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<blockquote data-quote="TStine" data-source="post: 1006069" data-attributes="member: 237372"><p>Hi [USER=231724]@Cjburny[/USER] </p><p>I was also recently diagnosed Type 1, just 1,5 weeks ago. (Type 1.5 to be specific, but they treat it as a type 1)</p><p></p><p>After a week in the hospital meeting only confused nurses and doctors, I finally got meetings with both the diabetes specialist and several meetings with a diabetes nurse.</p><p>I am, as I said, a newbie, but the general advise I got from the specialist in terms of insulin quantity to meals, is to use 1 iu of insulin per 10 grams of carbohydrate, as a starting point, and then adjust the dose as I gain experience. I don't know if all doctors give the same advice but this is what they told me.</p><p></p><p>Second, -adjusting the insulin dosage before meals: say my BG is 6.0 before lunch on an empty stomach: They said that if my BG is back to the same (6.0) before the next meal (3-4 hours after lunch) -then the dosage of insulin for this meal (lunch) was correct. The same applies if the BG before lunch was 10 and back to 10 before next meal (after 3-4 hours), even if 10 is to high before meals. (10 is too high but this must be adjusten using the basal dose, see the next section). They also said that the goal is that the BG should not increase more than 4-5 mmol/l after a meal (no matter what BG I have before the meal). This is difficult to achieve in the beginning I think, and it will be easier as one gets the hang of it (it is also easier if the meal is low carb)).</p><p></p><p>I was also told that if the BG before meals (on an empty stomach) was higher than it should be (max 7 mmol/l), -this means that the basal morning dosage is to small. For me, they told me to increase the number of units on my morning dose basal/Insulatard from 8 to 10 because I've had BG at 9 mmol/l 3-4 hours after meals/on an ampty stomach and it should be no more than 7. Note that they also warned about increasing the basal dosage to much too quickly, because the body must get used to the lower BG levels. I have had high BG for several months, maybe longer before being diagnosed, and it needs to be gradually lowered, or else the body will get a bit of a shock <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>Last, I was also told that if I wake up with a BG higher than 7, -my evening basal dosage is too small. The same applies here though; the morning BG levels needs to be reduces gradually over several days, maybee a couple of weeks, -from the high levels on the time I was diagnosed, to the ideal/target levels. If I get hypoglycemia during the night they said that the evening basal dosage is too high.</p><p></p><p>I hope this is helpful, and not confusing <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> As I said, -I am a newbie, and I am only referring to the advice from the diabetes experts in the hospital in which I was admitted just a few days ago. Sad to hear that you did not get any training at your hospital <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite3" alt=":(" title="Frown :(" loading="lazy" data-shortname=":(" /> Wish you the best of luck! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="TStine, post: 1006069, member: 237372"] Hi [USER=231724]@Cjburny[/USER] I was also recently diagnosed Type 1, just 1,5 weeks ago. (Type 1.5 to be specific, but they treat it as a type 1) After a week in the hospital meeting only confused nurses and doctors, I finally got meetings with both the diabetes specialist and several meetings with a diabetes nurse. I am, as I said, a newbie, but the general advise I got from the specialist in terms of insulin quantity to meals, is to use 1 iu of insulin per 10 grams of carbohydrate, as a starting point, and then adjust the dose as I gain experience. I don't know if all doctors give the same advice but this is what they told me. Second, -adjusting the insulin dosage before meals: say my BG is 6.0 before lunch on an empty stomach: They said that if my BG is back to the same (6.0) before the next meal (3-4 hours after lunch) -then the dosage of insulin for this meal (lunch) was correct. The same applies if the BG before lunch was 10 and back to 10 before next meal (after 3-4 hours), even if 10 is to high before meals. (10 is too high but this must be adjusten using the basal dose, see the next section). They also said that the goal is that the BG should not increase more than 4-5 mmol/l after a meal (no matter what BG I have before the meal). This is difficult to achieve in the beginning I think, and it will be easier as one gets the hang of it (it is also easier if the meal is low carb)). I was also told that if the BG before meals (on an empty stomach) was higher than it should be (max 7 mmol/l), -this means that the basal morning dosage is to small. For me, they told me to increase the number of units on my morning dose basal/Insulatard from 8 to 10 because I've had BG at 9 mmol/l 3-4 hours after meals/on an ampty stomach and it should be no more than 7. Note that they also warned about increasing the basal dosage to much too quickly, because the body must get used to the lower BG levels. I have had high BG for several months, maybe longer before being diagnosed, and it needs to be gradually lowered, or else the body will get a bit of a shock :) Last, I was also told that if I wake up with a BG higher than 7, -my evening basal dosage is too small. The same applies here though; the morning BG levels needs to be reduces gradually over several days, maybee a couple of weeks, -from the high levels on the time I was diagnosed, to the ideal/target levels. If I get hypoglycemia during the night they said that the evening basal dosage is too high. I hope this is helpful, and not confusing :) As I said, -I am a newbie, and I am only referring to the advice from the diabetes experts in the hospital in which I was admitted just a few days ago. Sad to hear that you did not get any training at your hospital :( Wish you the best of luck! :) [/QUOTE]
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