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Type 1 Diabetes
My insulin is not working.
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<blockquote data-quote="Celsus" data-source="post: 1769163" data-attributes="member: 185674"><p>A drink with 20 grams of simple fast carbs. And you don't need to bolus for it?</p><p>As your basal insulin will cover for it (as your nurse told you when starting you on Lantus)?</p><p></p><p>I am not saying its impossible to realize a stable and predictable bg level when taking carbs like that and utilizing rather non-conventional way of countering fast acting carbs with a glargine long-acting insulin. But you are definitely not making it easy for yourself, as you set yourself up to be on a non-stable platform that will need non-stop corrections with bolus and carbs to bring you through the day without going hypo or hyper.</p><p></p><p>From your previous postings I can calculate that you typically (in best case scenario) would need to take:</p><p>- 1 unit of fast acting bolus to metabolize 7 grams of carb.</p><p>- 1 unit of fast acting to drive down your bg with approx. 1.4 mmol/L.</p><p>And yeah, you would actually normally need to bolus 3 units to counter that 20g carb rich coffee... </p><p></p><p>So without bolus for that heavily sugar loaded coffee, then your bg would spike up with approx. 4 mmol/L. (best case scenario)</p><p>Don't know the volume of your coffees, but with 20g of carbs in it, it might be more sugar rich than full fat Coca-Cola! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>If you are challenged by going high all the time, then full fat Coca-Cola is normally not your best friend. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite40" alt=":hungover:" title="Hungover :hungover:" loading="lazy" data-shortname=":hungover:" /></p><p>Just saying...</p></blockquote><p></p>
[QUOTE="Celsus, post: 1769163, member: 185674"] A drink with 20 grams of simple fast carbs. And you don't need to bolus for it? As your basal insulin will cover for it (as your nurse told you when starting you on Lantus)? I am not saying its impossible to realize a stable and predictable bg level when taking carbs like that and utilizing rather non-conventional way of countering fast acting carbs with a glargine long-acting insulin. But you are definitely not making it easy for yourself, as you set yourself up to be on a non-stable platform that will need non-stop corrections with bolus and carbs to bring you through the day without going hypo or hyper. From your previous postings I can calculate that you typically (in best case scenario) would need to take: - 1 unit of fast acting bolus to metabolize 7 grams of carb. - 1 unit of fast acting to drive down your bg with approx. 1.4 mmol/L. And yeah, you would actually normally need to bolus 3 units to counter that 20g carb rich coffee... So without bolus for that heavily sugar loaded coffee, then your bg would spike up with approx. 4 mmol/L. (best case scenario) Don't know the volume of your coffees, but with 20g of carbs in it, it might be more sugar rich than full fat Coca-Cola! :) If you are challenged by going high all the time, then full fat Coca-Cola is normally not your best friend. :hungover: Just saying... [/QUOTE]
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My insulin is not working.
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