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<blockquote data-quote="Scott-C" data-source="post: 1428543" data-attributes="member: 374531"><p>Mothers are always right (even when they're wrong)!</p><p></p><p>You're newly dx'd so listen to your docs, not me, but here's a few bits and pieces you might want to think about to get an idea of the bigger picture. </p><p></p><p>When you said you were running higher on the same insulin/meal, one thing you should think about is the time aspect, or "shape" of insulin. It's a thing a lot of us don't pay attention to.</p><p></p><p>Don't know what insulin you're using, maybe you're on a mixtard, in which case this wouldn't apply at all, but, just as an example, here's a graph of how Novorapid works:</p><p></p><p>[ATTACH=full]22395[/ATTACH] </p><p></p><p>Now, you might think X carbs, so Y insulin and that's an end if it. But you need to understand that insulin operates over time, and often the time scale is unpredictable as there's lots of factors involved. </p><p></p><p>See on the graph how it takes 10 to 20 minutes to kick in (that's why most people inject 20 minutes or so before a meal), then peaks 1 to 3 hours later, and lasts for 3 to 5 hours. </p><p></p><p>Those are quite broad margins time-wise. Novorapid will work in different ways in different people, and, indeed, will work in different ways in the same person under different conditions. </p><p></p><p>So, when you ended higher than you expected, it might just be that the insulin wasn't peaking as soon as it did the day before. Sometimes just waiting for a bit is the best option and the peak will take it down. </p><p></p><p>Sometimes you'll realise there was more carbs than you measured, and you'll decide to take a correction shot. </p><p></p><p>Even though it's tailing off in the last couple of hours, you can still sometimes get a hefty drop then. It's easy to be impatient and take another unit or two to nudge it down, and if that then kicks in on top of the tail ends of the meal bolus, you'll be reaching for the sweeties!</p><p></p><p>You're on fixed doses just now, which is fine for learning, but one fine day, your DSN will let you loose in the wider world and you'll be making those decisions on your own. It's scary, like driving a car in your own for the first time after your test without an instructor sitting beside you, but you'll soon appreciate the freedom.</p><p></p><p>The art of T1 involves thinking about what is likely to happen in the next six hours, the after effects of the meal.</p><p></p><p>Speaking of which, time for breakfast. Look after yourself!</p></blockquote><p></p>
[QUOTE="Scott-C, post: 1428543, member: 374531"] Mothers are always right (even when they're wrong)! You're newly dx'd so listen to your docs, not me, but here's a few bits and pieces you might want to think about to get an idea of the bigger picture. When you said you were running higher on the same insulin/meal, one thing you should think about is the time aspect, or "shape" of insulin. It's a thing a lot of us don't pay attention to. Don't know what insulin you're using, maybe you're on a mixtard, in which case this wouldn't apply at all, but, just as an example, here's a graph of how Novorapid works: [ATTACH=full]22395[/ATTACH] Now, you might think X carbs, so Y insulin and that's an end if it. But you need to understand that insulin operates over time, and often the time scale is unpredictable as there's lots of factors involved. See on the graph how it takes 10 to 20 minutes to kick in (that's why most people inject 20 minutes or so before a meal), then peaks 1 to 3 hours later, and lasts for 3 to 5 hours. Those are quite broad margins time-wise. Novorapid will work in different ways in different people, and, indeed, will work in different ways in the same person under different conditions. So, when you ended higher than you expected, it might just be that the insulin wasn't peaking as soon as it did the day before. Sometimes just waiting for a bit is the best option and the peak will take it down. Sometimes you'll realise there was more carbs than you measured, and you'll decide to take a correction shot. Even though it's tailing off in the last couple of hours, you can still sometimes get a hefty drop then. It's easy to be impatient and take another unit or two to nudge it down, and if that then kicks in on top of the tail ends of the meal bolus, you'll be reaching for the sweeties! You're on fixed doses just now, which is fine for learning, but one fine day, your DSN will let you loose in the wider world and you'll be making those decisions on your own. It's scary, like driving a car in your own for the first time after your test without an instructor sitting beside you, but you'll soon appreciate the freedom. The art of T1 involves thinking about what is likely to happen in the next six hours, the after effects of the meal. Speaking of which, time for breakfast. Look after yourself! [/QUOTE]
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