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Must I take insulin with every meal?
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<blockquote data-quote="LaughingHyena" data-source="post: 405078" data-attributes="member: 29694"><p>Sounds like your diagnosis is quite recent, I know for me the advice I was given in the first few weeks changed as I got my levels more stable and worked out a bit more about how both insulin and carbs affect me. Initially I was advised to eat a small supper (20g or so of carbs) without any novorapid to ensure I didn't drop low overnight. I'm on fairly small doses so it didn't take much for the novorapid to send me too low, especially if I've had a fairly active day.</p><p></p><p>For the first few weeks I was on fixed doses of novorapid while I got used to all the new routines, then I started couting the carbs in each meal and working out a dose accordingly. Things got a lot more flexiable then.</p><p></p><p>Once I reached the honeymoon period my insulin needs dropped quite a bit, my insulin carb ratio went from 1:5 to 1:12, at that point I really didn't need novorapid with supper.</p><p></p><p>Now I'm out of the honeymoon I have different ratios throughout the day, I now do take novorapid if I have more than 10g or so for supper but I still need a lot less than I take at other times of the day.</p><p></p><p>While things settle down it might be worth thinking about other options for supper with slightly less carbs. A handful of nuts, cheese & crackers, berries & yoghurt (I buy frozen ones and mix with greek yoghurt)</p></blockquote><p></p>
[QUOTE="LaughingHyena, post: 405078, member: 29694"] Sounds like your diagnosis is quite recent, I know for me the advice I was given in the first few weeks changed as I got my levels more stable and worked out a bit more about how both insulin and carbs affect me. Initially I was advised to eat a small supper (20g or so of carbs) without any novorapid to ensure I didn't drop low overnight. I'm on fairly small doses so it didn't take much for the novorapid to send me too low, especially if I've had a fairly active day. For the first few weeks I was on fixed doses of novorapid while I got used to all the new routines, then I started couting the carbs in each meal and working out a dose accordingly. Things got a lot more flexiable then. Once I reached the honeymoon period my insulin needs dropped quite a bit, my insulin carb ratio went from 1:5 to 1:12, at that point I really didn't need novorapid with supper. Now I'm out of the honeymoon I have different ratios throughout the day, I now do take novorapid if I have more than 10g or so for supper but I still need a lot less than I take at other times of the day. While things settle down it might be worth thinking about other options for supper with slightly less carbs. A handful of nuts, cheese & crackers, berries & yoghurt (I buy frozen ones and mix with greek yoghurt) [/QUOTE]
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