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hopefully a quick question...i will phone DSN monday but i want to get more of a handle on this subject. am 'starting again' with learning about how to accurately calculate my insulin. been t1 for 12 years, have always kinda guessed, this works out ok but i want to be better than ok (am 9 weeks pregnant so am seeking better than average control right now)!
am seeing a dietician but she's started me off by just getting me to fill in food diary...just the carbs so i can prove i can do this accurately (which i can, not finding it hard). saw DSN thurs and she wanted to move me along by using those carb calcs to find the correct dose of insulin (coz losing hypo awareness due to few hypo's a day). we surmised that my 'ratio' is 2u for 10g for breakfast and 1u for 10g lunch/tea/snack. but i didn't ask about corrections...i.e. if i'm not in the 3.5-5.9 before meals (i'm 9 weeks pregnant so guidelines are strict) how do i work out how much extra to add to the calculation? i've been guessing and adding on an extra unit for every 1 mmol over 5.9 i am (so if my BS 8mmol i add 2u on the the 6u i would've calculated for 30g of carbs???). it's kinda working but just wanted to know if anyone has a list???
do the units per day we use have any affect on the calculations? i'm using around 50 (30am/20pm) long acting (insulatard) per day and between 8-12 of humalog per meal, so around 30u on average. that amounts to 80u per day, higher than average from what i gather. part of this is due to being 2.5 stone overweight and part of this due to pregnancy (was using 5-9 per meal before and 24am/18pm long acting so 60ish a day which is still higher than average i think).
grateful for any pointers/advice/guidelines
am seeing a dietician but she's started me off by just getting me to fill in food diary...just the carbs so i can prove i can do this accurately (which i can, not finding it hard). saw DSN thurs and she wanted to move me along by using those carb calcs to find the correct dose of insulin (coz losing hypo awareness due to few hypo's a day). we surmised that my 'ratio' is 2u for 10g for breakfast and 1u for 10g lunch/tea/snack. but i didn't ask about corrections...i.e. if i'm not in the 3.5-5.9 before meals (i'm 9 weeks pregnant so guidelines are strict) how do i work out how much extra to add to the calculation? i've been guessing and adding on an extra unit for every 1 mmol over 5.9 i am (so if my BS 8mmol i add 2u on the the 6u i would've calculated for 30g of carbs???). it's kinda working but just wanted to know if anyone has a list???
do the units per day we use have any affect on the calculations? i'm using around 50 (30am/20pm) long acting (insulatard) per day and between 8-12 of humalog per meal, so around 30u on average. that amounts to 80u per day, higher than average from what i gather. part of this is due to being 2.5 stone overweight and part of this due to pregnancy (was using 5-9 per meal before and 24am/18pm long acting so 60ish a day which is still higher than average i think).
grateful for any pointers/advice/guidelines