- Messages
- 165
- Type of diabetes
- Type 2
- Treatment type
- Insulin
- Dislikes
- Spicy food, 2 faced people.
Hi all,
Finally had my meeting with the Senior DN at my hospital's diabetes clinic.
She agreed I might be better off switching from Humulin M3 to a basal bolus regime to give me more flexibility, especially where I want to miss a meal and/or reduce carbs a bit.
She is very supportive and has prescribed me Tresiba once a day and Trurapi before meals.
I feel a bit bombarded with info tbh and after thinking about what she said I'm confused by the dosages. Is it calculated on body weight?
I was using HM3, 44 units breakfast and dinner, 14 at lunch.
She has said start the Tresiba once a day, 50 units, then fixed dose of 15 units of Trurapi before meals. She said if I have a carb free meal, leave it.
When I saw the the Dietician straight after she said count my carbs (am happy to do) then calculate 1 unit of Trurapi to 5g of carbs.
I know you can't advise as such, but by these calculations the DN seems to think I consume 75g of carbs per meal? I certainly don't.
I don't want to "feed the insulin", that happens now sometimes.
I can't do very low carb due to taking Dapagflozin but the Dietician said as long as I have say some carb per meal I'm OK. Even a bit of fruit. No one can tell me the min carb while on the Dap.
The Dietician also talked to me about correction dose where my bg is higher than target before a meal. I get that, but didn't explain how many units per mmol.
Yes, I know I need to speak to them to clarify, just looking for anyone who might clarify some of it for me.
She said I can take the Tresiba am or pm, which is best?
I'm ready to grasp all this but am nervous, I wear the Libre 2 sensor, have it on script and have the app on my phone, also given permission to clinic for access.
Thanks for any input, wish me luck.
Chris
Finally had my meeting with the Senior DN at my hospital's diabetes clinic.
She agreed I might be better off switching from Humulin M3 to a basal bolus regime to give me more flexibility, especially where I want to miss a meal and/or reduce carbs a bit.
She is very supportive and has prescribed me Tresiba once a day and Trurapi before meals.
I feel a bit bombarded with info tbh and after thinking about what she said I'm confused by the dosages. Is it calculated on body weight?
I was using HM3, 44 units breakfast and dinner, 14 at lunch.
She has said start the Tresiba once a day, 50 units, then fixed dose of 15 units of Trurapi before meals. She said if I have a carb free meal, leave it.
When I saw the the Dietician straight after she said count my carbs (am happy to do) then calculate 1 unit of Trurapi to 5g of carbs.
I know you can't advise as such, but by these calculations the DN seems to think I consume 75g of carbs per meal? I certainly don't.
I don't want to "feed the insulin", that happens now sometimes.
I can't do very low carb due to taking Dapagflozin but the Dietician said as long as I have say some carb per meal I'm OK. Even a bit of fruit. No one can tell me the min carb while on the Dap.
The Dietician also talked to me about correction dose where my bg is higher than target before a meal. I get that, but didn't explain how many units per mmol.
Yes, I know I need to speak to them to clarify, just looking for anyone who might clarify some of it for me.
She said I can take the Tresiba am or pm, which is best?
I'm ready to grasp all this but am nervous, I wear the Libre 2 sensor, have it on script and have the app on my phone, also given permission to clinic for access.
Thanks for any input, wish me luck.
Chris