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experimental high carb lunch

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the_anticarb

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I forgot my low carb lunch this morning, and decided as a little experiment to eat a normal carb lunch. At this point I haven't had any breakfast so just had my metformin and lantus.

I ate a standard size sandwich roll (oven bottom muffin thing) with ham salad filling, estimated this to be around 50- 60g carbs for the bread so injected 6 u novo.

Two hours later I am 11.6. Had a couple of units correction dose to bring me down.


Ah well back to the low carbing, I seem to get away with a small dose of carbs in the evening, but earlier in the day I just bounce up high unless I inject massive amounts of novo to cover. And then I'm worrying about zig zagging when I'm at work...not good.

Depressing as I wanted to be 'normal' eating-wise for just one day, and even with injecting what I thought was enough novo to cover it I still bounce up to the ceiling.

Remind me again how I'm supposed to be able to eat carbs with every meal?
 
My basal insulin came down from 36 units a day to 24 units a day when I started on a lower carb diet -now I'm down to 21 units of basal insulin.

This may be a factor in the need for higher than expected amounts of bolus insulin.

The other thing I find is that before low carbing, I wouldn't dream of doing post meal testing. I struggled to keep my before meal readings under 10, let alone my post meal readings.
 
I always struggled with the fluctuations of using Novorapid - I'd count the carbs, work out my ratio and take a few units and then spend the next 4 hours wobbling all over the place.

I now just low carb and use 10 units of Lantus per day and it seems to work (so far).
 
swimmer2 said:
I always struggled with the fluctuations of using Novorapid - I'd count the carbs, work out my ratio and take a few units and then spend the next 4 hours wobbling all over the place.

I now just low carb and use 10 units of Lantus per day and it seems to work (so far).
Click to expand...
Out of interest-Is a Basal/long acting insulin like Lantus the first line of treatment when oral Meds have failed to control BG's?
 
alaska said:
My basal insulin came down from 36 units a day to 24 units a day when I started on a lower carb diet -now I'm down to 21 units of basal insulin.

This may be a factor in the need for higher than expected amounts of bolus insulin.

The other thing I find is that before low carbing, I wouldn't dream of doing post meal testing. I struggled to keep my before meal readings under 10, let alone my post meal readings.
Click to expand...


That's very true I did reduce my basal when I started low carbing. Unfortunately, dafne logic does not always translate into reality so you can't just up the bolus when you eat carbs again without considering the basal.

I'm hungry again now, that sandwich didn't fill me up so wan't worth it - luckily I have some ham and cheese in the work fridge to make roll ups!
 
bigfatpaulie said:
Out of interest-Is a Basal/long acting insulin like Lantus the first line of treatment when oral Meds have failed to control BG's?
Click to expand...

I was put on both together - Lantus overnight at 30 units and Novorapid - usually 6-8units per meal.

It's an indication of the effect of the low carbing because either of those doses would make me hypo now.

I should point out, however, that my DBN was faced with my levels being bad and me insisting I was eating sensibly (I was not). She had little choice but to push the Insulin button and I, maybe rashly, thought it would be a magic bullet fix.
I may yet find out I'm type 1.5 and had no choice in the matter.
 
Thanks for the reply.It's a possibility that I may be started on Insulin but I'd like to keep up with the diet and keep the dosage as low as possible that'll give me good control.
 
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