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Type 1 Diabetes
High sugar levels AGAIN feeling upset :(
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<blockquote data-quote="iHs" data-source="post: 721406" data-attributes="member: 8799"><p>[USER=131199]@colsan[/USER].... for correction doses to work well, the calculation needs to be weighed up on the total daily dose of bolus and basal insulin added together and then that gets divided into 100 to give the correction factor. But, the TDD also needs to be giving bg levels that fall within sensible targets. If the TDD is wrong, then the correction factor wont be quite right either but we all have to start somewhere so thats why the rough guide of 1u to 3mmol is used first of all and then if it doesnt seem to work, it can be adjusted up or down. You could have a go at using 1u to lower by 2mmol and calculate yr correction dose on that and use sensible bg targets to calculate to. Ideally, a bg correction should only be done after 4hrs of bolus unless mega high at the 3hr mark. Once you get yr basal dose correct which ideally is done by doing some fasting and adjusting it up or down according to what bg target you use. then all thats needed is to get the insulin to carb ratio correct by eating something like 20g carb and using a ratio. Most start with 1u for 10g but it can be adjusted up or down to suit the bg targets set out by dsn, doctor or looking at NICE.</p></blockquote><p></p>
[QUOTE="iHs, post: 721406, member: 8799"] [USER=131199]@colsan[/USER].... for correction doses to work well, the calculation needs to be weighed up on the total daily dose of bolus and basal insulin added together and then that gets divided into 100 to give the correction factor. But, the TDD also needs to be giving bg levels that fall within sensible targets. If the TDD is wrong, then the correction factor wont be quite right either but we all have to start somewhere so thats why the rough guide of 1u to 3mmol is used first of all and then if it doesnt seem to work, it can be adjusted up or down. You could have a go at using 1u to lower by 2mmol and calculate yr correction dose on that and use sensible bg targets to calculate to. Ideally, a bg correction should only be done after 4hrs of bolus unless mega high at the 3hr mark. Once you get yr basal dose correct which ideally is done by doing some fasting and adjusting it up or down according to what bg target you use. then all thats needed is to get the insulin to carb ratio correct by eating something like 20g carb and using a ratio. Most start with 1u for 10g but it can be adjusted up or down to suit the bg targets set out by dsn, doctor or looking at NICE. [/QUOTE]
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Type 1 Diabetes
High sugar levels AGAIN feeling upset :(
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