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Diabetes Discussion
Type 1 Diabetes
General Questions for a newly diagnosed Type 1
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<blockquote data-quote="CheeseSeaker" data-source="post: 2689438" data-attributes="member: 531814"><p>So thats quite a high carb meal (but everything is possible to handle more or less), and the fat in it makes odd stuff happen too.</p><p></p><p>For fatty foods with carbs mixed in (chips, pizza, pasta) the fat slow the absorption of carbs down, so you get an initial carb hit, followed by carbs rising over the next 5 or so hours as you break down the fat. </p><p></p><p>Insulin (effectively) works for 4 hours, so if you counted the carbs (I'm guessing as you'll need to know what your ratio is, and roughly how much carbs you've eaten) in this example 120g (chips plus pasta) and your IC ratio (how much insulin it takes to bring your BG down by 1 point - say 1unit to 10g as a starting point) you'd inject 12 units (just an example - you need your own figures).</p><p></p><p>However - as its a fatty food - this might mean you need 6u up front, and 6 units in 2 hours or so to cover the long digestion.</p><p></p><p></p><p></p><p>For exercise - its a bit of trial and error - take snacks with you (slow and fast acting, so glucose tablets and a couple of chocolate snack bars) in case you need them.</p><p></p><p>I usually find walking is fine, but as the distance creeps up I burn carbs and my BG drops - so snack once you see your BG start to drop (say 10-20g of carbs). </p><p></p><p>If it drops quickly - hit it with a few glucose tabs (fastest acting carbs you can eat), but watch for it dropping again after as glucose is in-and-burnt quite quickly (no slow digestion)</p></blockquote><p></p>
[QUOTE="CheeseSeaker, post: 2689438, member: 531814"] So thats quite a high carb meal (but everything is possible to handle more or less), and the fat in it makes odd stuff happen too. For fatty foods with carbs mixed in (chips, pizza, pasta) the fat slow the absorption of carbs down, so you get an initial carb hit, followed by carbs rising over the next 5 or so hours as you break down the fat. Insulin (effectively) works for 4 hours, so if you counted the carbs (I'm guessing as you'll need to know what your ratio is, and roughly how much carbs you've eaten) in this example 120g (chips plus pasta) and your IC ratio (how much insulin it takes to bring your BG down by 1 point - say 1unit to 10g as a starting point) you'd inject 12 units (just an example - you need your own figures). However - as its a fatty food - this might mean you need 6u up front, and 6 units in 2 hours or so to cover the long digestion. For exercise - its a bit of trial and error - take snacks with you (slow and fast acting, so glucose tablets and a couple of chocolate snack bars) in case you need them. I usually find walking is fine, but as the distance creeps up I burn carbs and my BG drops - so snack once you see your BG start to drop (say 10-20g of carbs). If it drops quickly - hit it with a few glucose tabs (fastest acting carbs you can eat), but watch for it dropping again after as glucose is in-and-burnt quite quickly (no slow digestion) [/QUOTE]
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