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Diabetic nurse changed my carb ratio
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<blockquote data-quote="xMenace" data-source="post: 250416" data-attributes="member: 34650"><p>You likely have a pronounced DP (dawn phenomenon). Many of us do. Our I:C in early morning is much higher than our I:C from mid-morning on. The more we eat at breakfast, the lower we go before lunch. As we drift into better i:c range, our insulin on board (IOB) drifts into overdose range; it becomes more effective. </p><p></p><p>I can adjust with temp-basals on my pump, but on MDI, you should consider postponing breakfast until 10AM, if you can. Another strategy is eating very low to no carbs for breakfast. </p><p></p><p>*caution: John is not a health professional. Run these ideas by your nurse who, in all likelyhood, will call John crazy and dangerous. Tell that to my 5.6 A1C with almost zero hypos.</p></blockquote><p></p>
[QUOTE="xMenace, post: 250416, member: 34650"] You likely have a pronounced DP (dawn phenomenon). Many of us do. Our I:C in early morning is much higher than our I:C from mid-morning on. The more we eat at breakfast, the lower we go before lunch. As we drift into better i:c range, our insulin on board (IOB) drifts into overdose range; it becomes more effective. I can adjust with temp-basals on my pump, but on MDI, you should consider postponing breakfast until 10AM, if you can. Another strategy is eating very low to no carbs for breakfast. *caution: John is not a health professional. Run these ideas by your nurse who, in all likelyhood, will call John crazy and dangerous. Tell that to my 5.6 A1C with almost zero hypos. [/QUOTE]
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