Ideal target range setting on Libre

Zhnyaka said:

No, I eat everything, including sugar, sometimes including sweet alcoholic cocktails. I don't really like sweets, but I eat whatever I want. The only thing I try to avoid is very fatty foods, because it slows down insulin

Sometimes my food looks like this

View attachment 58284
Fred turned over in his grave

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Zhnyaka said:

I'm on injections, if I eat something like that, the number of injections per day can be more than 10, but basically my strategy looks something like "It's better to give an injection than not to do it" , if bg increases greatly, then I give an injection, if bg drops a lot after that, I eat sugar. I don't know if it works only for me or for everyone. For fatty foods, I give an injection 30-40 minutes before meals and 2 hours after, for alcohol, I always give an injection right before use and slightly reduce the dose than for the same amount of carbohydrates in food. My problem with beer is mainly that fatty snacks go with beer, if I drink beer without snacks, I can do it without insulin. For me, sugar is surprisingly simple, it is quickly absorbed and the main thing is to predict so that at this moment there is a peak of insulin action, and fats are absorbed very slowly, so it's hard for me to predict when insulin should have a peak

It's really hard for me to formulate what I'm doing, because I'm so used to diabetes that all actions are almost automatic. Like, "eat a banana before the gym and get another shot two hours after pizza."
It's not a fact that what works for me will work for you.

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Zhnyaka said:

I don't know about you, but I can drink beer. Look at how it affects your bg, basically alcohol blocks the ability of the liver to produce glycogen, so your bazal will work like a bolus. I don't want to call anyone to dangerous experiments, but I think we need to know how fast and how much our bg increases from any food and calculate the dose for this

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In Response said:

Writing as someone who had the team Christmas social last night, diabetes definitely does not stop us drinking alcohol.
You need to be aware of the impact
- our bodies consider alcohol to be toxic. Therefore, our liver will focus on get rid of those toxins over anything else including dripping glucose. As a result, your levels may drop for the next 24 hours. I reduce my basal to avoid this.
- some drinks contain carbs such as beer, cider and mixers like tonic and juice. So, when you drink these, you may need insulin to avoid a spike. But this needs to be balanced with the risk of hypo as I mentioned above.
- to others, a hypo may look like you being drunk. So, tell your mates you have diabetes and what to look out for.

As for whether alcohol is unhealthy, i consider a funless life unhealthy. So we need balance for mental health which can include alcohol but not to excess, not as a crutch and not every day.

Overall, I would suggest drinking to moderation and try to find the best insulin dose balance that suits you. Might take a “few” attempts to get it right. So lots of excuses for trial and error

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