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Diabetes Discussion
Type 1 Diabetes
Any ideas what may have caused this?
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<blockquote data-quote="Juicyj" data-source="post: 2518891" data-attributes="member: 53162"><p>I know you're struggling Danny, but you can turn this around and get better control, we all have our struggles with our t1 but we can generally can keep ourselves well enough to manage day to day life, I have a few pointers which I hope you will read and take on board.</p><p></p><p>Firstly eating carbs when your already out of range is just going to push you higher despite your carb bolus, when your above 9 can you look at a low carb alternative, like bacon/eggs/mushrooms ? Eating carbs on a high just makes it harder to get levels down again, then take a correction for the high ?</p><p></p><p>Do you know what your correction dose is ? As a rule follow this guide: Calculating your insulin sensitivity factor You need to calculate your insulin sensitivity factor to work out your correction doses. To do this you need to know how much insulin you usually take a day. 1. Calculate your average Total Daily Dose (TDD) of insulin over about 4 days 2. Divide 100 by your TDD 3. This is the amount 1 unit of insulin will lower your blood glucose level. This is your insulin sensitivity factor.</p><p></p><p>However a correction dose cannot fix your overnight highs - you need to adjust your background dose until this comes down, I cannot guide you on how much insulin to increase by as I am not a medical expert, I can only guide you from my experience, if you don't feel confident doing this then contact you team and ask for guidance, but trust me life does become alot easier when your background dosage is working at the right rate, so getting this right is key to improving your control.</p><p></p><p>Ultimately these decisions are yours to make, so taking control and getting on top of this is within your power, just try not to feel defeated and take on board the advice and support you get as we do want to try and help you.</p></blockquote><p></p>
[QUOTE="Juicyj, post: 2518891, member: 53162"] I know you're struggling Danny, but you can turn this around and get better control, we all have our struggles with our t1 but we can generally can keep ourselves well enough to manage day to day life, I have a few pointers which I hope you will read and take on board. Firstly eating carbs when your already out of range is just going to push you higher despite your carb bolus, when your above 9 can you look at a low carb alternative, like bacon/eggs/mushrooms ? Eating carbs on a high just makes it harder to get levels down again, then take a correction for the high ? Do you know what your correction dose is ? As a rule follow this guide: Calculating your insulin sensitivity factor You need to calculate your insulin sensitivity factor to work out your correction doses. To do this you need to know how much insulin you usually take a day. 1. Calculate your average Total Daily Dose (TDD) of insulin over about 4 days 2. Divide 100 by your TDD 3. This is the amount 1 unit of insulin will lower your blood glucose level. This is your insulin sensitivity factor. However a correction dose cannot fix your overnight highs - you need to adjust your background dose until this comes down, I cannot guide you on how much insulin to increase by as I am not a medical expert, I can only guide you from my experience, if you don't feel confident doing this then contact you team and ask for guidance, but trust me life does become alot easier when your background dosage is working at the right rate, so getting this right is key to improving your control. Ultimately these decisions are yours to make, so taking control and getting on top of this is within your power, just try not to feel defeated and take on board the advice and support you get as we do want to try and help you. [/QUOTE]
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