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insulin dose adjustment
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<blockquote data-quote="kegstore" data-source="post: 100223" data-attributes="member: 16530"><p>Wow, where to start eh Dave?! There's definitely a lot for you to take in initially but well done for finding this place.</p><p></p><p><u>Dose adjustment:</u> firstly weigh everything you eat, and with the help of a Collins Gem carb counter book (or equivalent/similar), work out how much carb you'll be eating. If you are preparing dishes from a recipe with multiple ingredients, you'll need to do this to add up all the carb components to work out the total. You'll probably need a calculator, I certainly do, but you can't get away from grams I'm afraid! This will soon become second nature to you.</p><p></p><p>A ratio of 1:10 is not a bad starting point for your insulin/carb ratio, but you may soon find that yours is slightly different, and that it may also vary throughout a 24 hour period: I have 3 different levels, 1:10 in the morning, 1:12 in the afternoon and 1:14 in the evening, which makes a significant difference to insulin requirements during a day.</p><p></p><p><u>Night time hypos:</u> you could try splitting your Lantus dose so you take half every 12 hours instead of all every 24. Some have found this smooths things out a bit. You may want to discuss this with your healthcare team first. A waking level of 7 is not bad but it could also be better.</p></blockquote><p></p>
[QUOTE="kegstore, post: 100223, member: 16530"] Wow, where to start eh Dave?! There's definitely a lot for you to take in initially but well done for finding this place. [u]Dose adjustment:[/u] firstly weigh everything you eat, and with the help of a Collins Gem carb counter book (or equivalent/similar), work out how much carb you'll be eating. If you are preparing dishes from a recipe with multiple ingredients, you'll need to do this to add up all the carb components to work out the total. You'll probably need a calculator, I certainly do, but you can't get away from grams I'm afraid! This will soon become second nature to you. A ratio of 1:10 is not a bad starting point for your insulin/carb ratio, but you may soon find that yours is slightly different, and that it may also vary throughout a 24 hour period: I have 3 different levels, 1:10 in the morning, 1:12 in the afternoon and 1:14 in the evening, which makes a significant difference to insulin requirements during a day. [u]Night time hypos:[/u] you could try splitting your Lantus dose so you take half every 12 hours instead of all every 24. Some have found this smooths things out a bit. You may want to discuss this with your healthcare team first. A waking level of 7 is not bad but it could also be better. [/QUOTE]
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