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Type 1 Diabetes
Lost hypo awareness?!
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<blockquote data-quote="donnellysdogs" data-source="post: 933931" data-attributes="member: 17713"><p>I would from my experience of Tims advice be taking what he has suggested which is 6 units tonight and 6 units tomorrow morning.</p><p></p><p>The talk from iHs ref bolus ratio has nothing to do with basal. You are quite correct that nurses and staff like to see basically that you are having an equal amount if basal in 24 hours to the bolus that you have taken for all your meals in 24 hours. This is not perfect for everyone. It is just a starting point. Children, adults, times off sickness etc it all can vary.</p><p></p><p>If you were at a level of 9.0 tonight and took 6 units without eating more you should be safe to not go hypo. You shouldn't need to eat more either to push your bg up intentionally....</p><p></p><p>Then tomorrow morning as soon as you wake and test we would if in your shoes take 6 units of basal then.</p><p></p><p>When you start off counting carbs and injecting bolus normally the nurses will put you on 1 unit of insulin for 10carbs. This is called the bolus ratio. It is this that iHs mentioned that maybe wrong for your evening meal time. However, I don't tjink iHs realised that you were eating before bed and not bolusing to stave off those big drops and hypo's.</p><p></p><p>As said it looks like a huge drop to go from 11 units last night to just 6 but it isn't because you would not need to eat extra and you would be having more in the morning. Then you would need to carry on testing tomorrow every 2hours because of the changes.</p></blockquote><p></p>
[QUOTE="donnellysdogs, post: 933931, member: 17713"] I would from my experience of Tims advice be taking what he has suggested which is 6 units tonight and 6 units tomorrow morning. The talk from iHs ref bolus ratio has nothing to do with basal. You are quite correct that nurses and staff like to see basically that you are having an equal amount if basal in 24 hours to the bolus that you have taken for all your meals in 24 hours. This is not perfect for everyone. It is just a starting point. Children, adults, times off sickness etc it all can vary. If you were at a level of 9.0 tonight and took 6 units without eating more you should be safe to not go hypo. You shouldn't need to eat more either to push your bg up intentionally.... Then tomorrow morning as soon as you wake and test we would if in your shoes take 6 units of basal then. When you start off counting carbs and injecting bolus normally the nurses will put you on 1 unit of insulin for 10carbs. This is called the bolus ratio. It is this that iHs mentioned that maybe wrong for your evening meal time. However, I don't tjink iHs realised that you were eating before bed and not bolusing to stave off those big drops and hypo's. As said it looks like a huge drop to go from 11 units last night to just 6 but it isn't because you would not need to eat extra and you would be having more in the morning. Then you would need to carry on testing tomorrow every 2hours because of the changes. [/QUOTE]
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