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Dosing question - basal or bolus...?

-Artemis-

Well-Known Member
Messages
533
Type of diabetes
Type 1
Treatment type
Other
Hello.... so, I am on day ten of insulin - and I'm just wondering: overall I'm not having too many swings and my numbers are coming down - but two hours after a meal I'm in the 8's and 9's... three hours after and I'm back in the 6's; and by my next meal I'm usually in low 6's or 5's... is this likely that:

a) my digestion is slow...? I'm having low-ish carb, high-ish fat meals... so wonder if I'm just seeing the high point at the two hour mark? At the one hour point I'm usually lower than the two...
b) I need more fast acting with my meals...?
c) something else - possibly bolus - but I'm thinking not cos of the 5's & 6's I'm returning to by the next meal/in the night...

Grateful for your wisdom and insights!
 
If you're eating fats or fibre, the stomach empties slower which means the glucose is released into your bloodstream slower. Happens to me all the time.
For fatty foods I split my dose.

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For those types I meal I would inject earlier, maybe 15-20mins prior to eating. This should help counteract the spike.
 
Edit just saw mo's and amberzck advice and this isn't to counter what sounds like good advice


I would do a lot of reading and learning but put every adjustment through your nurse for now. As has been said write down your carbs and insulin and show the nurse your I:C or ICR may be off
Do you have a workbook
There is an online course and download workbooks that will help with background info till you do your course
http://www.diabetes.co.uk/forum/threads/newly-diagnosed.60873/#post-583801
 
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Ah.... fab advice and tips as always - thank you!

... and @mo1905 I've read some people inject earlier and didn't understand why: this makes sense! Will give it a try...
 
Those figures aren't too bad and not dis-similar to mine. Perhaps a slight increase in bolus ratio might help a bit but only a small tweak and measure to avoid a hypo.
 
@Daibell & @DunePlodder - n'aww; it really made me smile to hear that you think I'm doing OK... it's all so new to me I've no benchmark - so I'm massively grateful for your words of encouragement, thank you

@jack412 - interesting... will google...
 
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