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Type 1 Diabetes
Insulin dose for protein/fat?
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<blockquote data-quote="tim2000s" data-source="post: 1321396" data-attributes="member: 30007"><p>I tend to use a far more simple approach when low carb. For protein I use an I : P ratio which is half my I:C ratio for an upfront bolus, and a quarter for an extended bolus, so when I'd do 1u per 10g of carbs, I do a dual wave with 1u per 20g protein up front and 1u per 40g protein extended over approximately two hours. I also don't bolus for fat as there is no point. The metabolic processes that convert fats to glucose convert only a tiny amount and take way too long for a standard bolus.</p><p></p><p>The tricky bit with the polish algorithm is that you need to go back and check your ratios precisely - typically we make a rough assumption on I:C ratio that includes a bit of protein or fat. You need to go away and test it with pure carbohydrate and plug that in.</p></blockquote><p></p>
[QUOTE="tim2000s, post: 1321396, member: 30007"] I tend to use a far more simple approach when low carb. For protein I use an I : P ratio which is half my I:C ratio for an upfront bolus, and a quarter for an extended bolus, so when I'd do 1u per 10g of carbs, I do a dual wave with 1u per 20g protein up front and 1u per 40g protein extended over approximately two hours. I also don't bolus for fat as there is no point. The metabolic processes that convert fats to glucose convert only a tiny amount and take way too long for a standard bolus. The tricky bit with the polish algorithm is that you need to go back and check your ratios precisely - typically we make a rough assumption on I:C ratio that includes a bit of protein or fat. You need to go away and test it with pure carbohydrate and plug that in. [/QUOTE]
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Insulin dose for protein/fat?
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