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<blockquote data-quote="Heathenlass" data-source="post: 865646" data-attributes="member: 84861"><p>Welcome <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p>I think you should push hard for referrals to the eye clinic, as you have discovered there are treatments available, and to be honest I am not surprised you are experiencing headaches if you are working with computers using a necessary eye patch <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite5" alt=":confused:" title="Confused :confused:" loading="lazy" data-shortname=":confused:" /> Is there any other part of the job that you could be reassigned to temporarily until your eye problems are resolved ? </p><p></p><p>As to the rises in your blood glucose , are you bolusing for the low carb meals ? No matter what the DAFNE guidelines say, there is no such thing as a free lunch carbwise, simply because of gluconeogenesis causing protein, and to a lesser extent fat, into glucose as part of the digestive process. The TAG system ( total available glucose ) gives a rough estimate of 50% of protein totals should be treated as carbohydrate, and 10% fat. Thusly, if a steak has say, 25g protein , then the bolus for that would be for 12g carb . BUT, the ratio does vary with everyone, and you do have to discover if slightly more or less is effective for you by experimentation.</p><p></p><p>More fat in the diet does help, for energy and satisfaction from eating. Again, it's a personal level you have to find, and it's not necessary to go overboard on fat if you don't want to, in fact too much fat in a meal can delay the meal absorption and "miss" the action of rapid insulin. Just ensure that you avoid " low fat" anything and replace it with the full fat version, cheese, for example .</p><p></p><p>Vegetables and salad will also need a small bolus based on their carb count, the idea that they don't contain carbs is erronous, a look at the nutritional information on the back of a bag of salad leaves shows that . It may be a small amount, but in the context of a full meal, it adds up. </p><p></p><p>I've been banging on about this app , Cook & Count for a while now, and I make no apologies for that <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" /> in my opinion it is the best way of accurately counting carbs as you add them to a meal , saves your recipes and information, and covers a wider variety of foods and options that Carbs and Cals ever can, because it becomes personal to you. The protein and fat components of a meal are covered too.</p><p></p><p>I'll post up a link to TAG information once I've found it, and another useful tool in your toolkit is a half unit pen, that will give you a tad more precision in your dosages and help avoid highs and lows .Both Novorapid and Levemir use the Novopen Echo, that your GP can prescribe if you feel they would be helpful.</p><p></p><p></p><p>I'll look for tha TAG. Link as soon as I can <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>Signy</p></blockquote><p></p>
[QUOTE="Heathenlass, post: 865646, member: 84861"] Welcome :) I think you should push hard for referrals to the eye clinic, as you have discovered there are treatments available, and to be honest I am not surprised you are experiencing headaches if you are working with computers using a necessary eye patch :confused: Is there any other part of the job that you could be reassigned to temporarily until your eye problems are resolved ? As to the rises in your blood glucose , are you bolusing for the low carb meals ? No matter what the DAFNE guidelines say, there is no such thing as a free lunch carbwise, simply because of gluconeogenesis causing protein, and to a lesser extent fat, into glucose as part of the digestive process. The TAG system ( total available glucose ) gives a rough estimate of 50% of protein totals should be treated as carbohydrate, and 10% fat. Thusly, if a steak has say, 25g protein , then the bolus for that would be for 12g carb . BUT, the ratio does vary with everyone, and you do have to discover if slightly more or less is effective for you by experimentation. More fat in the diet does help, for energy and satisfaction from eating. Again, it's a personal level you have to find, and it's not necessary to go overboard on fat if you don't want to, in fact too much fat in a meal can delay the meal absorption and "miss" the action of rapid insulin. Just ensure that you avoid " low fat" anything and replace it with the full fat version, cheese, for example . Vegetables and salad will also need a small bolus based on their carb count, the idea that they don't contain carbs is erronous, a look at the nutritional information on the back of a bag of salad leaves shows that . It may be a small amount, but in the context of a full meal, it adds up. I've been banging on about this app , Cook & Count for a while now, and I make no apologies for that ;) in my opinion it is the best way of accurately counting carbs as you add them to a meal , saves your recipes and information, and covers a wider variety of foods and options that Carbs and Cals ever can, because it becomes personal to you. The protein and fat components of a meal are covered too. I'll post up a link to TAG information once I've found it, and another useful tool in your toolkit is a half unit pen, that will give you a tad more precision in your dosages and help avoid highs and lows .Both Novorapid and Levemir use the Novopen Echo, that your GP can prescribe if you feel they would be helpful. I'll look for tha TAG. Link as soon as I can :) Signy [/QUOTE]
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