Lealea83 said:
ewelina said:Hi Noosrat
hi Ewelina, am not new to injections but now am trying to control my diabetes adn it really is a tiring process. i read as u said take insulin as soon as i put carbs in my body. this was wat i was doing (as from february when i joined this forum) but then a doctor told me to take the novorapid before each meal this means 3 times (bfast + lunch+ dinner); and i am now confused. i usually take it before eating something! like at work i eat at 930, 1130, and sometimes 1.15 a.m, 3 pm and then dinner and perhaps a small snack before bedtime, check bs at bedtime, inject basal and sleep. that is my routine. am i doing it right plz reply me plzzzzzzzzzzzzzzzzzz help me
noosrat said:ewelina said:Hi Noosrat
hi Ewelina, am not new to injections but now am trying to control my diabetes adn it really is a tiring process. i read as u said take insulin as soon as i put carbs in my body. this was wat i was doing (as from february when i joined this forum) but then a doctor told me to take the novorapid before each meal this means 3 times (bfast + lunch+ dinner); and i am now confused. i usually take it before eating something! like at work i eat at 930, 1130, and sometimes 1.15 a.m, 3 pm and then dinner and perhaps a small snack before bedtime, check bs at bedtime, inject basal and sleep. that is my routine. am i doing it right plz reply me plzzzzzzzzzzzzzzzzzz help me
Hi noosrat,noosrat said:noosrat here despite changing to a diet and balanced meal + doing exercise twice a week + lantus 32 in morning and bolus taken based on the carbs in food, i ama getting a lot of variation in my bs! i have even reduced the basal to 30 but my bs remain high esp in the morning! so with 32 basal, it was in the last 4 days 4-6 mmol in morning i was happy but today it was 10.8! and i am getting a lot of hypo too at bedtime, in morning sometimes when my bs is 4-6, i do not take bolus esp if i am not eating a lot of carbs. help me please. my daily eating plan is as follows:
at 6.30 a.m i ate 2 slice of wholebread with butter (= 4 cp) + a 1/8 banana
at 9.30 a.m i take an oatmeal wiht 1/4 banana slice
at 11.30 i take salad (cucumber+ carrot+ pineapple sometimes) + a protein like chicken
at 13.00 i take a small snack sometimes
at 15.00 i take biscuits or tea cake depending on my bs
at 19.00 dinner with veg + 2 slice wholebread +salad+ a protein food chicken/fish/tuna/etc
at 22.00 bedtime if ever hypo take a tea cake or if no hypo take some peanuts as snack;
generally hypo at 9.20 + 11.00 + 15.00 + 21.30
please help me solve this!!!!!!!!
iHs said:It is true to say that there are some diabetics who like to graze and eat a snack mid morning and mid afternoon and those who only want to eat just 3 meals per day.
Bolus insulins should be injected before eating a main meal and ideally a small snack could be eaten 2-3hrs later if bg levels have fallen below 6mmol. If bg levels are at 8-10mmol then eating a snack would require another bolus to deal with the carb or if possible going for a walk and not injecting the bolus would enable bg levels to not rise.
It is entirely up to you to decide what you want to do. If you test your bg levels often, you will be able to adjust your bolus insulin accordingly. Do you know about carb counting and adjusting bolus insulin using a ratio yet? If not, using a ratio will help you achieve decent bg levels.
Hope this helps
Noosrat,ewelina said:I think you eat too often. I used to have similar problem but now i try to restrict myself to 3 meals per day and it works perfectly. You need to leave that 4-5 hours gap between meals to let your sugar levels get back to normal. if you eat too often you constantly add some carbohydrates. even if they are in small amount it still affects your levels. Have a snack only when you get hypo.
I used to snack a lot and take boluses but to be honest it doesnt work for me. It just messes up everything. too high levels for most of the day or hypos from ovelapping injections