At 27, how can I manage sugar fluctuation in type 1 diabetes?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Your HbA1c (glycated hemoglobin) is not far from target, but those sugar drops after exercise and high readings before meals show that your insulin balance might need a small adjustment.

It is common for people with type 1 diabetes to have low blood sugar after workouts. On workout days, you can try lowering your mealtime insulin a little (about one-fourth to one-half less than usual) or have a small carbohydrate snack like a banana or some biscuits before starting, especially if your sugar is below 100 milligrams (mg) per deciliter. If you work out in the evening, having a small bedtime snack can help prevent nighttime lows.

The higher readings before meals may mean your basal insulin or your mealtime doses need a fine-tune. Sometimes we do a simple check by skipping one meal and watching the sugar trend for a few hours. If sugars rise steadily, the background insulin is a bit low; if they fall, it may be a bit high. Once that is balanced, we can slowly adjust your mealtime insulin to match what you eat.

Since you are already using a continuous glucose monitor. An insulin pump with an automated system is worth considering in the future. It can adjust insulin minute by minute and even has an exercise mode that helps prevent low sugar levels.

I hope this information helps you.

Feel free to ask further queries.

Thank you.