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Diabetes Discussion
Type 1 Diabetes
Asking for someone else (honestly!)
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<blockquote data-quote="Daibell" data-source="post: 1746920" data-attributes="member: 21149"><p>Hi. Some of this has already been said. He must demand more support from his NHS team. It sounds like he is on the Basal/Bolus (aka MDI) regime where there are two insulins i.e. Bolus for meals and Basal one or twice a day. He needs to be taught to do carb-counting which is essential. He needs to ask the team to explain it now and not wait for a training course (my DN explained it in 15 minutes when I started insulin). Basically you adjust the amount of Bolus to suit the carbs in the meal. Do come back here if the NHS team fail to explain it. He is eating far, far too many carbs. These should be below 200gm and preferably below 150gm per day; this also helps avoid weight gain. Insulin should always be matched to the carbs and not the other way round. His Basal amount may need to be adjusted over a few days and this is always done before changing the Bolus mealtime 'ratio'. I'm afraid the amount of knowledge about diabetes in hospitals and some surgeries can be dire hence these forums so do come back for more advice if needed.</p></blockquote><p></p>
[QUOTE="Daibell, post: 1746920, member: 21149"] Hi. Some of this has already been said. He must demand more support from his NHS team. It sounds like he is on the Basal/Bolus (aka MDI) regime where there are two insulins i.e. Bolus for meals and Basal one or twice a day. He needs to be taught to do carb-counting which is essential. He needs to ask the team to explain it now and not wait for a training course (my DN explained it in 15 minutes when I started insulin). Basically you adjust the amount of Bolus to suit the carbs in the meal. Do come back here if the NHS team fail to explain it. He is eating far, far too many carbs. These should be below 200gm and preferably below 150gm per day; this also helps avoid weight gain. Insulin should always be matched to the carbs and not the other way round. His Basal amount may need to be adjusted over a few days and this is always done before changing the Bolus mealtime 'ratio'. I'm afraid the amount of knowledge about diabetes in hospitals and some surgeries can be dire hence these forums so do come back for more advice if needed. [/QUOTE]
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