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Type 1 Diabetes
General Questions for a newly diagnosed Type 1
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<blockquote data-quote="CheeseSeaker" data-source="post: 2689416" data-attributes="member: 531814"><p>Have a think about carb-counting (before you get to a DAFNE course) - will help you estimate how much carbs you need for the fixed amount of insulin you have at each meal.</p><p></p><p>If you have 8 units of insulin for breakfast - how many carbs so you return to the same BG as you started at? Only way to tell is different amounts till you work it out.</p><p></p><p>For now (its a pain) but measure your cereal and read the pack to understand how many grams of carbohydrate are in the bowl you're eating.</p><p></p><p>Once you know you're eating 60 grams (or whatever) you can watch what it does to your BG on the libre - will spike up-to 2 hours then come down. At 4 hours the insulin has pretty much done its stuff, and you 'should' have returned to your starting BG if the insulin amount is correct for the amount of carbs. </p><p></p><p>If your BG is low or high - decrease your cereal or increase it till you get it to return to the starting level (or there abouts) after 4 hours.</p><p></p><p>Once you know the amount of food needed for 8 units, you know your insulin to carb ratio (in the morning at lease) so can increase insulin for a bigger breakfast, or reduce for a smaller one.</p><p></p><p>This ratio can alter throughout the day - so if you find lunch behaves differently for 6 units (calculate carbs based on breakfast ratio) then alter your ratio for lunch and so on.</p><p></p><p>Soon you will be able to alter your insulin for the three times a day - so knowing your ratios is really useful.</p><p></p><p>Also remember exercise usually drops your BG - so if you start to see your BG drop, carry some fast acting carbs (dextrose / glucose tablets or similar) so you can avoid hitting a low BG</p><p></p><p>Lots of us have been diabetics a long time - there is some horrible stuff, but good control and being careful means we can live a full life for a long long time - its not all problems, just takes some learning</p></blockquote><p></p>
[QUOTE="CheeseSeaker, post: 2689416, member: 531814"] Have a think about carb-counting (before you get to a DAFNE course) - will help you estimate how much carbs you need for the fixed amount of insulin you have at each meal. If you have 8 units of insulin for breakfast - how many carbs so you return to the same BG as you started at? Only way to tell is different amounts till you work it out. For now (its a pain) but measure your cereal and read the pack to understand how many grams of carbohydrate are in the bowl you're eating. Once you know you're eating 60 grams (or whatever) you can watch what it does to your BG on the libre - will spike up-to 2 hours then come down. At 4 hours the insulin has pretty much done its stuff, and you 'should' have returned to your starting BG if the insulin amount is correct for the amount of carbs. If your BG is low or high - decrease your cereal or increase it till you get it to return to the starting level (or there abouts) after 4 hours. Once you know the amount of food needed for 8 units, you know your insulin to carb ratio (in the morning at lease) so can increase insulin for a bigger breakfast, or reduce for a smaller one. This ratio can alter throughout the day - so if you find lunch behaves differently for 6 units (calculate carbs based on breakfast ratio) then alter your ratio for lunch and so on. Soon you will be able to alter your insulin for the three times a day - so knowing your ratios is really useful. Also remember exercise usually drops your BG - so if you start to see your BG drop, carry some fast acting carbs (dextrose / glucose tablets or similar) so you can avoid hitting a low BG Lots of us have been diabetics a long time - there is some horrible stuff, but good control and being careful means we can live a full life for a long long time - its not all problems, just takes some learning [/QUOTE]
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