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Newly diagnosed 14 year old
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<blockquote data-quote="SophiaW" data-source="post: 184284" data-attributes="member: 13451"><p>It is very early days for your daughter and your diabetes team will probably be tweaking her doses over a period of time to fine tune. Do you calculate the carbs in the food she eats to determine how much Novorapid to inject with each meal?</p><p></p><p>In theory you want her reading 2 hours after eating to be slightly above her pre meal reading. Novorapid insulin is active for around 4 hours (it varies from person to person, some it's a shorter period and others it will last longer). After about 2 hours the Novorapid should have peaked and start to tail off. If her reading 2 hours after eating is slightly above her pre meal reading then that is good, from 2 hours to about 4 hours it may fall slightly more but not too much. This will result in her reading before the next meal to be around the same as it was before the previous meal. That's the theory but in practice it doesn't always work that way, but that's what you're aiming for.</p><p></p><p>A possible reason for her reading climbing higher from the 2 hour post meal to before the next meal might be that her basal is not correct and this might need to be altered/increased. Speak to your nurse or consultant when you see them next and raise this concern.</p><p></p><p>If her reading 2 hours after eating is lower than what it was before eating, then this could indicate that her carb ratio for that time of day needs adjusting. I think you have a perfectly valid point about worry that a hypo might result if her readings are lower to start with. Many people have a different carb ratio for different times of the day. My daughter is 1:10 for breakfast, 1:16 for lunch and 1:15 for suppertime.</p><p></p><p>Remember also that exercise will affect her blood sugars so if she exercises that may reduce her blood glucose more quickly and she may need to inject less at the previous meal before exercise, or eat a carby snack before exercising to cover the exercise.</p><p></p><p>If you don't already have it I highly recommend a copy of the book "type 1 diabetes in children. adolescents and young adults".</p></blockquote><p></p>
[QUOTE="SophiaW, post: 184284, member: 13451"] It is very early days for your daughter and your diabetes team will probably be tweaking her doses over a period of time to fine tune. Do you calculate the carbs in the food she eats to determine how much Novorapid to inject with each meal? In theory you want her reading 2 hours after eating to be slightly above her pre meal reading. Novorapid insulin is active for around 4 hours (it varies from person to person, some it's a shorter period and others it will last longer). After about 2 hours the Novorapid should have peaked and start to tail off. If her reading 2 hours after eating is slightly above her pre meal reading then that is good, from 2 hours to about 4 hours it may fall slightly more but not too much. This will result in her reading before the next meal to be around the same as it was before the previous meal. That's the theory but in practice it doesn't always work that way, but that's what you're aiming for. A possible reason for her reading climbing higher from the 2 hour post meal to before the next meal might be that her basal is not correct and this might need to be altered/increased. Speak to your nurse or consultant when you see them next and raise this concern. If her reading 2 hours after eating is lower than what it was before eating, then this could indicate that her carb ratio for that time of day needs adjusting. I think you have a perfectly valid point about worry that a hypo might result if her readings are lower to start with. Many people have a different carb ratio for different times of the day. My daughter is 1:10 for breakfast, 1:16 for lunch and 1:15 for suppertime. Remember also that exercise will affect her blood sugars so if she exercises that may reduce her blood glucose more quickly and she may need to inject less at the previous meal before exercise, or eat a carby snack before exercising to cover the exercise. If you don't already have it I highly recommend a copy of the book "type 1 diabetes in children. adolescents and young adults". [/QUOTE]
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