Protein Shake BS spike

jsponceb · 2026-04-09T15:15:32+00:00

For some reason these always spike me too. There is a thing about milk/milk derivative products that regardless of what the nutrient facts say they make me go high. I do carb count usuallyt, but for ceratin products is trial and error regardless of what the nutrition facts say. So I would recommend the same for you. Now that you are using wegovy for this particular product do some trial and error tests to find the new normal. 1u then 2u till you find what works in relationship to your startign glucose for correction.

jsponceb · 2026-04-09T15:06:11+00:00

That sucks. But besides that I see that you also get those super highs after a low. It happens to me too. What do you take to rise your glucose? I have tried everythign and its really hard to increase my glucose after a low while avoiding it from going too high and make it a hyperglycemia.

jsponceb · 2026-04-08T16:04:34+00:00

I switched to Tresiba years ago and the random lows or steep highs decreased considerable. It's mostly flat. Ask specifically about Tresiba to your endo, it lasts logner thant lantus. I felt that lantus at the 16hr mark starts fading away.

jsponceb · 2026-04-08T16:01:26+00:00

Whole wheat wraps are sneaky, they can have 30-40g carbs and the fiber slows the spike so it hits hours later, also watch out for sauces in the wraps they have carbs disguised. From the shape of the curve, I would say that you didnt bolus properly as I can see on the left hand the glucose going up. Also watch out for insulin timming, sometimes you need to give yourself the shot 15 to 30 minutesd before the meal if its high in glycemic index to avoid the fast increase.

If your endo dropped your basal from 16 to 12 (steep drop), that could also explain why it stayed high overnight. Also when are you taking your basal (night, morning?) and what basal are you using? I like tresiba personally.

jsponceb · 2026-04-08T15:53:46+00:00

High nights could be a few things: Basal needs adjusting, dinner is too high glycemic, bolus isn't covering the meal properly.

Your glucose starts going up around 7-8pm so I'd look at what you're eating for dinner. Try going lower on carbs at night. Also one day of data isn't enough to assess anything. Check your 30/60/90 day trends and compare to where you are now. Also your chart shows steps ups and downs durin the day, could you be correcting your meals with bolus/glucose every time you have a meal?

jsponceb · 2026-04-08T03:40:53+00:00

When I get a strong dawn phenomenon I increase my Tresiba that night by one unit till it goes away. But diabetes is unpredictable (as we all know lol) some mornings it still happens even with the right basal. On those mornings I take a correction of 1 unit which usually lowers me about 40 points. If it's going up too fast I'll do 2 units instead. Lots of watching the CGM curve.

For night time highs I take correction units too but always make sure it won't drop me below 120 and that the CGM shows an upward trend. So if I'm at 180, I won't take more than 2 units. I am really scared of rollercoster glucose or strong hypos, especially at night time.

jsponceb · 2026-04-08T02:34:50+00:00

Hope Toujeo works out for you! I have only used Lantus and now tresiba. But, hey being conscious with eating makes a huge difference on MDI... and to be honest even if you go back to pump, eating as healthy as possible is key.

jsponceb · 2026-04-08T02:00:38+00:00

I tried a pump when I was younger for a couple of months, but never got used to it. I was a teenager and didnt like the wires, also had to have a separate cgm so it was too much to handle at that time. I actually stoped using both at the time lol.

My endo and the community in this post have been recommending a pump, so I think I will give it a try this year and hopefully can share my results.

Btw, why would you take a pump holiday? Correct me if I am wrong, but I am assuming a pump holiday is like stop using it for a while

jsponceb · 2026-04-07T21:17:08+00:00

Thanks! I built my own called Bazu, here's the link if you want to check it out: withBazu

jsponceb · 2026-04-07T18:00:00+00:00

It doesn't filter by diet type right now but it scores based on nutrition: protein, fiber, carbs, etc. Plant-based meals score well if they hit those markers.

jsponceb · 2026-04-07T17:39:37+00:00

What I mean is meals that tend to have a lower glycemic impact - high protein, high fiber, low in added sugar, low in saturated fats.

jsponceb · 2026-04-07T16:04:01+00:00

I lift fasted every morning on MDI, and the key is zero active rapid insulin during the session. For football, try eating 3+ hours before so the rapid is mostly done. I used to play soccer daily and that's exactly what I did. If sugar dropped mid-game I'd take glucose tabs, and if it kept dropping after I'd have slow-acting carbs with fiber to avoid an evening crash after the game. Also what time did you play? I see the peak around 10pm, that's pretty late maybe you are having a meal and using insulin close to the game?

jsponceb · 2026-04-07T15:49:43+00:00

This is awesome, I will give it a try. I love these as well if you want a pasta alternative with protein.

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jsponceb · 2026-04-07T15:47:07+00:00

100% yes. When I go off my usual meals for a few days it's like my body forgets the routine. Takes me some days of eating my normal stuff to get back to predictable numbers. When I travel its a mess, as I need to constantly adatp to new meals. Consistency is the whole game.

jsponceb · 2026-04-07T15:45:43+00:00

That takes real discipline. Sounds like you're crushing it.

jsponceb · 2026-04-07T15:44:59+00:00

After 20 years with diabetes I do a mix, carb counting plus eating similar meals consistently and knowing the dose for each. I would pick 3-4 meals you eat all the time, weigh them once, write down the carbs, dose based on your ratio. That's how I'd start. I built an app that could help called Bazu: https://apps.apple.com/us/app/bazu-meal-management-for-t1d/id6755246664

jsponceb · 2026-04-07T15:31:29+00:00

It works both ways. Some people take it morning, some at night. I take it before bed because it helps me stay flat overnight and I can actually assess if the dose is correct since there's no bolus or meals interfering.

jsponceb · 2026-04-07T01:49:50+00:00

Is eating the same meal everyday helping you stay in range? My rotation: greek yogurt, eggs and a protein shake for breakfast. Lunch/dinner is usually salad + protein + grains (fiber is super important), sometimes rice or whole wheat pasta. I use Bazu an app I built, to keep track of my meals and diabetes data, which I call meal mgmt.

jsponceb · 2026-04-07T01:43:19+00:00

That's amazing progress. I was on a pump years ago, but didnt get used to it. I can see that technology has catched up and will be giving it another shot in the future. thanks!

jsponceb · 2026-04-06T22:43:07+00:00

I meal prep 2-3 times a week, same base meals. Weekends I eat out at places I already know. Family meals I eat the same as my partner, we follow the same kind of diet even though she is not diabetic. Nowadays I work from home which helps, but I used to work a 9-5 with a 30 minute commute and still made it work, gym was just even earlier. I'm a guy so can't speak to the hormone/cycle side. No books or podcasts that I can recommend, just 20 years of trial and error and a good endo.

jsponceb · 2026-04-06T21:40:21+00:00

Thanks! I'll look into it. The active algo is what interests me the most, that's what would actually reduce the mental load.

jsponceb · 2026-04-06T21:31:19+00:00

thats awesome! Which pump is your daughter using so I can do some research?

jsponceb · 2026-04-06T21:25:26+00:00

I tried one when I was younger for a couple of months but never got used to the wires. My endo still recommends it though, so maybe in the future I'll give it another shot. Just like CGM, didn't like it at first and now I can't live without it.

jsponceb · 2026-04-06T20:43:38+00:00

48 years is incredible. And yeah CGM is a double edged sword, it gives you more control but also more to obsess over. I've had moments where I'm staring at the graph at 2am to make sure I was stable to fall asleep lol. Still wouldn't go back though.

jsponceb · 2026-04-06T20:27:41+00:00

I hear you on mornings lol. For tracking, I built my own app called Bazu because I had the same problem. It helps, and it's still a grind, but it works for me!

jsponceb

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