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When eating a low carb diet, should we change the way that the MDI model is used?
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<blockquote data-quote="Spiker" data-source="post: 843494" data-attributes="member: 102150"><p>Back to the OP...</p><p></p><p>Tim as you probably know I used to use Novorapid or Actrapid (*) for protein, post meal, vs Humalog pre-meal for carbs. This worked reasonably well, and I used it during my first foray on CGM so I was able to see it working (sorry, not screen shots). My second and subsequent uses of CGM I was already on a pump so I was no longer using these techniques. I won't say it was perfect but it wasn't terrible. It was better than just using Humalog post-meal for protein, for example. In those days I was on more of a Bernstein diet rather than an LCHF. In fact I noticed that in Bernstein's most recent podcast he is asked this specific question, using a slower insulin for protein, and he dismisses the idea. His own advice on protein (which is almost incomprehensible, alas) is to use the same insulin, and presumably the same shot at the same time, and factor the protein as carbs. I defy anyone to confirm what Bernstein's formula for protein dosing is, however!</p><p></p><p>When I was thinking about this more, pre pump, I thought that the insulin manufacturers should try to produce an insulin that had an action profile better matched to protein. Maybe even a range of insulins matched to different food groups. Of course, if they even thought about that, they would see there is far more market, far more money, in designing an insulin with an action profile matched to pizza. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite16" alt=":banghead:" title="Bang Head :banghead:" loading="lazy" data-shortname=":banghead:" /></p><p></p><p>* = for me anyway, Novorapid has less total action and a slower, longer action than Humalog. Only rarely did I get my hands on any Actrapid (weaker and slower still than Novorapid). That was pre CGM and when I was doing a very pure Bernstein diet, very high protein. I would have liked to see how Actrapid (regular human insulin, non-analogue) worked by watching it on the CGM.</p></blockquote><p></p>
[QUOTE="Spiker, post: 843494, member: 102150"] Back to the OP... Tim as you probably know I used to use Novorapid or Actrapid (*) for protein, post meal, vs Humalog pre-meal for carbs. This worked reasonably well, and I used it during my first foray on CGM so I was able to see it working (sorry, not screen shots). My second and subsequent uses of CGM I was already on a pump so I was no longer using these techniques. I won't say it was perfect but it wasn't terrible. It was better than just using Humalog post-meal for protein, for example. In those days I was on more of a Bernstein diet rather than an LCHF. In fact I noticed that in Bernstein's most recent podcast he is asked this specific question, using a slower insulin for protein, and he dismisses the idea. His own advice on protein (which is almost incomprehensible, alas) is to use the same insulin, and presumably the same shot at the same time, and factor the protein as carbs. I defy anyone to confirm what Bernstein's formula for protein dosing is, however! When I was thinking about this more, pre pump, I thought that the insulin manufacturers should try to produce an insulin that had an action profile better matched to protein. Maybe even a range of insulins matched to different food groups. Of course, if they even thought about that, they would see there is far more market, far more money, in designing an insulin with an action profile matched to pizza. :banghead: * = for me anyway, Novorapid has less total action and a slower, longer action than Humalog. Only rarely did I get my hands on any Actrapid (weaker and slower still than Novorapid). That was pre CGM and when I was doing a very pure Bernstein diet, very high protein. I would have liked to see how Actrapid (regular human insulin, non-analogue) worked by watching it on the CGM. [/QUOTE]
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