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Type 2 Diabetes
How to calculate insulin to carb ratio in a type 2?
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<blockquote data-quote="phoenix" data-source="post: 106510" data-attributes="member: 12578"><p>Some suggestions , I’m not type 2, t you really need to <u>take care</u>, make any changes <u>gradual</u>!, dealing with larger amounts of insulin can result in larger mistakes. <strong>He should really discuss any plan with his doctor</strong>.</p><p>First Do some basal testing and try to get basal correct. </p><p>Method?? 1</p><p><strong>Has some info on type 2 worth reading</strong> but I find the rest of it a bit confusing</p><p><a href="http://www.diabetesnet.com/diabetes_control_tips/carb_factor.php" target="_blank">http://www.diabetesnet.com/diabetes_control_tips/carb_factor.php</a></p><p></p><p>Method 2 ( slow steps that seem sensible to me)</p><p> 1)test glucose level</p><p> 2)Count carbs in normal meal </p><p>3)take normal amount of insulin for that meal</p><p>4)Test and record at 2 hours and again before next meal</p><p>5)Repeat test, on other days to show pattern ( eat a similar amount of carbs to that on the first test)</p><p>If level is generally within target at the following meal, then he took the right amount of insulin for that amount of carbs.</p><p>If level is higher than target, he took too little etc. (the 2 hour will show the 'spike' and should be within 2-3mmol of pre meal figure, but remember that insulin will still be active for another couple of hours)</p><p>6) adjust by altering insulin <u><strong>gradually </strong></u>up or down until the right dose is achieved for that amount of carbs.</p><p>7)when 'correct' divide carbs eaten in test meal by amount of insulin taken to get ratio.</p><p>8 ) test new ratio with a slightly reduced/increased carb meal,</p><p>(thats where you find out that the type of carb, the protein and fat content also play a part :mrgreen: )</p><p>Remember that carb ratios vary during the day (many type 2s need more insulin at breakfast , so </p><p>its probably best to work it out on a meal by meal basis ie work compare breakfast with breakfast, lunch with lunch etc</p><p></p><p> Method 3</p><p> very similar to above but using specific carb quantities for each meal, it's really a protocol for adjusting rather than setting ratios so you would have to make an informed starting point (based on his normal dose and the estimated quantity of carbs normally eaten)</p><p> <a href="http://www.leedsth.nhs.uk/sites/diabetes/food/CarbohydrateTestMeals.php" target="_blank">http://www.leedsth.nhs.uk/sites/diabetes/food/CarbohydrateTestMeals.php</a></p></blockquote><p></p>
[QUOTE="phoenix, post: 106510, member: 12578"] Some suggestions , I’m not type 2, t you really need to [u]take care[/u], make any changes [u]gradual[/u]!, dealing with larger amounts of insulin can result in larger mistakes. [b]He should really discuss any plan with his doctor[/b]. First Do some basal testing and try to get basal correct. Method?? 1 [b]Has some info on type 2 worth reading[/b] but I find the rest of it a bit confusing [url]http://www.diabetesnet.com/diabetes_control_tips/carb_factor.php[/url] Method 2 ( slow steps that seem sensible to me) 1)test glucose level 2)Count carbs in normal meal 3)take normal amount of insulin for that meal 4)Test and record at 2 hours and again before next meal 5)Repeat test, on other days to show pattern ( eat a similar amount of carbs to that on the first test) If level is generally within target at the following meal, then he took the right amount of insulin for that amount of carbs. If level is higher than target, he took too little etc. (the 2 hour will show the 'spike' and should be within 2-3mmol of pre meal figure, but remember that insulin will still be active for another couple of hours) 6) adjust by altering insulin [u][b]gradually [/b][/u]up or down until the right dose is achieved for that amount of carbs. 7)when 'correct' divide carbs eaten in test meal by amount of insulin taken to get ratio. 8 ) test new ratio with a slightly reduced/increased carb meal, (thats where you find out that the type of carb, the protein and fat content also play a part :mrgreen: ) Remember that carb ratios vary during the day (many type 2s need more insulin at breakfast , so its probably best to work it out on a meal by meal basis ie work compare breakfast with breakfast, lunch with lunch etc Method 3 very similar to above but using specific carb quantities for each meal, it's really a protocol for adjusting rather than setting ratios so you would have to make an informed starting point (based on his normal dose and the estimated quantity of carbs normally eaten) [url]http://www.leedsth.nhs.uk/sites/diabetes/food/CarbohydrateTestMeals.php[/url] [/QUOTE]
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