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<blockquote data-quote="Jeremy.M" data-source="post: 2404403" data-attributes="member: 522049"><p>Thanks for the responses, everyone.</p><p></p><p>[USER=372717]@EllieM[/USER] I've just been used to keto-like diets as I've been on one for the last five years. If it turns out that I don't end up having much insulin resistance, I'll definitely try to work some healthy carbs into my meals, such as Oat Bran. I'll have to see what passes as a decent general insulin-to-carb ratio for my meals.</p><p></p><p>[USER=482479]@sleepster[/USER] It seems like 1 unit of NovoRapid is bringing my sugars down by about 1.5 mmol/l, give or take a few decimals. I was reading that 1 unit of insulin typically lowers blood sugar by about 2-3 mmol/l, so I might have some resistance.</p><p></p><p>[USER=451727]@KK123[/USER] I am taking 6 units of a basal insulin (lantus? glargine?) nightly in accordance with rapid-acting insulin for meals, which has had a profound positive effect on my morning blood sugar levels. However, I'm finding it tough attempting to get an idea of what my insulin-to-carb ratio could be. As you said, I imagine that it will differ from meal to meal, depending on what type of carbs are being consumed in accordance with the other two macronutrients, but I seem to be missing the mark quite a bit.</p><p></p><p>For instance, my dinner on May 19th consisted of 21 grams of carbs (Oat Bran & Walnuts), 36g of protein (Turkey, Keto Bread & a bit from Walnuts again) and about 30g of fat (Almond Butter & from the few Walnuts). This was the first meal I was going to have with insulin (and the first time I've eaten this much food at once in quite a while), so I had to estimate. I was sitting at 6.8 mmol/l before dinner, so I figure I would try 3 units of NovoRapid and see what happens. Two hours later, I ended up with a whopping 13.0 mmol/l, so I injected another 3 units to correct things. Two hours after that, I was sitting at 8.1 mmol/l.</p><p></p><p>The following day, I had the same meal, but for breakfast this time. Prior to eating, I was sitting at 6.2 mmol/l, but I injected 6 units of NovoRapid this time. Two hours later, I ended up at 6.4 mmol/l, which I felt decent about. I figured that the protein and fat would raise my levels up a bit more over the course of the next few hours, so I went on my elliptical for 20 minutes. My sugar levels were at 5.8 about an hour later.</p><p></p><p>Today, I had the same meal once again at dinner, but I started dinner at 4.9 mmol/l, so I decided that I would only take 5 units of NovoRapid. I guess I felt that I shouldn't take as many units because my pre-meal blood glucose levels weren't as high for this specific meal, yet I regret that decision. Two hours later, I ended up with 10.7 mmol/l, so I took 4 units for correction. One hour after that, I decided to check again, but I went up to 13.5 mmol/l, so I took 2 more units of NovoRapid to hopefully stop it from rising any further. I realize that I probably shouldn't have administered another correction so soon, but I'm going to be keeping an eye on things every half hour. As I said, I'm not sure what my insulin-to-carb ratio is yet, but when it comes to corrections, I'm definitely not seeing the expected 2-3 mmol/l drop per unit. It might be due to the amount of protein and fat I'm consuming with my meals, but I suppose I'll eventually figure out why. Regardless, not a problem though, as I have some Sour Cream chips (haven't had these bad boys in years) and cookies handy just in case something happens.</p><p></p><p>I'm sure I'll eventually get the hang of things, but I'm just petrified about having high sugar levels over a long period of time. I really want to try my best to avoid diabetic complications in the future by attaining a HbA1c in the low 5s, which was something I was doing for nearly four years without medication in the past, but this is actually tougher than I first anticipated. In my five-ish years of being a diabetic, I've had around 8 months of bad blood sugar (most of which have occurred recently) and I really want to keep it that way. In the long run, this disease terrifies me, but at least I feel better about adding healthy carbs back into my diet – as long as I can account for them properly via insulin. Since the end of 2020; and I can't believe I'm saying this, but the blood sugar increases over time caused by protein and fat consumption seem to be more problematic than carbs. It's just strange transitioning from a 'reject all carbs' mentality to a 'consume carbs because they're easier to dose for' mentality.</p><p></p><p>I almost want to take a bit more insulin than I feel I need (perhaps one unit extra), but no one really seems to share that sentiment, thus it might not be as wise as I initially thought. Rapid-acting insulin doesn't seem to be all that rapid if I'm being honest, as it seems to start to have its significant impact one-to-three hours after taken – according to my testing anyway. I've dealt with hypos in the past and I've always been able to detect when my blood sugar dips into the high 3s, but I'm not sure how reliable that sensation will be with insulin added into the mix.</p></blockquote><p></p>
[QUOTE="Jeremy.M, post: 2404403, member: 522049"] Thanks for the responses, everyone. [USER=372717]@EllieM[/USER] I've just been used to keto-like diets as I've been on one for the last five years. If it turns out that I don't end up having much insulin resistance, I'll definitely try to work some healthy carbs into my meals, such as Oat Bran. I'll have to see what passes as a decent general insulin-to-carb ratio for my meals. [USER=482479]@sleepster[/USER] It seems like 1 unit of NovoRapid is bringing my sugars down by about 1.5 mmol/l, give or take a few decimals. I was reading that 1 unit of insulin typically lowers blood sugar by about 2-3 mmol/l, so I might have some resistance. [USER=451727]@KK123[/USER] I am taking 6 units of a basal insulin (lantus? glargine?) nightly in accordance with rapid-acting insulin for meals, which has had a profound positive effect on my morning blood sugar levels. However, I'm finding it tough attempting to get an idea of what my insulin-to-carb ratio could be. As you said, I imagine that it will differ from meal to meal, depending on what type of carbs are being consumed in accordance with the other two macronutrients, but I seem to be missing the mark quite a bit. For instance, my dinner on May 19th consisted of 21 grams of carbs (Oat Bran & Walnuts), 36g of protein (Turkey, Keto Bread & a bit from Walnuts again) and about 30g of fat (Almond Butter & from the few Walnuts). This was the first meal I was going to have with insulin (and the first time I've eaten this much food at once in quite a while), so I had to estimate. I was sitting at 6.8 mmol/l before dinner, so I figure I would try 3 units of NovoRapid and see what happens. Two hours later, I ended up with a whopping 13.0 mmol/l, so I injected another 3 units to correct things. Two hours after that, I was sitting at 8.1 mmol/l. The following day, I had the same meal, but for breakfast this time. Prior to eating, I was sitting at 6.2 mmol/l, but I injected 6 units of NovoRapid this time. Two hours later, I ended up at 6.4 mmol/l, which I felt decent about. I figured that the protein and fat would raise my levels up a bit more over the course of the next few hours, so I went on my elliptical for 20 minutes. My sugar levels were at 5.8 about an hour later. Today, I had the same meal once again at dinner, but I started dinner at 4.9 mmol/l, so I decided that I would only take 5 units of NovoRapid. I guess I felt that I shouldn't take as many units because my pre-meal blood glucose levels weren't as high for this specific meal, yet I regret that decision. Two hours later, I ended up with 10.7 mmol/l, so I took 4 units for correction. One hour after that, I decided to check again, but I went up to 13.5 mmol/l, so I took 2 more units of NovoRapid to hopefully stop it from rising any further. I realize that I probably shouldn't have administered another correction so soon, but I'm going to be keeping an eye on things every half hour. As I said, I'm not sure what my insulin-to-carb ratio is yet, but when it comes to corrections, I'm definitely not seeing the expected 2-3 mmol/l drop per unit. It might be due to the amount of protein and fat I'm consuming with my meals, but I suppose I'll eventually figure out why. Regardless, not a problem though, as I have some Sour Cream chips (haven't had these bad boys in years) and cookies handy just in case something happens. I'm sure I'll eventually get the hang of things, but I'm just petrified about having high sugar levels over a long period of time. I really want to try my best to avoid diabetic complications in the future by attaining a HbA1c in the low 5s, which was something I was doing for nearly four years without medication in the past, but this is actually tougher than I first anticipated. In my five-ish years of being a diabetic, I've had around 8 months of bad blood sugar (most of which have occurred recently) and I really want to keep it that way. In the long run, this disease terrifies me, but at least I feel better about adding healthy carbs back into my diet – as long as I can account for them properly via insulin. Since the end of 2020; and I can't believe I'm saying this, but the blood sugar increases over time caused by protein and fat consumption seem to be more problematic than carbs. It's just strange transitioning from a 'reject all carbs' mentality to a 'consume carbs because they're easier to dose for' mentality. I almost want to take a bit more insulin than I feel I need (perhaps one unit extra), but no one really seems to share that sentiment, thus it might not be as wise as I initially thought. Rapid-acting insulin doesn't seem to be all that rapid if I'm being honest, as it seems to start to have its significant impact one-to-three hours after taken – according to my testing anyway. I've dealt with hypos in the past and I've always been able to detect when my blood sugar dips into the high 3s, but I'm not sure how reliable that sensation will be with insulin added into the mix. [/QUOTE]
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