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Currently getting high levels when I wake up and every day

A

Aaron meikle

Newbie
Messages
3
Type of diabetes
Type 1
Treatment type
Insulin
I am currently struggling with what to eat and how much insulin to do when I eat if I have scrambled egg with brown bread how much insulin would I do
 
You really should have had all that covered by your diabetes team!
 
Welcome to the forum @Aaron meikle
Unlike some medical conditions, there is no standard dose of insulin. It depends on many things and is personal to you and we cannot advise how much to take - you need to talk to your health carer team.

You mention that you are struggling with what to eat. Unlike type 2, Type 1 is not managed with diet. It is managed with insulin so you need to be educated about how to calculate your insulin. You should not need a dietician for this - you need a diabetes nurse and/or an endocrinologist.
You may find there are some foods that are harder to calculate your insulin for because they are digested slower such as high fat food like pizza and curry. But, once you understand how to calculate your dose (it is primarily based on the carb content of your meal), you should have no problem with scrambled egg on toast.
 
I’m hoping you have an insulin to food ratio @Aaron meikle if so is it the carbs in food you are struggling with. Have a look at the back of the bread packet, I suspect it will be somewhere between 15-25 carbs per slice. The scrambled egg does not need to be in your reckoning up. Just the bread.
Let us know which bit is proving problematic. If indeed it is your insulin ratio then as @Sallyw said you need your diabetic team to support you with that. If it’s carbs the internet is a great tool. I bought myself the carbs and Cals book 10 years ago which I still sometimes refer to. They do an app but I never found it as good.
 
Hi @Aaron meikle

Can I ask how long you have been T1 for? I believe most new T1s now get advised on carb ratios and so on fairly quickly but some older ones never get sent on carb counting courses or DAFNE (Dose Adjustments For Normal Eating) courses and don't get any official education on adapting our insulin to our food. (Well, I basically winged it until about 7 years ago when a DN actually suggested some carb ratios to me, which I now adjust on my own)

It is possible to do the calculations on your own. If you can't get sent to a DAFNE course then BERTIE might help

Bertie Diabetes

bertiediabetes.com bertiediabetes.com

Basically, assuming you are on a basal bolus MDI (multiple daily injections regime)

Your basal - carries you through the day and night if you don't eat anything. Once this is correct you can then calculate insulin doses before each meal by

insulin = amount for meal + correction dose

amount for meal is ( insulin/carb ratio) multiplied by the carbs in the meal.
correction dose is calculated on whether your blood sugar before the meal is too low or high (it can be a negative amount if you are running low)

Good luck.

ps the nutritionist at my diabetic clinic asks for a two day food and blood sugar diary before each annual diabetic appointment so that she can check out her diabetics' various carb and insulin ratios.... (Disclaimer, though I had my first 30 years of diabetes in the UK, my last 7 have been in New Zealand.)
 
No Matter what i eat it goes up and if have more than normal Insulin it goes down I can not win sighs
 
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