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Type 1 Diabetes
How many carbs are enough?
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<blockquote data-quote="nigelho" data-source="post: 1021339" data-attributes="member: 41170"><p>I did my DAFNE Course in 2013 and we didn't use a nutritionist at all. I note you keep mentioning that each additional will lower your BS by 2 mmols. This is just a basic guide and you'll have to work out what works for you. I use Apidra and before that novorapid but I used a correction ratio of 1:1 and aim to reach 5mmol. I do 4 -5 hour testing as it takes my Apidra and tablets that long to work. My course informed us that we could eat ..whatever..as long as you allow the correct insulin to cover the carbs. However, use your common sence. My meal ratio is 2:1CP generally but I prefer to use 1:5 grams carbs as it's easier for me to calculate. At breakfast my meal ratio is 1:4 grams of carbs as I'm insulin resistant in the mornings. I also take 2 metformin 500mg SR tablets at each meal. Depending on activities I will alter my ratios accordingly and I get it right most of the time. </p><p>If you prefer to low carb then do so and forget what others say...If something works for you then stick to it. I now follow what I learnt on DAFNE but adjust the info to suit myself. Dafne changed my insulins in 2013 but since then I've gone onto Apidra as the novorapid stopped working and I've changed to Humulin I. The 2 tablets per meal was by trial and error. I started on 1 tablet a day but that didn't work so I increased the tablets until I found what worked. I still e-mail one of the DAFNE nurses that I trusted. My HBA1c is now 6.7% and BSs are usually fine.</p></blockquote><p></p>
[QUOTE="nigelho, post: 1021339, member: 41170"] I did my DAFNE Course in 2013 and we didn't use a nutritionist at all. I note you keep mentioning that each additional will lower your BS by 2 mmols. This is just a basic guide and you'll have to work out what works for you. I use Apidra and before that novorapid but I used a correction ratio of 1:1 and aim to reach 5mmol. I do 4 -5 hour testing as it takes my Apidra and tablets that long to work. My course informed us that we could eat ..whatever..as long as you allow the correct insulin to cover the carbs. However, use your common sence. My meal ratio is 2:1CP generally but I prefer to use 1:5 grams carbs as it's easier for me to calculate. At breakfast my meal ratio is 1:4 grams of carbs as I'm insulin resistant in the mornings. I also take 2 metformin 500mg SR tablets at each meal. Depending on activities I will alter my ratios accordingly and I get it right most of the time. If you prefer to low carb then do so and forget what others say...If something works for you then stick to it. I now follow what I learnt on DAFNE but adjust the info to suit myself. Dafne changed my insulins in 2013 but since then I've gone onto Apidra as the novorapid stopped working and I've changed to Humulin I. The 2 tablets per meal was by trial and error. I started on 1 tablet a day but that didn't work so I increased the tablets until I found what worked. I still e-mail one of the DAFNE nurses that I trusted. My HBA1c is now 6.7% and BSs are usually fine. [/QUOTE]
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