- Messages
- 225
- Type of diabetes
- LADA
- Treatment type
- Insulin
- Dislikes
- whisky
I cant quite understand the following:
I am on a very low carb diet, mostly salads, with fish, chicken or eggs etc. and only need 1 unit for each meal usually, and 3.5 units each day for Long acting levemir.
Yet it is clear when I have something like half a shop bought lasagne which is about 46 carbs, (in total, so actually I have half the lasagne (23 carbs), with plate of salady stuff), that I need around 5.5 units for that which would seem to indicate (from what I have read on line), that my carb-insulin ratio is higher than is average? It looks from this, and from the 40 grams of porridge I had earlier today, which apparently is 36, carbs, that the 5 units of insulin was not enough because, after 20 minutes on my bike, this still went up to 10.1.
I know there is this 'rule' that it is after 2 hours of eating that the measure is significant, but does this rule mean that what happens after less than 2 hours, is not relevant? (unless of course you have to treat a hypo?)
When the doctors talk about 'complications' if your blood glucose goes high (and maybe stays high for say 40 minutes or so), what then is the indication if BG goes high within say, half and hour of eating?
Also, there seems to be so many things to take into account when assessing how much insulin is needed? GI, GL, carb count, exercise, stress, etc etc.... All this 'does my head in'! It seems all the official accounts of how to manage this condition rarely tally with my own experience!
My A1c was last time, 42, and my average Libre readings are about 6.7. The doctors are very impressed, saying the figures look like I do not have type 1 diabetes at all....
But although these figures are encouraging, it is clear to me that if I were to have more carbs, that ratio would shoot up! So although the doctor is impressed with my figures, those figures are only good because of the low carb diet, and in fact I seem to still need a fair amount of insulin for food other than low carb.
By the way, last time I visited the hospital I was told there was still a fair amount of insulin being produced...not using the blood C-peptide test, but the urine, implication one. (if you know what I mean?)
Any comments would be welcome. Thank you.
I am on a very low carb diet, mostly salads, with fish, chicken or eggs etc. and only need 1 unit for each meal usually, and 3.5 units each day for Long acting levemir.
Yet it is clear when I have something like half a shop bought lasagne which is about 46 carbs, (in total, so actually I have half the lasagne (23 carbs), with plate of salady stuff), that I need around 5.5 units for that which would seem to indicate (from what I have read on line), that my carb-insulin ratio is higher than is average? It looks from this, and from the 40 grams of porridge I had earlier today, which apparently is 36, carbs, that the 5 units of insulin was not enough because, after 20 minutes on my bike, this still went up to 10.1.
I know there is this 'rule' that it is after 2 hours of eating that the measure is significant, but does this rule mean that what happens after less than 2 hours, is not relevant? (unless of course you have to treat a hypo?)
When the doctors talk about 'complications' if your blood glucose goes high (and maybe stays high for say 40 minutes or so), what then is the indication if BG goes high within say, half and hour of eating?
Also, there seems to be so many things to take into account when assessing how much insulin is needed? GI, GL, carb count, exercise, stress, etc etc.... All this 'does my head in'! It seems all the official accounts of how to manage this condition rarely tally with my own experience!
My A1c was last time, 42, and my average Libre readings are about 6.7. The doctors are very impressed, saying the figures look like I do not have type 1 diabetes at all....
But although these figures are encouraging, it is clear to me that if I were to have more carbs, that ratio would shoot up! So although the doctor is impressed with my figures, those figures are only good because of the low carb diet, and in fact I seem to still need a fair amount of insulin for food other than low carb.
By the way, last time I visited the hospital I was told there was still a fair amount of insulin being produced...not using the blood C-peptide test, but the urine, implication one. (if you know what I mean?)
Any comments would be welcome. Thank you.
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