I haven't learnt anything about carb counting the nurses don't seem bothered by this even though I am strugglingI think you mentioned two problems
- going high. If you are returning to the level you started, you may benefit from taking your bolus earlier. Different carbs digest at different rates whereas insulin has a fixed profile. Ideally, we want to match the peak of carb digestion to the peak of the insulin curve. Usually, this means taking insulin earlier.
- going lower than you want. You are likely to be taking too much insulin. When calculating your insulin dose, do you include a correction factor? Typically, we thinking of this as extra insulin we need to bring us down to the required level. However, if we start lower than we want to finish, we want to subtract an amount of insulin from the calculation.
For example, if your insulin sensitivity factor (sometimes called ISF) is,1 unit of insulin reduces your blood sugar by 4 units, you will want to take half a unit less than you calculated with your insulin to carb ratio to bring your level down to 7 instead of 5 after your meal.
Hiya, have you a correction ratio? Say for example you're BG was sitting at 12 and you wanted to bring it down to 6 & your ratio was 1:3 you would take 2 units of insulin. Does this help?I haven't learnt anything about carb counting the nurses don't seem bothered by this even though I am struggling
I count what I eat , but the ISF I don't have a clue
I would take just one that helpsHiya, have you a correction ratio? Say for example you're BG was sitting at 12 and you wanted to bring it down to 6 & your ratio was 1:3 you would take 2 units of insulin. Does this help?
If the one unit brings you back in range then that is good but to optimise your results you might need a bit of help in adjusting your basal rate or you bolus rate.I would take just one that helps
With a carb free meal, we still insulin as our bodies will break down protein to sugar.One thing to try is to have a carb free meal & see if your basal holds steady. Then you know your carb ratio might need a tiny bit of adjustment.
I had 15 grams yesterday for my lunch (dinner in North East) and I was in the 5s I had no insulin. I took less less insulin with tea half a unit and was at 8 when I went to sleepIf the one unit brings you back in range then that is good but to optimise your results you might need a bit of help in adjusting your basal rate or you bolus rate.
One thing to try is to have a carb free meal & see if your basal holds steady. Then you know your carb ratio might need a tiny bit of adjustment
If doing 1:10 ratio and too high 4/5 hours after a meal try 1:8 ratio. It's so difficult to get both right.
Hi In Response,With a carb free meal, we still insulin as our bodies will break down protein to sugar.
This is why carb free is not the way to do a basal test. And the reason I avoid very low carb meals.
I haven't learnt anything about carb counting the nurses don't seem bothered by this even though I am struggling
I count what I eat , but the ISF I don't have a clue
I would go in to hypo if I did that, as I'm still in honeymoon stage. That is good information if it ever changesI think you mentioned two problems
- going high. If you are returning to the level you started, you may benefit from taking your bolus earlier. Different carbs digest at different rates whereas insulin has a fixed profile. Ideally, we want to match the peak of carb digestion to the peak of the insulin curve. Usually, this means taking insulin earlier.
- going lower than you want. You are likely to be taking too much insulin. When calculating your insulin dose, do you include a correction factor? Typically, we thinking of this as extra insulin we need to bring us down to the required level. However, if we start lower than we want to finish, we want to subtract an amount of insulin from the calculation.
For example, if your insulin sensitivity factor (sometimes called ISF) is,1 unit of insulin reduces your blood sugar by 4 units, you will want to take half a unit less than you calculated with your insulin to carb ratio to bring your level down to 7 instead of 5 after your meal.
What happens when you take less Insulin than your current ratio?My libre 2 scan 4 or more hours after my tea has been in the 5s I was told never go to bed on less then 7mmol, it goes high according to libre and then straight back down to in 5s I just don't know what I'm doing wrong
My ratio is 1 unit to 20 grams of carbs
Are you and lew202 in honeymoon phase like me?Been taking less on evening and in the 7s
I'm just another diabetic who got diagnosed in November last year. I take my long acting before bed. Abasaglar that is. That's the one I've lowered first when going low or eating too much during the day. If you're in the honeymoon phase too the ratio for Novorapid doesn't work. You have to adjust to find a sweet spot. I only take 2-3 units for meals upto 80g of carbs. Your diabetes isn't gonna go away. As long as you do things gradually I'm sure you'll get there. Hope this helps. If you can or have got Libre2 it helps a lotI am struggling at the moment too I’ve been recently diagnosed in November.
It keeps going low and it’s really wearing me down. I’m a busy man I work etc.
i am currently only taking my long shot in the morning as the insulin during the day is really messing me up.
Try searching Carb Loading on YouTube if very active during the day. I've been doing so for the last fortnight. It works greatI am struggling at the moment too I’ve been recently diagnosed in November.
It keeps going low and it’s really wearing me down. I’m a busy man I work etc.
i am currently only taking my long shot in the morning as the insulin during the day is really messing me up.
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