1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2020 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
  4. Guest, stay home, stay safe, save the NHS. Stay up to date with information about keeping yourself and people around you safe here and GOV.UK: Coronavirus (COVID-19). Think you have symptoms? NHS 111 service is available here.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

If you were to walk into McDonalds...

Discussion in 'Type 1 Diabetes' started by Spencer67, Feb 20, 2015.

  1. Spencer67

    Spencer67 Type 1 · Well-Known Member

    Messages:
    882
    Likes Received:
    1,481
    Trophy Points:
    178
    Type 1s only could answer this question i think; If you were to walk into McDonalds...

    (Please hang with me on this it's to help me understand carb counting)

    This is a hypothetical question you may loath the place and not touch the stuff but if you did walk in, in a parallel universe...

    and you ordered a Bacon, Egg & Cheese Bagel with Egg Whites that has 55g of carb how much of your Bolus or if your on Novorapid would you inject to cope with the carbs? and how do you work it out so you stay within a good bg range?

    If you want to choose something else;
    http://nutrition.mcdonalds.com/getnutrition/nutritionfacts.pdf
     
  2. lildanfen

    lildanfen Type 1 · Active Member

    Messages:
    33
    Likes Received:
    77
    Trophy Points:
    58
    I have never been taught how to carb count, but the issue is not the carb but the corn syrup in the carb and how your body deals with the effect. Also is this breakfast? When did you last eat breakfast? Because if you miss breakfast a lot your body's reaction maybe to store it as fat rather than turn it into energy. Then with corn syrup does your body convert it to glucose and then burn it or does it pass and be broken down differently.
    A lot of questions that need to be investigated
     
    • Agree Agree x 1
  3. britincali

    britincali Type 1 · Well-Known Member

    Messages:
    170
    Likes Received:
    269
    Trophy Points:
    103
    I would inject 11 for that (5g carbs is 1unit for me)

    I have no problem at dirty ronnies (macdonalds) or Burger King.

    The carbs and cals app has near everything listed.

    At BK I order a triple whopper with cheese supersize meal with fries and a coke zero and inject 14 units of novorapid and I'm fine, **** near flat line :). Yes I know it's bad and all That but I do love a bit of dirty food every now and then ;)

    Oh and I've never been tought how to count carbs and adjust I just did a ton of reading on here and downloaded the carbs and cals app

    My DN hates me for it but my A1c is 6.5% down from 9% and I'm not having bad hypos
     
    • Like Like x 8
    • Winner Winner x 1
  4. Spencer67

    Spencer67 Type 1 · Well-Known Member

    Messages:
    882
    Likes Received:
    1,481
    Trophy Points:
    178
    he he. dirty food oh yes. i know your fine i've seen your bgz. tx for that.
     
    • Like Like x 2
    #4 Spencer67, Feb 20, 2015 at 11:46 PM
    Last edited by a moderator: Feb 24, 2015
  5. Pilgrim22

    Pilgrim22 LADA · Well-Known Member

    Messages:
    592
    Likes Received:
    615
    Trophy Points:
    133
    I use a ratio of 1to 10. 1 unit of novorapid to every 10g of carbs. I should be injecting 5 and half units, but as I don't have a pen that does half units, if I am on the low side, I will inject 5, if am a bit on the high side, I will inject 6.
     
    • Like Like x 7
    • Agree Agree x 1
  6. noblehead

    noblehead Type 1 · Guru
    Retired Moderator

    Messages:
    23,618
    Likes Received:
    19,616
    Trophy Points:
    278
    @Spencer67, it all depends on what your insulin-to-carb ratio is, if someone's is 1:10 then they'd inject 5.5 units of insulin, if their ratio was 1:7 then they'd inject 8 units, also depending on what time of day you go to the restaurant can be a factor too as many of us have different insulin ratio's for each meal-time.
     
    • Like Like x 3
    • Agree Agree x 1
  7. Spencer67

    Spencer67 Type 1 · Well-Known Member

    Messages:
    882
    Likes Received:
    1,481
    Trophy Points:
    178
    @Pilgrim22 @noblehead 'Ratio' is word of the day, i think i've just worked out i'm a 1:7. That's an important part of the puzzle for me. Thankyou.
     
    • Like Like x 2
  8. smidge

    smidge LADA · Well-Known Member

    Messages:
    1,755
    Likes Received:
    1,984
    Trophy Points:
    178
    I'd never eat that, but hypothetically I'd jab 7 units if I stuck to my 1:8 ratio, but bread spikes me horrendously so I'd need more. However, if I took it all in one go, I'd hypo before all the carbs were released. So I expect i'd split the dose with maybe 5 units before the meal and another 3 or 4 at two hours depending on my levels. Carb counting is great and helpful, but don't fall into the trap of thinking it's an exact science.

    Smidge
     
    • Like Like x 3
  9. Spencer67

    Spencer67 Type 1 · Well-Known Member

    Messages:
    882
    Likes Received:
    1,481
    Trophy Points:
    178
    Yah, its just i never really carb counted i did a rough guess in my head and injected some novomix for about 18 years at a.m and p.m, a kind of 'jab and go' regime, then sleepwalked into a hypo or never injected enough and i would be high, its helping me understand my balancing act with carbs, my last HbA1c was 9 averaging bg around the 13s so i have to do something about it as i have some eye probs and i have to go to the manchester royal eye hospital soon for some lazer and i don't want anything else to go wrong with me. I get that its not the be all and end all but it is certainly something ive neglected. Never thought of splitting it but that is feasible, i know how fast a maccyd melts into the blood stream. tx.

    Note: i don't endorse maccyds at all, i thought it would be easy for people to relate to and i would get some fair clear replies. i'm happy with the comments so far they have really helped.
     
    • Like Like x 3
    #9 Spencer67, Feb 21, 2015 at 12:23 PM
    Last edited by a moderator: Feb 21, 2015
  10. Daibell

    Daibell LADA · Master

    Messages:
    11,496
    Likes Received:
    6,979
    Trophy Points:
    298
    Hi. My ratio is 1.1 units to each 10 gm of carbs but as Smidge says it is not an exact science. As my DN said 'when you eyeball your food.....). To be honest carb-counting is a no-brainer and my DN explained it to me in 10 minutes as soon as I went onto Novorapid. As long as you can roughly work out the carbs then the first time go with a 1:10 ratio and find out what your own ratio needs to be using the meter.
     
    • Like Like x 2
  11. Nicola M

    Nicola M Type 1 · Well-Known Member

    Messages:
    368
    Likes Received:
    495
    Trophy Points:
    153
    My ratio is 1:10 so at 55g I would inject 5 units if I was maybe on the lower side and 6 units if I was a bit higher :)
     
    • Like Like x 2
  12. JRW

    JRW Type 1 · Well-Known Member

    Messages:
    275
    Likes Received:
    211
    Trophy Points:
    83
    Depends what I'm doing after, if I'm at maccy d's I'm probably on the high street with the mrs, so walking around, so would go for 3 units of novorapid.
     
    • Like Like x 2
  13. CarbsRok

    CarbsRok Type 1 · Well-Known Member

    Messages:
    4,696
    Likes Received:
    5,286
    Trophy Points:
    178
    It's roughly a 50 mile round trip to the nearest Mc D's from where I live so would have deduct a weeks supply of insulin to walk there.
    But hang on I have coeliac so will give it a miss :p
     
    • Funny Funny x 1
  14. ElyDave

    ElyDave Type 1 · Well-Known Member

    Messages:
    2,086
    Likes Received:
    2,018
    Trophy Points:
    178
    If I were to walk into mcdonalds, I'd order a doble espresso, no bolus required.
     
  15. Spencer67

    Spencer67 Type 1 · Well-Known Member

    Messages:
    882
    Likes Received:
    1,481
    Trophy Points:
    178
    Some great replies thanks, they have really helped me build a better picture of how i approach carb counting, i know its more complex than a simple maccyd burger with 55g of carb but hearing how other T1s go about their business is very helpful and ive been able to get my ratio together, something id have never done without you guys. High 5. ;)

    If your new to the thread please continue to add your comments.
     
    • Like Like x 3
  16. malky39

    malky39 Type 1 · Well-Known Member

    Messages:
    77
    Likes Received:
    35
    Trophy Points:
    58
    Like others my ratio is 1:10 so i would take 5.5 units, I have a half unit pen. Going to the likes of mcd's or burger king is easy for carb counting as all the info is on there web page. Or in mcd's it on the back of the paper on the trays. Granted for the chips the portion sizes can differ. Its when you go to places like fankie and bennys for example that it gets a bit harder as they do not publish the carb values any where so it can be guestimation. But that comes with practice to get it roughly right
     
    • Like Like x 2
  17. nigelho

    nigelho Type 1 · Well-Known Member

    Messages:
    228
    Likes Received:
    109
    Trophy Points:
    83
    To be accurate on the carb counting, which I do, you need to know what ratios to use. For me I use 1 unit Apidra for 4.5 grams carbs generally. I sometimes vary this ratio from meal to meal depending on what I plan do do later on....activities.etc To find the ratio it's a bit of trial and error For me , a meal of 55 grams carbs I'd use 12 units Apidra..jusr devide 55 by 4.5. Why don't you try something like 1 unit quick acting insulin for 6 grams carbs. I then test 4 hours later as recommended by DAFNE programme. The DAFNE course should be a must for all type 1s as it teaches most of the HOWs and WHYs things happen and is done on a 1-1 basis in a small class of people.
     
    • Like Like x 2
  18. Gaz-M

    Gaz-M Type 1 · Well-Known Member

    Messages:
    1,108
    Likes Received:
    1,087
    Trophy Points:
    198

    same for me but on Humalog, but if it were tea time it would be 11 units as I,m on 2 units per 10g at that time
     
    • Like Like x 2
  19. AndyS

    AndyS Type 1 · Well-Known Member

    Messages:
    784
    Likes Received:
    905
    Trophy Points:
    133
    Depends on time of day for me.
    Morning would be around 8 UI (10g to 1.5UI)
    Lunch would be 5.5UI
    Dinner would be 11UI

    The nice thing about the larger chains is that they often have a nutritional information sheet available, McD have it on the underside of the sheet they stick on the trays. Most Weatherspoons pubs do too though you may need to look around or ask.. failing that it is online.
     
    • Like Like x 2
  20. pearlzo

    pearlzo Type 1 · Member

    Messages:
    24
    Likes Received:
    4
    Trophy Points:
    43
    Its really hard to figure out....how many units of apidra blah blah blah
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook