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four times a day compared to twice a day

I just found it's pretty easy to stabilise on a 2-injection a day routine.
Took me four days from being diagnosed to being 4-7mmol/l everytime i test. For the past two days, anyway.
I was 41 mmol/l when i went into hospital :shock: so I'm pretty pleased with myself.

Now I want my basal/bolus :P Also, like miss loz said - a little more information on why it's easier to get out of control on that regime would be nice?
 
Hi totsy.

What you need to know is how well your pre meal/post meal blood sugars are doing.

If your 3am/8am blood sugars are fine your basal Lantus dose is fine.

If your 2 hour post meal blood sugars are more than 8 you are best to reduce the carb content of your meals till you get consistently under 8. If you find this either does not work even at low levels of carb or you can't bear to reduce your carb to levels of say 12-20 g per meal you probably do need insulin for your meals.

If you need insulin for your meals you have 3 routes to go.

If you love low carbing mixtard may suit you best as a twice daily insulin.
If you prefer higher carbs novomix or similar may suit your better.
Either way you are committed to having regular meals with a consistent carb intake at breakfast and evening meal. You are insufficiently covered with insulin at lunch with either regime so it is best to keep to meat/egg/low starch veg options for lunch.

If you prefer maximum meal flexibility getting novorapid or humalog for your meals will be fine. There are more jags but you do have more choice about when and what you eat.

Several days of meal / blood sugar listings will help you and your doctor come to the best decision.
 
Ashland said:
I just found it's pretty easy to stabilise on a 2-injection a day routine.
Took me four days from being diagnosed to being 4-7mmol/l everytime i test. For the past two days, anyway.
I was 41 mmol/l when i went into hospital :shock: so I'm pretty pleased with myself.

Now I want my basal/bolus :P Also, like miss loz said - a little more information on why it's easier to get out of control on that regime would be nice?
Click to expand...

Closer to what the pancreas does naturally. Just means tighter control, more blood checks, etc.
 
Basal/bolus is entirely the correct way to go.

The flexibility and control possible when you get to grips with carb counting is just much better. I have heard far too many horror stories about mixed insulins (which lets face it are now old fashioned and rarely prescribed for new Type 1s) to ever go there.

Forget the injections: you're stuck with this for life, so you may as well have the flexibility to eat when and what (within reason!) you like.
 
Lionrampant, I just don't understand your position.

It is far easier to naturally follow what the pancreas does by following a basal/bolus regime than with mixed insulins.

I don't care if I have to test 5 times a day (or more) if a) I get to have good, tight control; b) I have flexibility over content and timing of meals; and c) as a result of it all I can avoid complications.

Seriously, what's a finger prick?
 
LadyJ said:
Lionrampant, I just don't understand your position.

It is far easier to naturally follow what the pancreas does by following a basal/bolus regime than with mixed insulins.

I don't care if I have to test 5 times a day (or more) if a) I get to have good, tight control; b) I have flexibility over content and timing of meals; and c) as a result of it all I can avoid complications.

Seriously, what's a finger prick?
Click to expand...

I fail to see what position I'm being accused of holding. I simply told Ashland (in abbreviated form) what was involved in managing basal-bolus.

You are ascribing opinions where none exist. :P
 
Yes well these are all opinions!

at the end of the day! we r all different and it is wot we r comfortable with !!

i recongised the point some1 made about eatin at lunch on twice a day regime?
so wot sort of stuff can u eat then ?

thanks for all ur comments everyone :)

much appreciated !
 
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