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Message: <blockquote data-quote="iHs" data-source="post: 102849" data-attributes="member: 8799">Hi Acron The only real way to find out what your exact insulin to carb ratios are going to be is to do bg tests approx every 2 to 2.5hrs from breakfast until you go to bed.  You are looking to try and get your target bg levels to be somewhere between 4 - 6 before you eat a main meal and no higher than 8, 2 to 2.5hrs after you eat.  By using trial and error, log all your bg results, how much carb you eat, your insulin dose and then see how high or low you are mid way.  By increasing/decreasing your insulin or eating more/less carb you should be able to work out what your insulin to carb ratios are to reach the above targets.  Most people do need more bolus insulin in the morning than they do at lunchtime though.  The 1:10 ratio is only a rough starting point.If you look at the BDEC website,( google - BDEC diabetes) you will see how correction doses of insulin work.  The correction dose is how much bolus insulin you need in order to make your bg levels drop back to your target.  Unfortunately though for the time being, until you are able to work out what your total daily dose of insulin is with MDI, you won't be able to use correction doses that accurately.Its difficult to say whether you should increase your basal or bolus as you dont say what you are eating for your meals or what your bg levels are 2hrs after eating.</blockquote>

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