- Messages
- 17
- Type of diabetes
- Type 1
- Treatment type
- Insulin
Hi all,
I am new to this forum so sorry if this has been posted elsewhere.
I was diagnosed with T1 in September, 2012. I was given very little advice at the time of my diagnosis and have learnt to deal with it independently. I did attend the dafne course shortly after my diagnosis and have used the principle of carb counting and adjusting ratios with my most recent A1c result 5.1%.
A problem which has plagued me in recent months, however, is my change in carb insulin ratio. To begin with I was on 15:1 throughout the entire day. The ratios then changed for different times but remained fixed for many months and made treating the condition very easy. However, beginning in June this year and continuing up to now, my ratios appear to be changing every few days, sometimes changing from one day to the next.
For example: One day my ratio is 13:1 for my breakfast. I have established this after documenting my carb totals over a series of days, (eating the same foods and different foods to establish the approximate ratio). Then a week later, I check my level a few hours after eating and find it at 11 mmol/L upwards, normally averaging 15 mmol/L. (This is after eating the same foods and the same daily routine, including exercise.) I therefore make the necessary changes to my ratio and try it the following day. The following day it works perfectly and I never cross over 7 mmol/L. Then 2 days later I either have a hypo shortly after eating or find my results getting higher again, and have to recalculate my ratio. It can, over a short number of days, move all the way from 13:1, to 6:1 up to 14:1. It does become very difficult when a ratio of 6:1 suddenly reverts to 14:1 and I have administered far too much insulin. (obviously not knowing before feeling the indications of a hypo.)
This is a recurring problem with me and is starting to become very frustrating, battling this ever changing ratio, which is impossible to know beforehand, and has become a matter of injecting and hoping it hasn't changed from the previous day.
Can anyone tell me if this is common or does anyone have any advice on what to do? I am fully aware of 'the honeymoon period' so don't know if this is still a contributor or I am becoming insulin resistant at spontaneous times?
Any help would be great!
Thanks in advance,
James
I am new to this forum so sorry if this has been posted elsewhere.
I was diagnosed with T1 in September, 2012. I was given very little advice at the time of my diagnosis and have learnt to deal with it independently. I did attend the dafne course shortly after my diagnosis and have used the principle of carb counting and adjusting ratios with my most recent A1c result 5.1%.
A problem which has plagued me in recent months, however, is my change in carb insulin ratio. To begin with I was on 15:1 throughout the entire day. The ratios then changed for different times but remained fixed for many months and made treating the condition very easy. However, beginning in June this year and continuing up to now, my ratios appear to be changing every few days, sometimes changing from one day to the next.
For example: One day my ratio is 13:1 for my breakfast. I have established this after documenting my carb totals over a series of days, (eating the same foods and different foods to establish the approximate ratio). Then a week later, I check my level a few hours after eating and find it at 11 mmol/L upwards, normally averaging 15 mmol/L. (This is after eating the same foods and the same daily routine, including exercise.) I therefore make the necessary changes to my ratio and try it the following day. The following day it works perfectly and I never cross over 7 mmol/L. Then 2 days later I either have a hypo shortly after eating or find my results getting higher again, and have to recalculate my ratio. It can, over a short number of days, move all the way from 13:1, to 6:1 up to 14:1. It does become very difficult when a ratio of 6:1 suddenly reverts to 14:1 and I have administered far too much insulin. (obviously not knowing before feeling the indications of a hypo.)
This is a recurring problem with me and is starting to become very frustrating, battling this ever changing ratio, which is impossible to know beforehand, and has become a matter of injecting and hoping it hasn't changed from the previous day.
Can anyone tell me if this is common or does anyone have any advice on what to do? I am fully aware of 'the honeymoon period' so don't know if this is still a contributor or I am becoming insulin resistant at spontaneous times?
Any help would be great!
Thanks in advance,
James