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<blockquote data-quote="KK123" data-source="post: 2403518" data-attributes="member: 451727"><p>Hi [USER=522049]@Jeremy.M[/USER] , wow, what a story, you've definitely been on a roller coaster. When I read your post my first thought was anger at how long it's taken them to diagnose you properly even with fairly obvious signs along the way. It was similar for me too. You sound like you have made yourself extremely knowledgeable about all of this so I am positive you are going to crack it!</p><p></p><p>When you are first (properly) diagnosed they always like to put you on an 'average' carb/insulin routine. So they say 'Eat 30 carbs and take 3 units of insulin' for example, this is so they can gauge your carb to insulin ratio (the 'average' non diabetic produces roughly 1 unit of insulin to cope with 10 carbs is how they explained it to me, based on size and weight, etc). Of course this is a very crude calculation so it then becomes trial and error at the start and they don't seem to take much notice of what an individual's normal eating patterns are like.</p><p></p><p>Again the issue of being told 'take this amount of insulin at meal times' as if it was a medicine means you end up HAVING to eat to your insulin instead of what it should be, adjusting your insulin to what you EAT. </p><p></p><p>None of us can give you medical advice but I can say that what I would do (and I did) is stick to meals that YOU want to eat whether that be lower carb or not. I have never eaten 3 x meals a day for starters. Any meal I did have, I started off testing, testing, testing, and found that my initial ratio was about 1 unit of insulin to 20 carbs, but that was me. When I was confident enough of this ratio, I added in my normal exercise routines etc, which also affect how much insulin you may need to decrease or increase. </p><p></p><p>Take it slowly, make notes, be careful of hypo's, I wouldn't necessarily aim for levels of 4 at this stage as I suspect you will end up hypo'ing all over the place, levels can drop quickly. I note they have prescribed novarapid (for meals) but are they giving you any basal (long acting, background insulin)? If not, find out WHY not as both are normally required to get a good type 1 regime going.</p><p></p><p>I hope this helps. x</p></blockquote><p></p>
[QUOTE="KK123, post: 2403518, member: 451727"] Hi [USER=522049]@Jeremy.M[/USER] , wow, what a story, you've definitely been on a roller coaster. When I read your post my first thought was anger at how long it's taken them to diagnose you properly even with fairly obvious signs along the way. It was similar for me too. You sound like you have made yourself extremely knowledgeable about all of this so I am positive you are going to crack it! When you are first (properly) diagnosed they always like to put you on an 'average' carb/insulin routine. So they say 'Eat 30 carbs and take 3 units of insulin' for example, this is so they can gauge your carb to insulin ratio (the 'average' non diabetic produces roughly 1 unit of insulin to cope with 10 carbs is how they explained it to me, based on size and weight, etc). Of course this is a very crude calculation so it then becomes trial and error at the start and they don't seem to take much notice of what an individual's normal eating patterns are like. Again the issue of being told 'take this amount of insulin at meal times' as if it was a medicine means you end up HAVING to eat to your insulin instead of what it should be, adjusting your insulin to what you EAT. None of us can give you medical advice but I can say that what I would do (and I did) is stick to meals that YOU want to eat whether that be lower carb or not. I have never eaten 3 x meals a day for starters. Any meal I did have, I started off testing, testing, testing, and found that my initial ratio was about 1 unit of insulin to 20 carbs, but that was me. When I was confident enough of this ratio, I added in my normal exercise routines etc, which also affect how much insulin you may need to decrease or increase. Take it slowly, make notes, be careful of hypo's, I wouldn't necessarily aim for levels of 4 at this stage as I suspect you will end up hypo'ing all over the place, levels can drop quickly. I note they have prescribed novarapid (for meals) but are they giving you any basal (long acting, background insulin)? If not, find out WHY not as both are normally required to get a good type 1 regime going. I hope this helps. x [/QUOTE]
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