Can it be the meal had more carbs than the insulin could deal with?Hi pre meal I took 9 units of novorapid readings were 7 MMOL/ 2 hrs later they were 15 MMOL/L then 4 hrs later readings were 21.3 MMOL/L
I had no food in between
Why is this happening
Did you double check that reading? Not impossible for contaminants on your hands to give you a rogue reading.readings were 21.3 MMOL/L
It takes time to find the right ratios, it's a trial and error process, for your clinician as well as for you.Maybe I have my insulin to carb ratios wrong .
Clinician told me to up to 1.5 per 10g of carbs .
Meal was 2 tortilla wraps and crispy chicken with salad tolling 86 grams of carbs I took 9 units of novorapid .
I’m perplexed .
I’ve washed hands etc injected in stomach no insulin loss .
Maybe I have my insulin to carb ratios wrong .
Clinician told me to up to 1.5 per 10g of carbs .
Meal was 2 tortilla wraps and crispy chicken with salad tolling 86 grams of carbs I took 9 units of novorapid .
I’m perplexed .
I’ve washed hands etc injected in stomach no insulin loss .
Maybe I have my insulin to carb ratios wrong .
Clinician told me to up to 1.5 per 10g of carbs .
How much Protein in the Chicken. I find I need to delay Bolus for higher protein animal protein.
I have a method I use somewhere between these two methods
Warsaw FPU Method nicely explain( personally I find too much Bolus but I use the logics to know when to catch the Spike)
https://waltzingthedragon.ca/diabet...e-post-meal-spikes-caused-by-fat-and-protein/
Another method is the KISS NHS method. This method is easy to use
https://cdn.website-editor.net/f420...How-to-bolus-fir-fat-and-protein-KISS-MDI.pdf
The body will convert protein to glucose only in the absence of carbs.How much Protein in the Chicken. I find I need to delay Bolus for higher protein animal protein.
Protein always ends up as glucose. But it's the law of big numbers, mathematically speaking. There is a high number of carbs in tortillas it makes the glucose from protein insignificant in terms of dosing.The body will convert protein to glucose only in the absence of carbs.
With two tortillas, the protein will have little or no affect on blood sugar levels.
I agree with the posts about learning to calculate your carb ratio involves a lot of experimentation and number checking.Hi pre meal I took 9 units of novorapid readings were 7 MMOL/ 2 hrs later they were 15 MMOL/L then 4 hrs later readings were 21.3 MMOL/L
I had no food in between
Why is this happening
How much Protein in the Chicken. I find I need to delay Bolus for higher protein animal protein.
I have a method I use somewhere between these two methods
Warsaw FPU Method nicely explain( personally I find too much Bolus but I use the logics to know when to catch the Spike)
https://waltzingthedragon.ca/diabet...e-post-meal-spikes-caused-by-fat-and-protein/
Another method is the KISS NHS method. This method is easy to use
https://cdn.website-editor.net/f420...How-to-bolus-fir-fat-and-protein-KISS-MDI.pdf
Thanks for posting these articles, both good reads and it really emphasises that it's not simply a question of 'count carbs, inject insulin, eat meal' and everything will be hunky dory, as so many people including medics seem to believe. After much experimenting, it's nice to know that I actually adopt both methods anyway having worked it out for myself and who knew I was following such a mathematical, intricate approach! I like the bit about 'balanced meals' at each meal time makes it 'easier' to bolus just for the carbs but to me that means the same meals day after day at the same times, great for some but not my lifestyle, (incidentally those balanced meals showed a pic of porridge/baked potato/pasta across the 3 meals with little to no fat).
It is a riskier approach I suppose and not for everyone but I know (at the moment) that if I eat a meal combining carbs and a lot of fats, after 3/4 hours my insulin works fine as in it rises and is then back to normal at around hour 4, but dead on hour 5 my levels will start to rise again. That's when I take the additional unit (or 2) of insulin and it works a treat, stops any second rise in its tracks. You do have to know yourself and watch it like a hawk of course as the dangers of a low increase, also when you add in what you have done that day, exercise, work and a myriad of other things, that too has to be calculated into it.
The libre/cgm are good to help with this of course but it still takes a fair amount of self management and work. I don't know how the parents of little diabetics cope, reading about the formula to combat the lad eating a protein bar would almost make me shout 'No, you're not having it'!!! I also was interested in the bit about if you are a person who normally eats a combination of carbs and high fat at meals you probably don't need to do this second phase as you're already adapted as it were, but if you have it as a one off, you probably do. I tend to stick to lowish carb these days, more because at work it's easier to manage by not having to think about it all too much but when I do fancy a carby, fatty old meal I can have one and still manage the prolonged after effects. Thank you!