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Type 1 Diabetes
Increasing basal on low carb
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<blockquote data-quote="smidge" data-source="post: 635608" data-attributes="member: 29301"><p>Hi Bellabella!</p><p> </p><p>I can see where you're coming from on that and it might work.</p><p> </p><p>The challenge we have as low-carb insulin-dependents, is that taking enough rapid-acting with the meal to cover the whole meal can make us hypo around the 1 - 2 hour mark before the protein releases it's glucose. Waiting to take the rapid-acting to cover the protein spike means we can miss the immediate carb/eating BG spike. The aim is to flatten out both spikes, not swap one for the other. With a normal-working pancreas, you would relese an initial surge of insulin in response to starting to eat and you would get another burst as required until your BGs normalise. Clearly, we can't do that.</p><p> </p><p>I was concerned from your OP that you were taking a full dose with the meal and hypoing before the protein kickend in and then rising higher later when the protein kicked in.</p><p> </p><p>I would suggest that if possible, you send a couple of days testing very frequently - maybe hourly or more if you can manage it - and eating the types of low-carb meals you eat regularly to try to build up a pattern of what your BG is doing. This might help you to match the insulin timings to your BG patterns.</p><p> </p><p>Good luck.</p><p> </p><p>Smidge</p></blockquote><p></p>
[QUOTE="smidge, post: 635608, member: 29301"] Hi Bellabella! I can see where you're coming from on that and it might work. The challenge we have as low-carb insulin-dependents, is that taking enough rapid-acting with the meal to cover the whole meal can make us hypo around the 1 - 2 hour mark before the protein releases it's glucose. Waiting to take the rapid-acting to cover the protein spike means we can miss the immediate carb/eating BG spike. The aim is to flatten out both spikes, not swap one for the other. With a normal-working pancreas, you would relese an initial surge of insulin in response to starting to eat and you would get another burst as required until your BGs normalise. Clearly, we can't do that. I was concerned from your OP that you were taking a full dose with the meal and hypoing before the protein kickend in and then rising higher later when the protein kicked in. I would suggest that if possible, you send a couple of days testing very frequently - maybe hourly or more if you can manage it - and eating the types of low-carb meals you eat regularly to try to build up a pattern of what your BG is doing. This might help you to match the insulin timings to your BG patterns. Good luck. Smidge [/QUOTE]
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