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Type 1 Diabetes
Guessing my insulin doses
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<blockquote data-quote="scotteric" data-source="post: 1706851" data-attributes="member: 453103"><p>It's trial and error, I figured it out on my own mostly when I got my pump years ago. It's still a lot of guessing and going with your gut instinct unless you eat very predictable meals and weigh every portion, which I don't. Make sure you do basal testing because if your basal dose isn't right there's no way you can carb count correctly. Start by eating something very predictable like a slice of bread. Remember your ratios may be different at different times of the day and depending on how strong your basal dose is at a given time of day. Also, it isn't consistent across foods at the different GIs of different foods mean they digest at different rates. It takes a lot of trial and error to figure it all out, and after 11 years I'm still working on it! It's more an art than a science too as they are so many factors out of your control that influence how insulin will absorb and food will digest at a given point in time. If you can get a CGM or Libre combined with a pump I highly recommend it. I make a million adjustments a day based on my CGM and taking small amounts of insulin or extending a dose over a period of time using my pump. I could not get the excellent control I have eating the things I do without these technologies, and I've never found carb counting to keep me in range well enough without making adjustments throughout the day.</p></blockquote><p></p>
[QUOTE="scotteric, post: 1706851, member: 453103"] It's trial and error, I figured it out on my own mostly when I got my pump years ago. It's still a lot of guessing and going with your gut instinct unless you eat very predictable meals and weigh every portion, which I don't. Make sure you do basal testing because if your basal dose isn't right there's no way you can carb count correctly. Start by eating something very predictable like a slice of bread. Remember your ratios may be different at different times of the day and depending on how strong your basal dose is at a given time of day. Also, it isn't consistent across foods at the different GIs of different foods mean they digest at different rates. It takes a lot of trial and error to figure it all out, and after 11 years I'm still working on it! It's more an art than a science too as they are so many factors out of your control that influence how insulin will absorb and food will digest at a given point in time. If you can get a CGM or Libre combined with a pump I highly recommend it. I make a million adjustments a day based on my CGM and taking small amounts of insulin or extending a dose over a period of time using my pump. I could not get the excellent control I have eating the things I do without these technologies, and I've never found carb counting to keep me in range well enough without making adjustments throughout the day. [/QUOTE]
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