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Billy Basic Principles of Carb Counting Vs. Insulin

Discussion in 'Ask A Question' started by not-so-lucky, Apr 6, 2017.

  1. not-so-lucky

    not-so-lucky Type 2 · Well-Known Member

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    Quick question.....

    If I'm doing a 1:10 carb to Insulin ratio as advised by my Diabetic Nurse; does that include BOTH Bolus and Basil, or just the Basil? - She said "Fix fasting sugars first" - which I've done. i'm now getting around 4->5mmol in a morning (Bonus!) - my problem is I'm on 24 units of long acting insulin (Tresiba) If I do the 1:10 on the fast acting with meals (having counted the carbs) I feel at risk of sinking into a hypo :/ (had a few near misses - testing 8 times/day and stopping on top of it like a trojan warrior) - I left a message with the clinic, but as usual noone has got back to me lol - any advice would be gratefully recieved.
     
    #1 not-so-lucky, Apr 6, 2017 at 6:51 PM
  2. azure

    azure Type 1 · Expert

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    @not-so-lucky The ratio is just for your boluses. You count the carbs in your meal and calculate your dose according to the ratio. If 1:10g is making you low, you could try 1:12g, 1:15g or whatever. If you're unsure, give your clinic a ring and get advice as they'll know your history best and can give specific advice.
     
    #2 azure, Apr 6, 2017 at 6:57 PM
  3. Daibell

    Daibell LADA · Master

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    I agree with @azure. Just start with a low amount of Bolus to start with if you're not sure and gradually change the ratio over a few meals/days to find your best ratio.
     
    • Like Like x 1
    #3 Daibell, Apr 6, 2017 at 7:02 PM
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