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Must I take insulin with every meal?
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<blockquote data-quote="Daibell" data-source="post: 411049" data-attributes="member: 21149"><p>Hi. My views for what they are worth. First if you eat carbs fairly freely and take enough insulin to match the carbs you may put on weight and be more subject to hypos due to larger swings. I've roughly continued my previous tablets only regime by still controlling my carbs enough to keep my number of units reasonably low. I take around 9 units of Levemir at night and have one or two shots of NovoRapid a day varying between 3 and 8 units depending on lunch and dinner carb level. I don't have enough carbs at breakfast to need a morning NovoRapid. I believe I still have some natural insulin production so don't have the same need as a full T1. Yes, Levemir doesn't last 24 hours. My DN preferred to add NovoRapid to my basal regime rather than do a split basal dose. Means I have full control but need two pens. I wouldn't have cereal at night. Cereal is a carb that causes most diabetics to spike and best avoided at night. I only take NovoRapid if I'm having a meal of, say, more than 30gm carbs. I'm afraid I have serious reservations about the average NHS dietician based on some of the postings I've seen. Do watch the carbs and a healthy diet for a diabetic is different from a non-diabetic as we don't process carbs properly. Sadly you do need to make some adjustments to your lifestyle, but a good balance is still possible.</p></blockquote><p></p>
[QUOTE="Daibell, post: 411049, member: 21149"] Hi. My views for what they are worth. First if you eat carbs fairly freely and take enough insulin to match the carbs you may put on weight and be more subject to hypos due to larger swings. I've roughly continued my previous tablets only regime by still controlling my carbs enough to keep my number of units reasonably low. I take around 9 units of Levemir at night and have one or two shots of NovoRapid a day varying between 3 and 8 units depending on lunch and dinner carb level. I don't have enough carbs at breakfast to need a morning NovoRapid. I believe I still have some natural insulin production so don't have the same need as a full T1. Yes, Levemir doesn't last 24 hours. My DN preferred to add NovoRapid to my basal regime rather than do a split basal dose. Means I have full control but need two pens. I wouldn't have cereal at night. Cereal is a carb that causes most diabetics to spike and best avoided at night. I only take NovoRapid if I'm having a meal of, say, more than 30gm carbs. I'm afraid I have serious reservations about the average NHS dietician based on some of the postings I've seen. Do watch the carbs and a healthy diet for a diabetic is different from a non-diabetic as we don't process carbs properly. Sadly you do need to make some adjustments to your lifestyle, but a good balance is still possible. [/QUOTE]
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