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<blockquote data-quote="iHs" data-source="post: 453090" data-attributes="member: 8799"><p><strong>Re: Big mistake!</strong></p><p></p><p>Hi Geri</p><p></p><p>The thing with adjusting the carb with the insulin is that no one is able to know exactly what amount of carb can be eaten at a certain time and the effect it will have on bg levels until the person has injected the insulin and eaten the carb and tested their bg levels to find out..... so lots of trial and error will be made along the way and you will know tomorrow morning that eating the amount of carb that the dietician advised for breakfast with the doseage of insulin, hasn't had the desired effect so you will need to adjust a bit more and eat less. There's an awful lot to be said for eating the 'little and often' way with diabetes as that usually gives the best bg control in my opinion. Nothing wrong with eating a lower carb breakfast like a piece of toast and then eating a biscuit mid morning without the bolus as the mixed insulin takes a little while before it reaches its full bg lowering ability so the need to adjust the carb to the action of the insulin but once you have been able to work out exactly how much carb you can eat, you should be able to have a good life. When I used Humalog Mix 25, I just had 1 Weetabix with milk or 1 piece of toast for breakfast and then by testing mid morning I was then able to eat a biscuit otherwise if I didn't eat mid morning and didn't test either, chances are that I would be going towards hypo levels around 11.30am. If I had 2 Weetabix with milk at breakfast, my bg levels would go too high by mid morning (up to above 12mmol) and so didn't eat again until lunchtime but by altering the carb, I was able to be about 8mmol mid morning and also be able to eat the biscuit because of the action of the mixed insulin.</p><p></p><p>Alex has raised a good point about the insulin passport but many diabetics don't use it or know about it and whats more many pharmacists don't use it either. The real culprit here is Elly Lilly and the fact that two insulins are produced with more or less the same name. When I used Humalog Mix 25, I got it in a pre filled disposable plastic pen but the insulin itself was crystal clear. The Humalog bolus was supplied in cartridges and went in a Lilly silver metal insulin pen but again was crystal clear. Not sure if Lilly has now addressed the problem by making the mixed insulin cloudy????????? It was only that I had my wits about me that I knew what insulin was what and I didn't make a mistake....</p><p></p><p>You'll be fine with twice daily so give it time before you decide to change to doing bolus basal with a lot more injections..</p></blockquote><p></p>
[QUOTE="iHs, post: 453090, member: 8799"] [b]Re: Big mistake![/b] Hi Geri The thing with adjusting the carb with the insulin is that no one is able to know exactly what amount of carb can be eaten at a certain time and the effect it will have on bg levels until the person has injected the insulin and eaten the carb and tested their bg levels to find out..... so lots of trial and error will be made along the way and you will know tomorrow morning that eating the amount of carb that the dietician advised for breakfast with the doseage of insulin, hasn't had the desired effect so you will need to adjust a bit more and eat less. There's an awful lot to be said for eating the 'little and often' way with diabetes as that usually gives the best bg control in my opinion. Nothing wrong with eating a lower carb breakfast like a piece of toast and then eating a biscuit mid morning without the bolus as the mixed insulin takes a little while before it reaches its full bg lowering ability so the need to adjust the carb to the action of the insulin but once you have been able to work out exactly how much carb you can eat, you should be able to have a good life. When I used Humalog Mix 25, I just had 1 Weetabix with milk or 1 piece of toast for breakfast and then by testing mid morning I was then able to eat a biscuit otherwise if I didn't eat mid morning and didn't test either, chances are that I would be going towards hypo levels around 11.30am. If I had 2 Weetabix with milk at breakfast, my bg levels would go too high by mid morning (up to above 12mmol) and so didn't eat again until lunchtime but by altering the carb, I was able to be about 8mmol mid morning and also be able to eat the biscuit because of the action of the mixed insulin. Alex has raised a good point about the insulin passport but many diabetics don't use it or know about it and whats more many pharmacists don't use it either. The real culprit here is Elly Lilly and the fact that two insulins are produced with more or less the same name. When I used Humalog Mix 25, I got it in a pre filled disposable plastic pen but the insulin itself was crystal clear. The Humalog bolus was supplied in cartridges and went in a Lilly silver metal insulin pen but again was crystal clear. Not sure if Lilly has now addressed the problem by making the mixed insulin cloudy????????? It was only that I had my wits about me that I knew what insulin was what and I didn't make a mistake.... You'll be fine with twice daily so give it time before you decide to change to doing bolus basal with a lot more injections.. [/QUOTE]
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