How can I figure out mealtime insulin?

Elisa17591

Member
Messages
9
Type 2 diabetes for a year and a-half. American but I prefer this forum because it aligns with my own personal beliefs on dieting.

Endocrinologist just put me on mealtime insulin because Farxiga became really unaffordable for me (****** insurance) but it also worked really well.

Doctor keeps sending me to diabetes education specialists who told me one unit of insulin for every 15 carbs I eat at meals. Nothing about snacks.

Ever since I was diagnosed, I've followed a low-carb diet. Education specialists keep telling me I can't survive without carbs (pasta, bread, rice, pizza, etc) but I eat TONS of veggies. I also work out. Been losing body fat and am average size. Educators want me to eat at least 30 carbs per meal.

Ever since going off farxiga, my sugars have climbed (of course) but the mealtime insulin dosage the educator gave me seems utterly ineffective. I've also upped my basal insulin at night, but fasting levels are a little high. Seeing levels above normal when I wake up and between meals. Not too high (between 125-150 mg) but it's frustrating that I seem to have lost control again.

What's a good dosage for mealtimes? And WHY am I being told I have to eat more carbs when I'm already higher than normal? It makes no sense...

Breakfast: Eggs & bacon, sometimes with spinach
Lunch: Salad with chicken or bacon and cheese on top, half a serving of dark chocolate (85% cacao)
Dinner: Protein of some type with veggies
Snacks: almonds or cheese and maybe some fruit

Am I super insulin resistant? How can I adjust mealtime doses to work for me? I'm leaving the country in a few weeks and really want to understand how to calculate mealtime insulin before going abroad for 11 days.
 

kitedoc

Well-Known Member
Messages
4,783
Type of diabetes
Type 1
Treatment type
Pump
Dislikes
black jelly beans
Hi @Elisa17591, Hello and welcome. Thank you for posting !!
Unfortunately we cannot advise on dosages and treatment as we on site are not registered or licensed to give medical advice.
Best to present your BSL readings, fasting and for say, 2 hours after meals, to your educators and request help in dealing with your high fasting readings and perhaps adjusting your insulin to carb ratio.
And I believe that some of us on low carb diets count in 50% of the protein in our meals as carbohydrate because our liver converts about 1/2 the protein into glucose.
For example, the one egg I have for breakfast contains on average 7 g of protein so I add 3 1/2 g to my carb count and so on.
Well done on trying low carb diet. Ask your educators to please update themselves by reading this;
https://www.lchf-rd.com/2019/01/27/carbohydrates-are-not-evil/ which is by a certified dietitian stating that you do need need carbohydrate to survive. Eskimos and Inuit people proved that long ago !!
Best Wishes :):):)