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Type 1 Diabetes
Do I still need mealtime insulin if what I'm eating has basically no carbs?
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<blockquote data-quote="tim2000s" data-source="post: 1391263" data-attributes="member: 30007"><p>Hi [USER=375300]@bobneil[/USER], one thing to be aware of is that while insulin stacking is not advised by medical professionals, the main reason for this is that it makes tracking your current insulin on board hard. </p><p></p><p>Insulin isn't multiplicative, it is additive, so if you have your ratios set up correctly, and you do stack, you won't end up with any issues as the bolus insulin you have taken will be used only on the carbs you've had it for. The way we confirm this is by checking glucose levels before eating, two hours after and four hours after. If, at four hours after eating, the bg level has not returned to the same level as prior to eating, then your I:C ratio is likely to be incorrect. </p><p></p><p>One thing to bear in mind, given how recently you've been diagnosed, is that your I:C ratios are likely to not be consistent. When you are newly diagnosed, the addition of exogenous insulin allows some respite of your pancreas, and as a result, it can spit out additional insulin in response to food, meaning that you head lower than anticipated.</p></blockquote><p></p>
[QUOTE="tim2000s, post: 1391263, member: 30007"] Hi [USER=375300]@bobneil[/USER], one thing to be aware of is that while insulin stacking is not advised by medical professionals, the main reason for this is that it makes tracking your current insulin on board hard. Insulin isn't multiplicative, it is additive, so if you have your ratios set up correctly, and you do stack, you won't end up with any issues as the bolus insulin you have taken will be used only on the carbs you've had it for. The way we confirm this is by checking glucose levels before eating, two hours after and four hours after. If, at four hours after eating, the bg level has not returned to the same level as prior to eating, then your I:C ratio is likely to be incorrect. One thing to bear in mind, given how recently you've been diagnosed, is that your I:C ratios are likely to not be consistent. When you are newly diagnosed, the addition of exogenous insulin allows some respite of your pancreas, and as a result, it can spit out additional insulin in response to food, meaning that you head lower than anticipated. [/QUOTE]
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Do I still need mealtime insulin if what I'm eating has basically no carbs?
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