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Type 1 Diabetes
Help with sugar roller coaster
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<blockquote data-quote="iHs" data-source="post: 962113" data-attributes="member: 8799"><p>Most type 1s do need to split their levemir basil as its action on controlling bg levels tends to be about 12hrs so by injecting an amount in the morning as well as the evening, that then alters the amount of bolus that is needed for a meal.</p><p></p><p>6u for a 40g carb meal works out at a carb ratio of 1u for 7g carb (6x7=42). 1u to 7g is not that high but looking at your bolus doses at lunchtime (10u) this does more or less look as though your evening basal is starting to run out of steam and its definately run out of puff by the time you do your eve meal bolus of 12u.</p><p></p><p>Have a talk with your DSN about splitting your Levemir as I think you will find yourself a bit better controlled.if you do.</p><p></p><p>The way to find your ideal carb ratio is to test bg levels before a main meal and 2.5hrs later and alter the bolus to be a good bg level of about 5-6mmol before a main meal and allow for a rise in bg to be no higher than 3mmol above the before meal bg level mid way and then by the time the bolus has finished its action (4.5hrs), the bg should have fallen back to about 5-6mmol again</p><p></p><p>Can you bg test frequently (6 times during the day) and write the amounts of carb down with the bolus and basal doses? Things always become clearer when you write stuff down and look at the results to make adjustments.</p><p>The BDEC website is good to explain insulin to carb ratios and for correction dose adjustment the 100 rule saves guessing and making mistakes.</p></blockquote><p></p>
[QUOTE="iHs, post: 962113, member: 8799"] Most type 1s do need to split their levemir basil as its action on controlling bg levels tends to be about 12hrs so by injecting an amount in the morning as well as the evening, that then alters the amount of bolus that is needed for a meal. 6u for a 40g carb meal works out at a carb ratio of 1u for 7g carb (6x7=42). 1u to 7g is not that high but looking at your bolus doses at lunchtime (10u) this does more or less look as though your evening basal is starting to run out of steam and its definately run out of puff by the time you do your eve meal bolus of 12u. Have a talk with your DSN about splitting your Levemir as I think you will find yourself a bit better controlled.if you do. The way to find your ideal carb ratio is to test bg levels before a main meal and 2.5hrs later and alter the bolus to be a good bg level of about 5-6mmol before a main meal and allow for a rise in bg to be no higher than 3mmol above the before meal bg level mid way and then by the time the bolus has finished its action (4.5hrs), the bg should have fallen back to about 5-6mmol again Can you bg test frequently (6 times during the day) and write the amounts of carb down with the bolus and basal doses? Things always become clearer when you write stuff down and look at the results to make adjustments. The BDEC website is good to explain insulin to carb ratios and for correction dose adjustment the 100 rule saves guessing and making mistakes. [/QUOTE]
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