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Type 1 Diabetes
Fast acting to slow acting insulin ratio ?
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<blockquote data-quote="kitedoc" data-source="post: 2062153" data-attributes="member: 468714"><p>As [USER=30007]@tim2000s[/USER] says, a set in stone bolus:basal ratio is nonsensical.</p><p>Such talk is often called cookbook medicine, and apologies to cooks of all types.</p><p>The rigid thinking displayed is unforunately typical of deficiencies in medical education.</p><p>There used to be a similar edict that for a normal adult male whose pancreas is removed would require</p><p>40 units of insulin to balance and control bsls.</p><p>Yes maybe if on the typical number of carbs for whenever that myth was formulated, with no other health conditions etc stc, - no thinking outside the square allowed !!!</p><p>On a low carb diet some of us are nearer to short:long , 30:70 or 20:80 and so on.</p><p>So ratio stated by this consultant may provide stability if you can contort yourself to what ever dietary regime. And is he really saying do not do fasting or low carb.? Communication is key as [USER=30007]@tim2000s[/USER] infers.</p><p>On hi carb you end up chasing blood sugars with more short acting insulin</p><p>On low carb you end up eating more to the action of your insulin and that often means lower short-acting, or low intermittent doses of it but more long acting or basal.</p><p>Some persons need more insulin per body weight than others. Just imagine if we were all weighed and had insulin doled out per kg bodyweight.</p><p>Sorry, you weigh less this week so less insulin for you.</p><p>..........Opps zero body weight, what happened ?</p></blockquote><p></p>
[QUOTE="kitedoc, post: 2062153, member: 468714"] As [USER=30007]@tim2000s[/USER] says, a set in stone bolus:basal ratio is nonsensical. Such talk is often called cookbook medicine, and apologies to cooks of all types. The rigid thinking displayed is unforunately typical of deficiencies in medical education. There used to be a similar edict that for a normal adult male whose pancreas is removed would require 40 units of insulin to balance and control bsls. Yes maybe if on the typical number of carbs for whenever that myth was formulated, with no other health conditions etc stc, - no thinking outside the square allowed !!! On a low carb diet some of us are nearer to short:long , 30:70 or 20:80 and so on. So ratio stated by this consultant may provide stability if you can contort yourself to what ever dietary regime. And is he really saying do not do fasting or low carb.? Communication is key as [USER=30007]@tim2000s[/USER] infers. On hi carb you end up chasing blood sugars with more short acting insulin On low carb you end up eating more to the action of your insulin and that often means lower short-acting, or low intermittent doses of it but more long acting or basal. Some persons need more insulin per body weight than others. Just imagine if we were all weighed and had insulin doled out per kg bodyweight. Sorry, you weigh less this week so less insulin for you. ..........Opps zero body weight, what happened ? [/QUOTE]
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Fast acting to slow acting insulin ratio ?
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