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Type 1 Diabetes
No insulin at breakfast or Lunch.
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<blockquote data-quote="mopsy21" data-source="post: 510367" data-attributes="member: 64930"><p>Hi, same here regarding breakfast and lunch. T1 diagnosed about 18 months ago - carb counting almost straightaway, using the Accu-Chek Expert Meter. Initially found bg levels dropping too much in the mornings, so on the advice of the DSN, I reduced the breakfast ratio down to the present level of 0.2 units for 10g carbs (yes, really!). This has meant no insulin at breakfast since June last year (40/50 g carbs). On the odd occasion that my waking level is higher than, say, 6.8, the meter will suggest 1 unit and I do take it then - or I might just eat less.</p><p> </p><p>No insulin at lunch came about by accident. I'm on a ratio of 1 unit per 10g carbs for lunch and tea. I was struggling to eat 40g carbs at lunch, and one day I took in a much smaller lunch. To my surprise, the meter suggested no insulin (my bg level was 5.5 or thereabouts). I then realised that if I kept to 10g carbs at lunchtime, I didn't need to inject. I was pleased with this, as it was quite awkward injecting at work anyway. Teatime I generally have 20g carbs, and this requires either 1 or 2 units (Novorapid), depending on bg level. I am on basal insulin of course (14 - 16 units of Lantus), and I tweak this up or down if I spot any trends in bg levels. Generally, they are between 4.5 - 6.8 during the day, and I've had no hypos since diagnosis. My last Hba1c (October 2013) was 6.8% - medics are okay with this as I drive. My DSN's view was that I'm 'low carbing', but she accepted that I seem to be doing all right on it - she checked the 90 day info on the meter!</p><p> </p><p>Just two injections a day is good. The downside is that I'm throwing away half to two-thirds of the insulin in the pre-filled pens each month, even though I take more insulin at weekends and on holidays when I eat more. I keep records of all my bg readings, so I can track changes in bg levels. I do wonder, though, whether this trend of no insulin at breakfast and lunch will continue - I hope so!</p></blockquote><p></p>
[QUOTE="mopsy21, post: 510367, member: 64930"] Hi, same here regarding breakfast and lunch. T1 diagnosed about 18 months ago - carb counting almost straightaway, using the Accu-Chek Expert Meter. Initially found bg levels dropping too much in the mornings, so on the advice of the DSN, I reduced the breakfast ratio down to the present level of 0.2 units for 10g carbs (yes, really!). This has meant no insulin at breakfast since June last year (40/50 g carbs). On the odd occasion that my waking level is higher than, say, 6.8, the meter will suggest 1 unit and I do take it then - or I might just eat less. No insulin at lunch came about by accident. I'm on a ratio of 1 unit per 10g carbs for lunch and tea. I was struggling to eat 40g carbs at lunch, and one day I took in a much smaller lunch. To my surprise, the meter suggested no insulin (my bg level was 5.5 or thereabouts). I then realised that if I kept to 10g carbs at lunchtime, I didn't need to inject. I was pleased with this, as it was quite awkward injecting at work anyway. Teatime I generally have 20g carbs, and this requires either 1 or 2 units (Novorapid), depending on bg level. I am on basal insulin of course (14 - 16 units of Lantus), and I tweak this up or down if I spot any trends in bg levels. Generally, they are between 4.5 - 6.8 during the day, and I've had no hypos since diagnosis. My last Hba1c (October 2013) was 6.8% - medics are okay with this as I drive. My DSN's view was that I'm 'low carbing', but she accepted that I seem to be doing all right on it - she checked the 90 day info on the meter! Just two injections a day is good. The downside is that I'm throwing away half to two-thirds of the insulin in the pre-filled pens each month, even though I take more insulin at weekends and on holidays when I eat more. I keep records of all my bg readings, so I can track changes in bg levels. I do wonder, though, whether this trend of no insulin at breakfast and lunch will continue - I hope so! [/QUOTE]
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No insulin at breakfast or Lunch.
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