No breakfast insulin

[Robinredbreast]

Hi I woke up on 3.9 this morning. My new ACCU-CHEK meter said hypo take carbs etc then retest. I did this and I was 4.6 ( but still low because my hospital DSN says I am not to go below 6 and to keep within the range of 6 to 12). I put the carbs in and the exercise1 and it told me to take nil bolus. So no insulin, even though I had carbs and I knew my BS would go up. My daughter said well just take 1/2 or 1 unit and I said I couldn't because I have to do what the meter says. When I got home late morning it was 21.2 I wasn't shocked because I knew it would go up. The ACCU-Chek has told me to take 4 units, which I have done.

If I had the time to wait this morning and say my BS got up to 6.9 then the Accu-CHEK may have come up with possibly 1 unit, dont know :? My pen has 1/2 units on it and I still haven't used a 1/2 yet. I knew my BS was getting high because my mouth was starting to get very dry. Even though I am insulin sensitive, when I saw 0 bolus this morning, oh dear roblem:

 

[jopar]

I assume that you've got the Accu-chek Expert meter!

Which is based around my remote/BG meter for my Combo pump, the only difference in the bolus wizards is the allowance for the pump settings, basal that I can alter the dose amount per hour, and for the bolus the ability to use the 3 bolus programs and include this into the calculations for the bolus wizard...

The most important thing to remember, any advise the meters gives is based on what perimeters you've set, if these are out then so will any advise it gives will also be out... And you don't have to follow the advise it gives, if experience says that what it's advising you isn't going to work, then either ignore it or lie to it! Make a not to why you lied or ignored it for future reference, as this can be useful if you need to adjust any of the perimeters in the wizard at a later stage....

I get sometimes my meter is telling me that I don't have to make a correction, but I know that I do so I fib by telling it I'm eating a couple grams of carbs to get my correction sorted, another one is when I eat a high protein/Fat meal and need extra insulin so I program this in as though it's a carb amount..

If you get another morning like this one, perhaps, if you treat the hypo, then eat breakfast then take your bg again and program the amount of carbs you've eaten, it should give you a reasonable dose advise, just be watchful that if your BG is still pretty low, you might have to shave off a couple of grams of carbs to get better information..

But if experience tells you that the advise is wrong, then go with your experience perhaps just be a little cautious with either adding or subtracting the insulin dose and follow up with an extra test or two, just to keep an eye on things...

 

[Robinredbreast]

I assume that you've got the Accu-chek Expert meter!

Which is based around my remote/BG meter for my Combo pump, the only difference in the bolus wizards is the allowance for the pump settings, basal that I can alter the dose amount per hour, and for the bolus the ability to use the 3 bolus programs and include this into the calculations for the bolus wizard...

The most important thing to remember, any advise the meters gives is based on what perimeters you've set, if these are out then so will any advise it gives will also be out... And you don't have to follow the advise it gives, if experience says that what it's advising you isn't going to work, then either ignore it or lie to it! Make a not to why you lied or ignored it for future reference, as this can be useful if you need to adjust any of the perimeters in the wizard at a later stage....

I get sometimes my meter is telling me that I don't have to make a correction, but I know that I do so I fib by telling it I'm eating a couple grams of carbs to get my correction sorted, another one is when I eat a high protein/Fat meal and need extra insulin so I program this in as though it's a carb amount..

If you get another morning like this one, perhaps, if you treat the hypo, then eat breakfast then take your bg again and program the amount of carbs you've eaten, it should give you a reasonable dose advise, just be watchful that if your BG is still pretty low, you might have to shave off a couple of grams of carbs to get better information..

But if experience tells you that the advise is wrong, then go with your experience perhaps just be a little cautious with either adding or subtracting the insulin dose and follow up with an extra test or two, just to keep an eye on things...

Hi my hospital DSN has set the programme and I am to follow it for 3 months as I was having so many hypos and 'over correcting' so I am on trial at the moment :shock: , but if I have any questions or worries then I can phone and talk to my DSN. Its early days yet and my meter is a Accu-chek Aviva Expert. So all fairly new to me at the mo, but I keen to learn

 

[shop]

Hi there,

My DSN told me about it but we agreed that I need to calculate manually until it is second nature before I consisering getting one. Interesting how you were told to use one because of the hypos though! When you say over correcting do you mean that if you have had a hypo you minus too much insulin off your next dose then get a high reading?

Sorry to sound so intrusive but I am doing carb counting and still having to reduce my basal at certain times of the month ( because of hypos ) but because of the 3 day rule I have reduced it twice and going to do again tonight and by the time I get my basal down enough it should no longer be neccesary. Seeing my DSN next week so going to see what he says!

I do feel however that I need to be able to do it correctly myself 1st!

Lucy xxx

 

[Robinredbreast]

Hi there,

My DSN told me about it but we agreed that I need to calculate manually until it is second nature before I consisering getting one. Interesting how you were told to use one because of the hypos though! When you say over correcting do you mean that if you have had a hypo you minus too much insulin off your next dose then get a high reading?

Sorry to sound so intrusive but I am doing carb counting and still having to reduce my basal at certain times of the month ( because of hypos ) but because of the 3 day rule I have reduced it twice and going to do again tonight and by the time I get my basal down enough it should no longer be neccesary. Seeing my DSN next week so going to see what he says!

I do feel however that I need to be able to do it correctly myself 1st!

Lucy xxx

Hi lucy I have had eratic BS for quite a few months, lots and lots of lows and then, highs ( and not showing signs of a hypo, until it got very low). So when I needed to bring the high BS down, I would take a small amount of units ( 1 unit brings me down by 3, eg a 15 BS, 1 unit should take me to 12)so my BS was up and down, no matter what I seemed to do, I also started to have stomach problems which are being investigated, so that could be causing the ups and downs as well. I have to try and stay between 6 and 12, and NO hypos :eh: I am also insulin sensitive, so its a bit of a balancing act :| Good luck for next week and rightly so that you need to do things correctly yourself. Best wishes

 

[shop]

Hi there,

My DSN told me about it but we agreed that I need to calculate manually until it is second nature before I consisering getting one. Interesting how you were told to use one because of the hypos though! When you say over correcting do you mean that if you have had a hypo you minus too much insulin off your next dose then get a high reading?

Sorry to sound so intrusive but I am doing carb counting and still having to reduce my basal at certain times of the month ( because of hypos ) but because of the 3 day rule I have reduced it twice and going to do again tonight and by the time I get my basal down enough it should no longer be neccesary. Seeing my DSN next week so going to see what he says!

I do feel however that I need to be able to do it correctly myself 1st!

Lucy xxx

Hi lucy I have had eratic BS for quite a few months, lots and lots of lows and then, highs ( and not showing signs of a hypo, until it got very low). So when I needed to bring the high BS down, I would take a small amount of units ( 1 unit brings me down by 3, eg a 15 BS, 1 unit should take me to 12)so my BS was up and down, no matter what I seemed to do, I also started to have stomach problems which are being investigated, so that could be causing the ups and downs as well. I have to try and stay between 6 and 12, and NO hypos :eh: I am also insulin sensitive, so its a bit of a balancing act :| Good luck for next week and rightly so that you need to do things correctly yourself. Best wishes

Crickey Robin you have been having probs, too right its a balancing act and not always straightforward. Hope you get sorted soon too. Hoping to get sorted, I dont have disableing hypos and have warnings, just too many. 2/3 a day for over a week. Just keep reducing my basal until I see my nurse and take it from their. Hope you get the tum probs sorted too.

Best wishes to you too,

Lucy xxx

 

[Robinredbreast]

Thank you Lucy , life would be so much easier if we were all diabetes perfect :angel: lol I hope all goes well, take care.

 

[shilaburnell]

Hi, I know that this is probably too late now!
But my 10 year old son was diagnosed 2 years ago with Type 1 and I keep a very tight reign on B/G and he averages at 6.8 on his HBA1C so far. We have the Acc-chek expert Meter, If he has a Hypo first thing in the morning and it is before breakfast we give him either 200ml of apple or orange juice (20g sugar) or 50ml lucozade and his breakfast, after breakfast we enter the carbs in to his meter minus the juice/lucozade and he has the insulin recommended by his meter. The meter Hypo retest alarm does go off but it is ignored, until the 2hrs after meal alarm. We do find that keeping to a sugar / carbs ratio of 30/70% does really help with keeping the high sugars at bay.
I hope this helps!!

 

[Robinredbreast]

Hi, I know that this is probably too late now!
But my 10 year old son was diagnosed 2 years ago with Type 1 and I keep a very tight reign on B/G and he averages at 6.8 on his HBA1C so far. We have the Acc-chek expert Meter, If he has a Hypo first thing in the morning and it is before breakfast we give him either 200ml of apple or orange juice (20g sugar) or 50ml lucozade and his breakfast, after breakfast we enter the carbs in to his meter minus the juice/lucozade and he has the insulin recommended by his meter. The meter Hypo retest alarm does go off but it is ignored, until the 2hrs after meal alarm. We do find that keeping to a sugar / carbs ratio of 30/70% does really help with keeping the high sugars at bay.
I hope this helps!!

Hi and thank you all for your great replies. I'm always happy with good postive replies I had another appointment with my very nice hospital DSN this morning. She downloaded my meter and she was basically happy with the results. Hardly any lows but still a few highs but she still was happy with the stability. I talked about the no carb breakfast with no insulin and she said I was correct in NOT taking any insulin ( as the meter said). She said the proteins from the bacon eggs and tomato take a long time for the sugars to get through the body and I am now to do a lot more of post meal testing and then do the necessary meter correction.

A pump was suggested last week with a diabetes dr, who explained a great deal about going onto a pump. I was taken aback only because I wasn't expecting anything like that. It's not for everyone, but I did say I need to get my stomach problems sorted out first
before thinking about an Insulin pump, but I did pick up some leaflets today from the clinic. MY DSN now wants my BS in the 6 to 10 range now, and I have been taking 12 units of levemir at bedtime and now to take 10 units at bedtime and to telephone her next week. ( I also have to watch the carb counting as she thinks maybe the highs are due to me under counting the carbs and to try and take more time with it, which I will do.

You both sound as though you are doing a great job with the blood sugars. Well done :thumbup: Best wishes RRB

 

[shop]

Hi, I know that this is probably too late now!
But my 10 year old son was diagnosed 2 years ago with Type 1 and I keep a very tight reign on B/G and he averages at 6.8 on his HBA1C so far. We have the Acc-chek expert Meter, If he has a Hypo first thing in the morning and it is before breakfast we give him either 200ml of apple or orange juice (20g sugar) or 50ml lucozade and his breakfast, after breakfast we enter the carbs in to his meter minus the juice/lucozade and he has the insulin recommended by his meter. The meter Hypo retest alarm does go off but it is ignored, until the 2hrs after meal alarm. We do find that keeping to a sugar / carbs ratio of 30/70% does really help with keeping the high sugars at bay.
I hope this helps!!

Hi and thank you all for your great replies. I'm always happy with good postive replies I had another appointment with my very nice hospital DSN this morning. She downloaded my meter and she was basically happy with the results. Hardly any lows but still a few highs but she still was happy with the stability. I talked about the no carb breakfast with no insulin and she said I was correct in NOT taking any insulin ( as the meter said). She said the proteins from the bacon eggs and tomato take a long time for the sugars to get through the body and I am now to do a lot more of post meal testing and then do the necessary meter correction.

A pump was suggested last week with a diabetes dr, who explained a great deal about going onto a pump. I was taken aback only because I wasn't expecting anything like that. It's not for everyone, but I did say I need to get my stomach problems sorted out first
before thinking about an Insulin pump, but I did pick up some leaflets today from the clinic. MY DSN now wants my BS in the 6 to 10 range now, and I have been taking 12 units of levemir at bedtime and now to take 10 units at bedtime and to telephone her next week. ( I also have to watch the carb counting as she thinks maybe the highs are due to me under counting the carbs and to try and take more time with it, which I will do.

You both sound as though you are doing a great job with the blood sugars. Well done :thumbup: Best wishes RRB

Made up for you RRb as I know how frustrating it can be ..........Keep us posted

Lucy xxx

 

[Robinredbreast]

Hi, I know that this is probably too late now!
But my 10 year old son was diagnosed 2 years ago with Type 1 and I keep a very tight reign on B/G and he averages at 6.8 on his HBA1C so far. We have the Acc-chek expert Meter, If he has a Hypo first thing in the morning and it is before breakfast we give him either 200ml of apple or orange juice (20g sugar) or 50ml lucozade and his breakfast, after breakfast we enter the carbs in to his meter minus the juice/lucozade and he has the insulin recommended by his meter. The meter Hypo retest alarm does go off but it is ignored, until the 2hrs after meal alarm. We do find that keeping to a sugar / carbs ratio of 30/70% does really help with keeping the high sugars at bay.
I hope this helps!!

Hi and thank you all for your great replies. I'm always happy with good postive replies I had another appointment with my very nice hospital DSN this morning. She downloaded my meter and she was basically happy with the results. Hardly any lows but still a few highs but she still was happy with the stability. I talked about the no carb breakfast with no insulin and she said I was correct in NOT taking any insulin ( as the meter said). She said the proteins from the bacon eggs and tomato take a long time for the sugars to get through the body and I am now to do a lot more of post meal testing and then do the necessary meter correction.

A pump was suggested last week with a diabetes dr, who explained a great deal about going onto a pump. I was taken aback only because I wasn't expecting anything like that. It's not for everyone, but I did say I need to get my stomach problems sorted out first
before thinking about an Insulin pump, but I did pick up some leaflets today from the clinic. MY DSN now wants my BS in the 6 to 10 range now, and I have been taking 12 units of levemir at bedtime and now to take 10 units at bedtime and to telephone her next week. ( I also have to watch the carb counting as she thinks maybe the highs are due to me under counting the carbs and to try and take more time with it, which I will do.

You both sound as though you are doing a great job with the blood sugars. Well done :thumbup: Best wishes RRB

Made up for you RRb as I know how frustrating it can be ..........Keep us posted

Lucy xxx

I will do , many thanks X

 

[Scardoc]

[ I talked about the no carb breakfast with no insulin and she said I was correct in NOT taking any insulin ( as the meter said). She said the proteins from the bacon eggs and tomato take a long time for the sugars to get through the body and I am now to do a lot more of post meal testing and then do the necessary meter correction.

I have always been under the impression that you should never not take any insulin?? I have to admit, if I had one of those meters I think I'd develop OCD and be testing on the hour every hour!! :lol:

 

[CarbsRok]

Hi I woke up on 3.9 this morning. My new ACCU-CHEK meter said hypo take carbs etc then retest. I did this and I was 4.6 ( but still low because my hospital DSN says I am not to go below 6 and to keep within the range of 6 to 12). I put the carbs in and the exercise1 and it told me to take nil bolus. So no insulin, even though I had carbs and I knew my BS would go up. My daughter said well just take 1/2 or 1 unit and I said I couldn't because I have to do what the meter says. When I got home late morning it was 21.2 I wasn't shocked because I knew it would go up. The ACCU-Chek has told me to take 4 units, which I have done.

If I had the time to wait this morning and say my BS got up to 6.9 then the Accu-CHEK may have come up with possibly 1 unit, dont know :? My pen has 1/2 units on it and I still haven't used a 1/2 yet. I knew my BS was getting high because my mouth was starting to get very dry. Even though I am insulin sensitive, when I saw 0 bolus this morning, oh dear roblem:

It sounds to me as if your settings are not correct on your meter.
So you need to work out what your correction factor is.
3.9 is not that low it's only .1 below the famous! 4's the floor.
Perhaps a bit of common sense is needed when viewing recomendations from these meters.
I have no idea how many carbs you ate but 10 carbs would raise my blood sugars by 3mmol at that time of the day, so if that was me the 10 carbs would have taken me to 6.9. So if you ate 30 carbs with no insulin then ........... I'm sure you can add up
Many type 1's also have problems with fat and protien on it's own so will need as much insulin for a zero carb meal as they would say a 30 or 40 carb meal. Obviously everyone is different so you need to learn how your own body reacts to different foods and combinations.
Have you come across the books think like a pancreas and using insulin? Both these books can be found on amazon. Well worth the investment if you haven't got them.

 

[Robinredbreast]

Hi I woke up on 3.9 this morning. My new ACCU-CHEK meter said hypo take carbs etc then retest. I did this and I was 4.6 ( but still low because my hospital DSN says I am not to go below 6 and to keep within the range of 6 to 12). I put the carbs in and the exercise1 and it told me to take nil bolus. So no insulin, even though I had carbs and I knew my BS would go up. My daughter said well just take 1/2 or 1 unit and I said I couldn't because I have to do what the meter says. When I got home late morning it was 21.2 I wasn't shocked because I knew it would go up. The ACCU-Chek has told me to take 4 units, which I have done.

If I had the time to wait this morning and say my BS got up to 6.9 then the Accu-CHEK may have come up with possibly 1 unit, dont know :? My pen has 1/2 units on it and I still haven't used a 1/2 yet. I knew my BS was getting high because my mouth was starting to get very dry. Even though I am insulin sensitive, when I saw 0 bolus this morning, oh dear roblem:

It sounds to me as if your settings are not correct on your meter.
So you need to work out what your correction factor is.
3.9 is not that low it's only .1 below the famous! 4's the floor.
Perhaps a bit of common sense is needed when viewing recomendations from these meters.
I have no idea how many carbs you ate but 10 carbs would raise my blood sugars by 3mmol at that time of the day, so if that was me the 10 carbs would have taken me to 6.9. So if you ate 30 carbs with no insulin then ........... I'm sure you can add up
Many type 1's also have problems with fat and protien on it's own so will need as much insulin for a zero carb meal as they would say a 30 or 40 carb meal. Obviously everyone is different so you need to learn how your own body reacts to different foods and combinations.
Have you come across the books think like a pancreas and using insulin? Both these books can be found on amazon. Well worth the investment if you haven't got them.

Hi there my DSN has me on this ACCU_CHEK for 3 months and she programmes the meter. I do ask her questions like, oh but I know I will go high if the meter just says take 1 unit etc, but she has assured me that I am on the right track and it will take a lot of tweaking to get the numbers right,( BS and insulin) but she wants me to have stability without the highs and then the very lows, because she says I was over correcting :| I am insulin sensitive, but she told me this morning that the hoispital dr, who I saw last week, doesn't believe in diabetics being Insulin sensitive :eh: lol So If I have any problems or questions then I am to phone her So I will just keep plodding on and hopefully will get back on the right path, The constant stomach problems and pain, I dont think are helping my sugar levels, but I really am just guessing, until I get a diagnosis. Best wishes RRB Thanks for the info on the books, they sound interetsing.

 

[CarbsRok]

Hi I woke up on 3.9 this morning. My new ACCU-CHEK meter said hypo take carbs etc then retest. I did this and I was 4.6 ( but still low because my hospital DSN says I am not to go below 6 and to keep within the range of 6 to 12). I put the carbs in and the exercise1 and it told me to take nil bolus. So no insulin, even though I had carbs and I knew my BS would go up. My daughter said well just take 1/2 or 1 unit and I said I couldn't because I have to do what the meter says. When I got home late morning it was 21.2 I wasn't shocked because I knew it would go up. The ACCU-Chek has told me to take 4 units, which I have done.

If I had the time to wait this morning and say my BS got up to 6.9 then the Accu-CHEK may have come up with possibly 1 unit, dont know :? My pen has 1/2 units on it and I still haven't used a 1/2 yet. I knew my BS was getting high because my mouth was starting to get very dry. Even though I am insulin sensitive, when I saw 0 bolus this morning, oh dear roblem:

It sounds to me as if your settings are not correct on your meter.
So you need to work out what your correction factor is.
3.9 is not that low it's only .1 below the famous! 4's the floor.
Perhaps a bit of common sense is needed when viewing recomendations from these meters.
I have no idea how many carbs you ate but 10 carbs would raise my blood sugars by 3mmol at that time of the day, so if that was me the 10 carbs would have taken me to 6.9. So if you ate 30 carbs with no insulin then ........... I'm sure you can add up
Many type 1's also have problems with fat and protien on it's own so will need as much insulin for a zero carb meal as they would say a 30 or 40 carb meal. Obviously everyone is different so you need to learn how your own body reacts to different foods and combinations.
Have you come across the books think like a pancreas and using insulin? Both these books can be found on amazon. Well worth the investment if you haven't got them.

Hi there my DSN has me on this ACCU_CHEK for 3 months and she programmes the meter. I do ask her questions like, oh but I know I will go high if the meter just says take 1 unit etc, but she has assured me that I am on the right track and it will take a lot of tweaking to get the numbers right,( BS and insulin) but she wants me to have stability without the highs and then the very lows, because she says I was over correcting :| I am insulin sensitive, but she told me this morning that the hoispital dr, who I saw last week, doesn't believe in diabetics being Insulin sensitive :eh: lol So If I have any problems or questions then I am to phone her So I will just keep plodding on and hopefully will get back on the right path, The constant stomach problems and pain, I dont think are helping my sugar levels, but I really am just guessing, until I get a diagnosis. Best wishes RRB Thanks for the info on the books, they sound interetsing.

I'm curious to know what you mean by insulin sensitive As in how much insulin you take basal and carb ratio.
Sounds as if the hospital Dr needs to carry on being a Dr to hospitals rather than people with diabetes lol.

 

[iHs]

Hi RrB

I am not sure if your TDD is correct but if you test your bg levels every 2hrs that should give you a basic idea of how your insulin to carb ratio is affecting your bg levels so ideally when you test at 4hrs your bg level should be more or less back at your target bg level. Also, a basic correction level of insulin would be to divide 100 by your TDD. So if your TDD is 30u per day.... 100 divided by 30 would equal 3.3mmol. Therefore 1u bolus would lower bg level by 3.3mmol. Have a look at your current TDD and then see if your correction factor is set ok by using the 100 rule. Also have a look at the Target values set on the meter. Most people use the target of 6 (inbetween 4mmol - 8mmol) but maybe your dsn has set a different value. It might also be possible that your dsn has set the wrong percentage reduction regarding excercise and that is why you were advised to take no insulin.

Just remember if you alter your insulin to carb ratios to give more or less insulin then your TDD will also alter and so your correction factor will also need to alter too.

 

[Robinredbreast]

Hi again I have been told that I am sensitive to Insulin.Ratio WAS :Breakfast 1 to 10 carbs, lunch 1 to 10 carbs, dinner ( I had 3/4's of the amount ie if I worked out it would be say 9 units of insulin then I would just take 6, then bedtime 16 units. My correction dose, and still is, 1 unit drops me by 3, but I do have to be careful with that roblem: as i was having a lot of very low hypos with not much hypo awarness, which has changed now :thumbup: and that's what the DSN wants, hypo awarness in the 3's and stability, phew :eh:

I suppose Insulin sensitivity is like 2 cars, on a journey. One would need a full tank for the journey and the other (me) would need only 1/2 a tank or 3/4'. I think thats the best way to discribe it :lol: I am also a slim build which could have something to do with it inmy case, but I'm not ulter sensitive and my total insulin intake for the day and bedtime is between 25 and 30. Its not the same as Insulin resistance, I just need a little bit less thats all. I hope it makes abit of sense now :lol: RRBI

 

[iHs]

Hi

When you say that you used 1:10 ratio at breakfast, how high 2hrs later did your bg go and what did it do at the 4-5hr mark before lunch? Some people need to adjust the breakfast ratio - usually slightly more insulin so some use a ratio of 1:8 etc. but some need slightly less so use 1:12 etc. Do you still use 1:10 now or have you altered it?

 

[iHs]

This site from BD explains how to use insulin to carb ratios and correction factors. Most people I would think are using Method III and are adding their correction bolus to their meal bolus before injecting

Use the 100 Rule if your TDD is 40% basal/60% bolus
Use the 110 Rule if your TDD is 50/50
Use the 120 Rule if your TDD is 60% basal/40% bolus

Print out the pdf download and it will help lots of people who feel they are 'groping about in the dark' using guesswork

http://www.bd.com/us/diabetes/download/ ... mplete.pdf

 

[CarbsRok]

Hi again I have been told that I am sensitive to Insulin.Ratio WAS :Breakfast 1 to 10 carbs, lunch 1 to 10 carbs, dinner ( I had 3/4's of the amount ie if I worked out it would be say 9 units of insulin then I would just take 6, then bedtime 16 units. My correction dose, and still is, 1 unit drops me by 3, but I do have to be careful with that roblem: as i was having a lot of very low hypos with not much hypo awarness, which has changed now :thumbup: and that's what the DSN wants, hypo awarness in the 3's and stability, phew :eh:

I suppose Insulin sensitivity is like 2 cars, on a journey. One would need a full tank for the journey and the other (me) would need only 1/2 a tank or 3/4'. I think thats the best way to discribe it :lol: I am also a slim build which could have something to do with it inmy case, but I'm not ulter sensitive and my total insulin intake for the day and bedtime is between 25 and 30. Its not the same as Insulin resistance, I just need a little bit less thats all. I hope it makes abit of sense now :lol: RRBI

Lol Robin,
those totals and ratios do not equate to being sensitive to insulin :lol:

It sounds as if your meter is set up wrongly for your needs. If you don't know how to change your carb ratio on the meter then get your dsn to do it for you.