Hi,
I’m from Tunisia and I have Type 1 diabetes. I use Insulatard (NPH) and Actrapid.
I often get high blood sugar after meals, especially in the evening, and I’m struggling to control post-meal spikes.
Is anyone here from Tunisia with T1D?
What insulin are you using?
How do you manage blood sugar w
Usually this indicates the bolus is not enough to manage the carbs.
Or there was not enough time for the pre-bolus to allow the insulin to start working before eating.
Or the glucose was high, and there was an attempt to correct the high and cover the carbohydrates at the same time. I find that this never works for me. I always have to correct the high, then bolus and eat once near normal range again.
Actirapid is sort of misnamed. It is the equivalent of R insulin, which starts working at 30 minutes, and peaks between 1.5 and 3.5 hours and wears off at 7-8 hours. This means your pre-bolus will need to be 30 minutes, where you inject the insulin, wait 30 minutes then eat.
I am not in Tunisia, but I was on the same insulins 26 years ago. It was manageable with them, as long as you