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Type 1 Diabetes
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<blockquote data-quote="CheeseSeaker" data-source="post: 2691669" data-attributes="member: 531814"><p>Brilliant - its the only way to get an understanding of how much you need.</p><p></p><p></p><p>I remember being told that a long time ago - its rubbish as far as I've ever experienced. If I eat nothing and inject insulin - my BG drops like a stone. The reasoning there is the insulin is working without any carbs - so I'd ignore this advice (personally)</p><p></p><p>It can for some people - protein can be broken down into carbohydrate molecules to some degree - some people struggle lots with this, others not at all - never seemed to make much difference to me - I tend to ignore the protein and bolus for direct carbs.</p><p></p><p></p><p>Could be lots at play here - complex carb/fatty foods (pizza, pasta, curries) can do this as they don't get broken down in the gut in the same timeframe (due to fats) so can cause highs way after 3-4 hour peaks</p><p></p><p>Which insulins are you using? There are ultrafast ones - that hit the carbs quicker (e.g. Novorapid doesn't really start working for 1 hour, peaks at 2 and is pretty much exhausted by 4 hours, Lyumjev is working at 15 mins - peaks at 45, and is exhausted by 3-4) - these numbers are different for all of us, but thats a good rule of thumb to start with.</p><p></p><p>The ultrafast insulins can make it easier to hit the rise in food in your BG - you inject at the point you eat, rather than the 'Rapid' insulins where you should inject 30mins to an hour before eating (this can be tricky to do every day - but it helps hit the post meal highs as the insulin is working about the same time as your food is digesting.</p><p></p><p>Other issue could be basal (background) insulin - are you injecting or on a pump?</p><p></p><p>Absolutely - its the start of your path to getting it balanced - takes time but you'll do it, and are already making good progress.</p><p></p><p>You can do - it certainly helps some people - did it myself for years (without knowing it) on injections (MDI - multiple daily injections) as it was easier to handle - as you get better at it (know your ratios, what foods are a 'challenge' etc) you can start to eat like a normal person again - just takes a while to work it all out.</p></blockquote><p></p>
[QUOTE="CheeseSeaker, post: 2691669, member: 531814"] Brilliant - its the only way to get an understanding of how much you need. I remember being told that a long time ago - its rubbish as far as I've ever experienced. If I eat nothing and inject insulin - my BG drops like a stone. The reasoning there is the insulin is working without any carbs - so I'd ignore this advice (personally) It can for some people - protein can be broken down into carbohydrate molecules to some degree - some people struggle lots with this, others not at all - never seemed to make much difference to me - I tend to ignore the protein and bolus for direct carbs. Could be lots at play here - complex carb/fatty foods (pizza, pasta, curries) can do this as they don't get broken down in the gut in the same timeframe (due to fats) so can cause highs way after 3-4 hour peaks Which insulins are you using? There are ultrafast ones - that hit the carbs quicker (e.g. Novorapid doesn't really start working for 1 hour, peaks at 2 and is pretty much exhausted by 4 hours, Lyumjev is working at 15 mins - peaks at 45, and is exhausted by 3-4) - these numbers are different for all of us, but thats a good rule of thumb to start with. The ultrafast insulins can make it easier to hit the rise in food in your BG - you inject at the point you eat, rather than the 'Rapid' insulins where you should inject 30mins to an hour before eating (this can be tricky to do every day - but it helps hit the post meal highs as the insulin is working about the same time as your food is digesting. Other issue could be basal (background) insulin - are you injecting or on a pump? Absolutely - its the start of your path to getting it balanced - takes time but you'll do it, and are already making good progress. You can do - it certainly helps some people - did it myself for years (without knowing it) on injections (MDI - multiple daily injections) as it was easier to handle - as you get better at it (know your ratios, what foods are a 'challenge' etc) you can start to eat like a normal person again - just takes a while to work it all out. [/QUOTE]
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