, the pump may also deliver insulin. This double treatment can lead to a rebound effect, causing blood sugars to spike unexpectedly.

Tips from a T1D and T2D Dietitian

1. Adjust Carb Intake: If high blood sugars frequently follow low treatments, consider reducing carb consumption. Instead of 15 grams, starting with 10 grams may help maintain balance.
2. Basal Rate Awareness: Collaborating with a diabetes educator or dietitian to adjust the basal rate can be crucial. Understanding how much insulin is delivered when blood sugar drops helps in making informed decisions.
3. Keep a Log: Tracking blood sugar readings, insulin doses, and carbohydrate intake can reveal patterns. This data can assist a diabetes dietitian in identifying necessary adjustments.
4. Educate Yourself: Ensure that the care team covers these dynamics. If this information isn't being shared, consulting a T1D or T2D dietitian could provide the necessary insights

Working with a Diabetes Dietitian

Managing diabetes goes beyond counting carbs and adjusting insulin; it involves understanding how the body reacts to different treatments. A registered dietitian and diabetes educator assists individuals with T1D and T2D, providing tailored advice and helping create a sustainable management plan that fits individual lifestyles.

Final Thoughts

Blood sugar fluctuations can be challenging, but effective management is possible with the right knowledge and support. If stuck in a cycle of low and high blood sugars, reaching out to a diabetes dietitian is a valuable step. These professionals offer insights that empower individuals to take control of their health.

By staying informed and seeking professional guidance, navigating the ups and downs of diabetes becomes more manageable, leading to a fulfilling life despite the challenges.