Carb adjustments

[Beausrus]

I have been prescribed lantus and apidra as previous insulin did not improved numbers, will I need to adjust when eating extra carbs? To compensate, at the moment that has not been mentioned.

 

[donnellysdogs]

Extra carbs extra insulin.. Yep. However, are you carb counting? Have you got the right bolus ratio for your meals?

 

[Beausrus]

37 units of lantus at night, and apidra 8 breakfast 12 lunch and 16 dinner, then monitor with DN for adjustments once some numbers logged

 

[noblehead]

Yes you do as DD says, as your a type 2 best to ask your DN/DSN to advice on adjusting your doses.

 

[Beausrus]

Cheers, no harm in reading up on it, to be prepared

 

[donnellysdogs]

My point of asking about carb counting and whether you do it....
you need to be carb counting and be able to work out your own bolus ratio's before adjusting doses yourself.
You need to test pre meals, post meals, getting up and going to bed to see your patterns of rises and falls in blood.
Your DSN will go through this with you but @jack412 has marvelous details to learn this information in your own time.
Your dsn should also get you on a dafne course as you are taking insulin and / or also you should see a dietitian.
Initially you cannot jump in yourself to do adjustments to insulin.

 

[Beausrus]

Yeah, they mentioned that, so was looking to get some understanding before it was introduced, I always like to be prepared

 

[noblehead]

Your dsn should also get you on a dafne course as you are taking insulin and / or also you should see a dietitian.Initially you cannot jump in yourself to do adjustments to insulin.

Beasurus is a type 2, as you know the DAFNE course is just for type 1's only.

 

[Beausrus]

So type 1 can adjust for carbs and type 2 not?

 

[Beausrus]

More type 2's are going on insulin and the times need to change I think.

 

[donnellysdogs]

@jack412 has excellent details. They'l be given when he online I'm sure.

You seem to have been quite challenged from tablets to humulin to basal/bolus regime now.

I know this is my constant question. Are you carb counting?

 

[Beausrus]

Sorry about that, I am trying too so I take low carbs, but do not plan to adjust until DN advises

 

[noblehead]

More type 2's are going on insulin and the times need to change I think.

There is a course for type 2's on insulin, it's called the The X-PERT Insulin Programme.

 

[donnellysdogs]

I know of some type 2's on insulin that have been on dafne courses instead of desmonds. which is why I stated dafne and / or dietitian.

 

[donnellysdogs]

So type 1 can adjust for carbs and type 2 not?

Well, basically that seems to be the set up within diabetes education for the majority. Type 1 yes, type 2 no.....

You are right, more and more type 2's are being put on insulin, but if they aren't being educated on carbcounting, healthy lifestyles, availability to meters and bloodstrips etc then it will keep rising unfortunately.

It is a dire situation and one that our governments aren't paying enough attention to.

Just my thoughts. Sorry for straying off topic.

 

[Beausrus]

No probs

 

[Daibell]

Some T2s are actually undiagnosed LADA and that can be the real reason for a Basal/Bolus regime. I think anyone put onto Basal/Bolus should be taught to carb-count by the DN. I was by my DN at the very start. It took about 10 minutes and she gave me a useful leaflet showing various carb pictures and portion sizes for 10gm. So to the original OP I would suggest asking your DN for guidance on carb-counting; it's really easy and 1 Bolus shot to 10gm carbs is the usual start point and then the meter will guide you on how much to tweak the ratio. If you can get onto a course that may well help. BTW the aim is to keep the carbs down to avoid weight and sugar gain and match the insulin to that level.

 

[Beausrus]

Thanks