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Type 1 Diabetes
No idea what I'm doing - advice needed!
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<blockquote data-quote="In Response" data-source="post: 2390513" data-attributes="member: 527103"><p>The examples you give suggest you are following a low carb diet.</p><p>Those with type 2, who get great results, from low carb diets do not realise that those of us with Type 1 need to dose insulin for protein when we have little or no carbs. This is because, our bodies need glucose. If it cannot get it from carbs, it will break down the protein instead.</p><p>And more confusingly, the insulin to protein ratio varies depending upon the type of protein you are eating.</p><p>For example, I need to dose an equivalent of 15g carbs when I eat a 3 egg cheese omelette but a high dose for nuts and a lower dose for salmon.</p><p>And, if that isn't enough to deal with, protein spikes later than carbs ... and, of course, a different time for different types of protein.</p><p></p><p>This became too complex for me to manage so I quickly gave up low carb diet and reverted to an "on the lower side of normal" carb diet and found my blood sugars much easier to control.</p><p></p><p>So, in your situations I would</p><p>- do a basal test to check my basal dose is correct</p><p>- trial a insulin to protein ratio of half my insulin to carb ratio (this works for some people)</p><p>- trial dosing for protein just after I finish eating (this works for some people)</p><p>- give myself a break</p><p>- try not to stress</p><p></p><p>If all that fails I would try eating more carbs and go for the easier option..</p><p></p><p>(Mod edit re forum ethos)</p></blockquote><p></p>
[QUOTE="In Response, post: 2390513, member: 527103"] The examples you give suggest you are following a low carb diet. Those with type 2, who get great results, from low carb diets do not realise that those of us with Type 1 need to dose insulin for protein when we have little or no carbs. This is because, our bodies need glucose. If it cannot get it from carbs, it will break down the protein instead. And more confusingly, the insulin to protein ratio varies depending upon the type of protein you are eating. For example, I need to dose an equivalent of 15g carbs when I eat a 3 egg cheese omelette but a high dose for nuts and a lower dose for salmon. And, if that isn't enough to deal with, protein spikes later than carbs ... and, of course, a different time for different types of protein. This became too complex for me to manage so I quickly gave up low carb diet and reverted to an "on the lower side of normal" carb diet and found my blood sugars much easier to control. So, in your situations I would - do a basal test to check my basal dose is correct - trial a insulin to protein ratio of half my insulin to carb ratio (this works for some people) - trial dosing for protein just after I finish eating (this works for some people) - give myself a break - try not to stress If all that fails I would try eating more carbs and go for the easier option.. (Mod edit re forum ethos) [/QUOTE]
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