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<blockquote data-quote="ert" data-source="post: 2107592" data-attributes="member: 504712"><p>I'm sorry you're feeling abandoned. You've come to the right place, there are a lot of experienced T1 members here, who will be able to give you some advice. I'm also new to using insulin and from personal experience, would recommend that you be patient with your blood sugars, as sugars as high as you have had take a few days to significantly improve even on insulin. Even though your appointment isn't tomorrow, you should be able to phone your diabetes team and ask them for a carb calculation starting point.</p><p>You probably should ignore what was given to me but I was told that the bulk standard starting point, given by my diabetes nurse, is 1 unit of fast-acting insulin covers 10 grams of carbohydrates. My specialist gave me a different ration of 0.5unit of fast-acting insulin covers 10 grams of carbohydrates. So I found it was just a bit of a science experiment with a glucometer. Make sure you are testing with a glucometer before each meal and two hours afterwards to get an idea of how your calculation varies from this starting calculation (I also do 3 hours and 5 hours afterwards as I have a CGM). I split the short-acting insulin dose and have two-thirds before my meal and one-third afterwards as I was nervous (and still am) about using short-acting.</p></blockquote><p></p>
[QUOTE="ert, post: 2107592, member: 504712"] I'm sorry you're feeling abandoned. You've come to the right place, there are a lot of experienced T1 members here, who will be able to give you some advice. I'm also new to using insulin and from personal experience, would recommend that you be patient with your blood sugars, as sugars as high as you have had take a few days to significantly improve even on insulin. Even though your appointment isn't tomorrow, you should be able to phone your diabetes team and ask them for a carb calculation starting point. You probably should ignore what was given to me but I was told that the bulk standard starting point, given by my diabetes nurse, is 1 unit of fast-acting insulin covers 10 grams of carbohydrates. My specialist gave me a different ration of 0.5unit of fast-acting insulin covers 10 grams of carbohydrates. So I found it was just a bit of a science experiment with a glucometer. Make sure you are testing with a glucometer before each meal and two hours afterwards to get an idea of how your calculation varies from this starting calculation (I also do 3 hours and 5 hours afterwards as I have a CGM). I split the short-acting insulin dose and have two-thirds before my meal and one-third afterwards as I was nervous (and still am) about using short-acting. [/QUOTE]
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