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Carb counting ?!?!
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<blockquote data-quote="Book_woorm" data-source="post: 1704038" data-attributes="member: 90094"><p>You don't say if you've been on a carb counting course yet? if not nag your specialists to get on one.</p><p></p><p>Besides just carb counting are you also adjusting your insulin ratios for activity? Are you running a log of your carb intake/activity levels/insulin use and also noting down the time you test, eat and what you've been doing. If you are then you will soon see patterns emerge. They wont be the same everyday but things like 'I always go low after I've cleaned the house.' will emerge and that tells you that cleaning is using up more energy than you have been allowing for.</p><p></p><p>If I sit watching the TV of an evening I need to use a ratio of 1 unit of fast acting insulin per 8 gram CHO in the evening meal. On the other hand if I'm taking a day long walk over Dartmoor then a ratio of 1:15 is more appropriate or even 1:20 if there are lots of ups and downs along the path.</p><p></p><p>I've found I need to count up every last carb, there is a great temptation to simplify things, so don't ignore the numbers on a packet of sausages that says 1.8g carbohydrates per sausage because by the time you've eaten 3 of them that 5.4g CHO and probably half a unit of insulin that you didn't and should have added to the total you injected and you wonder after the event why you next BG test is higher. You'll get to remember the number of grams of CHO in things like potatoes but don't ignore the sugars in other veg like carrots and peas.</p><p></p><p>There are other factors as well, the more fat there is in the meal the longer it takes for the carbs to get into the blood stream so you could test 3 hours after a meal and think everything's ok only to find that 5 ours later or the next morning you've gone very high. you can blame that on not getting the base of last nights pizza wrong but it might be more to do with the excessive amount of cheese on the top.</p><p></p><p>These are just some of the things that I've found that appear to throw the BG readings on the meter.</p></blockquote><p></p>
[QUOTE="Book_woorm, post: 1704038, member: 90094"] You don't say if you've been on a carb counting course yet? if not nag your specialists to get on one. Besides just carb counting are you also adjusting your insulin ratios for activity? Are you running a log of your carb intake/activity levels/insulin use and also noting down the time you test, eat and what you've been doing. If you are then you will soon see patterns emerge. They wont be the same everyday but things like 'I always go low after I've cleaned the house.' will emerge and that tells you that cleaning is using up more energy than you have been allowing for. If I sit watching the TV of an evening I need to use a ratio of 1 unit of fast acting insulin per 8 gram CHO in the evening meal. On the other hand if I'm taking a day long walk over Dartmoor then a ratio of 1:15 is more appropriate or even 1:20 if there are lots of ups and downs along the path. I've found I need to count up every last carb, there is a great temptation to simplify things, so don't ignore the numbers on a packet of sausages that says 1.8g carbohydrates per sausage because by the time you've eaten 3 of them that 5.4g CHO and probably half a unit of insulin that you didn't and should have added to the total you injected and you wonder after the event why you next BG test is higher. You'll get to remember the number of grams of CHO in things like potatoes but don't ignore the sugars in other veg like carrots and peas. There are other factors as well, the more fat there is in the meal the longer it takes for the carbs to get into the blood stream so you could test 3 hours after a meal and think everything's ok only to find that 5 ours later or the next morning you've gone very high. you can blame that on not getting the base of last nights pizza wrong but it might be more to do with the excessive amount of cheese on the top. These are just some of the things that I've found that appear to throw the BG readings on the meter. [/QUOTE]
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