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<blockquote data-quote="ickihun" data-source="post: 1710694" data-attributes="member: 196960"><p>Fix dosed type2s are given insulin twice daily or three if preparing them for seperate bolus and basal.</p><p></p><p>The problem with mixed dose you cannot have no hypos when eating low carb unless you sabotage it with carbs to treat hypos.</p><p></p><p>Since OP is relatlvely new to insulin therapy I think hypos happenings needs reporting to this DN immediately, especially with a heart problem.</p><p>It was different for me, my heart is good with very little disease. I could afford the strains from odd hypo not everyone can.</p><p></p><p>I very very rarely hypo now on seperate insulins.</p><p>Much more flexible to my economical diet.</p><p></p><p>OP will get opposition to go low carb from his insulin dependant team. </p><p>He will get confused about our advice and theirs.</p><p></p><p>Especially with a heart problem. The disruption is his risk alone.</p><p>Without our support he will be encouraged to carb eat.</p><p></p><p>Op needs to decide if he's on insulin or not with low carbing but reduce his insulin SLOWLY til it can be stopped.</p><p></p><p>On mixed insulin I got off insulin for a day then crashed into very high bgs.... Ketoacidosis risk area. I needed a basal which was why I need huge basal now and very little bolus (novarapaid).</p><p>Low carb eating reduces my need for bolus but not basal. I need bariatric surgery for that. I'm still just under 19st. Im hoping half my weight may result in half emount of 240units of current basal.</p><p></p><p>The more insulin, the more fat is manufactured in the body. Hence weight gain too.</p><p></p><p>Things may be fought with exercise to burn the fat manufacturing gaining weight. But not allain my case. </p><p>I'm not as active as I'd like but my amount of insulin I need to fight would be me training more than any athlete to compensate. Humf! </p><p>We are all different so OP needs to continue reducing his insulin very very slowly and monitoring with his meter vigorously. </p><p></p><p>It can be done no matter your obesity level or IR severity. With all the tools here and his medical team. </p><p>A newly insulin dependant type2 without burnt out pancreas cells...... definitely. </p><p></p><p>Please give OP time to constantly adjust his units, safely. </p><p></p><p>If hypos being treated are sabataging your good work [USER=468763]@smokiejoe03[/USER] you need your dn's attention. Don't suffer hypos and its carby treatments when you don't have too.</p><p></p><p>Decide now. Low carb and possibly no insulin/little insulin or feed carbs to insulin therapy to avoid hypos and on the wrong medication?????</p></blockquote><p></p>
[QUOTE="ickihun, post: 1710694, member: 196960"] Fix dosed type2s are given insulin twice daily or three if preparing them for seperate bolus and basal. The problem with mixed dose you cannot have no hypos when eating low carb unless you sabotage it with carbs to treat hypos. Since OP is relatlvely new to insulin therapy I think hypos happenings needs reporting to this DN immediately, especially with a heart problem. It was different for me, my heart is good with very little disease. I could afford the strains from odd hypo not everyone can. I very very rarely hypo now on seperate insulins. Much more flexible to my economical diet. OP will get opposition to go low carb from his insulin dependant team. He will get confused about our advice and theirs. Especially with a heart problem. The disruption is his risk alone. Without our support he will be encouraged to carb eat. Op needs to decide if he's on insulin or not with low carbing but reduce his insulin SLOWLY til it can be stopped. On mixed insulin I got off insulin for a day then crashed into very high bgs.... Ketoacidosis risk area. I needed a basal which was why I need huge basal now and very little bolus (novarapaid). Low carb eating reduces my need for bolus but not basal. I need bariatric surgery for that. I'm still just under 19st. Im hoping half my weight may result in half emount of 240units of current basal. The more insulin, the more fat is manufactured in the body. Hence weight gain too. Things may be fought with exercise to burn the fat manufacturing gaining weight. But not allain my case. I'm not as active as I'd like but my amount of insulin I need to fight would be me training more than any athlete to compensate. Humf! We are all different so OP needs to continue reducing his insulin very very slowly and monitoring with his meter vigorously. It can be done no matter your obesity level or IR severity. With all the tools here and his medical team. A newly insulin dependant type2 without burnt out pancreas cells...... definitely. Please give OP time to constantly adjust his units, safely. If hypos being treated are sabataging your good work [USER=468763]@smokiejoe03[/USER] you need your dn's attention. Don't suffer hypos and its carby treatments when you don't have too. Decide now. Low carb and possibly no insulin/little insulin or feed carbs to insulin therapy to avoid hypos and on the wrong medication????? [/QUOTE]
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