It does seem quite high but then everyone is different.
When I went on a carb counting course in July the range of carb ratios was between 1:2 (1 unit insulin to 2 carbs - so quite close to yours) and 1:50 (wowsers!)
Wow that's a lot of insulin! But not saying it's wrong either, so long as your BGL is stable and in the right 'zone'
I was going to say - Could I ask if you are on the slightly large than most body scale?!? but it's only in the last week(or so) that you're insulin needs have gone up, no one puts weight on that quickly!
You may be coming down with something? illness does raise BGL.
Maybe if it continues you could see about getting metformin if it is insulin resistance.
I have made an effort in the last few weeks to eat less carbs and to make sure they are at the lower end of the GI scale. I already split the Levemire into two doses, 40 at night and 28 in the morning and I think that does help as it doesn’t last anywhere near 24hours if I inject once a day. Waiting for an appointment with the dietician to discuss a way forward! Thanks for your helpful advice. Best wishesHi @palm_tree, From my experience as a T1D, and not as professional advice or opinion.
1) Does your C/I ratio of 1:1 apply for all meals? With use of my insulin pump my ratios are different between morning and evening meals.
2) What type of carbs do you eat? If your carbs are the type that are absorbed quickly you may need more bolus (short-acting) insulin to deal with the high rise BSL compared to lower GI/GL carbs (please see mendosa.com, GI, GL definitions and Glycaemic Values for an explanation). Basically not all carbs are created equal.
3) Levemir is reputed to last 12 to 16 hours, sometimes stretching to 24 hours - so it may be that your basal insulin is running out and so one meal time eaten in the hours before the next daily shot of Levemir might require more short-acting compared to another time of day.. Many of us take Levemir twice daily to avoid this problem.
Of course please discuss 1) and 2) with your DN or doctor before making any alterations.
Best Wishes and please let us know how things go !!
Thanks. Do you know if there is a way of testing to work out what my basal dose should be?@Rokaab As far as basal dose is concerned I don't think it's quantity that matters - I'm on slightly more Levemir than you. It's whether it is "correct". Otherwise you are compensating for too low a basal dose with more bolus or vice versa.
I'm in the middle of "resetting" my basal as I'd let it drift (too low) & as I get closer my boluses get smaller.
Carb ratios can be confusing as we used to call 10gm a "Carb". In the USA I think it was 15gm.
At the moment mine is quite high too but mainly because my levimir is not working! I have an appointment with the DSN in 2 weeks who is usually very helpful but tomorrow I have to go and see the useless nurse from my surgery to get my bloods done. I’ve decided to just agree with everything she says instead of fighting her - it’s too exhausting!Over the last week I have been intensively monitoring my glucose readings and counting carbs and adjusting my bolus dose. It turns out I need a carb/insulin ratio of 1:1. Yes, one unit of insulin for every gram of carbohydrate I consume. This seems rather high? Does anyone have any idea as to whether this is normal or satisfactory? It seems higher than the advice on carb counting I read online.
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