- Messages
- 1,158
- Type of diabetes
- Type 1
- Treatment type
- Pump
I have had my pump for a year now and my control is much improved. I have worked through learning about basal rates, insulin to carb ratios, manipulating doses for exercise, changes in the weather, etc, etc, etc.
I am still having spikes late in the evening, though, and I realize that this is caused by the fact that I eat my main meal in the evening and my blood sugar rises about four hours after I have eaten. With my other meals, my blood sugar is back below 7.8 within an hour and remains steady around 5-ish till my next meal.
My main meal is likely to contain more fat and protein than breakfast and lunch. I am not low-carbing, and have no plans to start doing so.
My question here for pumpers is: how DO you count fat and protein?
I mean, after nearly 50 years I am accustomed to carb counting. How on earth do you "protein count"? And fat count? Where are you getting the info from? How accurate is it?
Secondly: what ratios do YOU use personally?
Or do you prefer a TBR? If so, how do you calculate it.
(I am aiming this question at pumpers and diabetics on insulin.
I am not interested in re-hashing the argument over low-carbing. There are tens of thousand of posts about that topic already. My questions is specifically about managing T1 diabetes with a pump, while eating a diet that includes carbs.)
I am still having spikes late in the evening, though, and I realize that this is caused by the fact that I eat my main meal in the evening and my blood sugar rises about four hours after I have eaten. With my other meals, my blood sugar is back below 7.8 within an hour and remains steady around 5-ish till my next meal.
My main meal is likely to contain more fat and protein than breakfast and lunch. I am not low-carbing, and have no plans to start doing so.
My question here for pumpers is: how DO you count fat and protein?
I mean, after nearly 50 years I am accustomed to carb counting. How on earth do you "protein count"? And fat count? Where are you getting the info from? How accurate is it?
Secondly: what ratios do YOU use personally?
Or do you prefer a TBR? If so, how do you calculate it.
(I am aiming this question at pumpers and diabetics on insulin.
I am not interested in re-hashing the argument over low-carbing. There are tens of thousand of posts about that topic already. My questions is specifically about managing T1 diabetes with a pump, while eating a diet that includes carbs.)