Hi everyone, I was diagnosed with Type 1 last summer, still very overwhelmed. Sorry about the long post!
I'm on daily injections and Dexcom.
I feel that despite my best efforts, and reading and educating myself, I haven't been able to figure out my correct basal dose nor insulin-to-carb ratio, they both seem to vary from day to day and even in the same day, even if I'm eating the same meals/macros.
My usual pattern is, I carb count, pre-bolus, eat, hypo ~1hr after the meal, go back in range, start going high 3-4 hrs after the meal, give a correction, which sometimes works and gets me back in range, sometimes it's not enough and I need another one, sometimes it's too much and I hypo again.
The nurse told me that my control is too tight (I've alarms at 3.8 - 7.3 mmol/L) and that I react too often, so I tried to wait and correct only at levels above 10 mmol/L, which got me to super high levels of >17 mmol/L.
For context, I eat a lot of (mostly vegan) protein and fiber, and sometimes also high fat (cheese and nuts) with every meal. Aiming for >100g of carbs/day as advised by my diabetes team because I still need to gain some weight.
Lately I've been splitting the bolus, which some days works ok and I avoid the post meal hypo, but I'm still not sure about the dose split (50/50?) and timing (how many hours should I wait for that second dose?)
Weirdly enough, I had better results by injecting doses every couple of hours for an entire afternoon (6 hours total maybe?), but it's unsustainable and stressful and I wonder what else I could try.
I have also increased my basal, some days it keeps me more flat between meals, and some days it doesn't.
I have tried exercise to lower my blood sugar, but every type of movement right now spikes me...
I don't know what I'm missing, honestly... if you could share some resources, or personal experiences, I would really appreciate it!
Thank you so much,
Nerdy
I'm on daily injections and Dexcom.
I feel that despite my best efforts, and reading and educating myself, I haven't been able to figure out my correct basal dose nor insulin-to-carb ratio, they both seem to vary from day to day and even in the same day, even if I'm eating the same meals/macros.
My usual pattern is, I carb count, pre-bolus, eat, hypo ~1hr after the meal, go back in range, start going high 3-4 hrs after the meal, give a correction, which sometimes works and gets me back in range, sometimes it's not enough and I need another one, sometimes it's too much and I hypo again.
The nurse told me that my control is too tight (I've alarms at 3.8 - 7.3 mmol/L) and that I react too often, so I tried to wait and correct only at levels above 10 mmol/L, which got me to super high levels of >17 mmol/L.
For context, I eat a lot of (mostly vegan) protein and fiber, and sometimes also high fat (cheese and nuts) with every meal. Aiming for >100g of carbs/day as advised by my diabetes team because I still need to gain some weight.
Lately I've been splitting the bolus, which some days works ok and I avoid the post meal hypo, but I'm still not sure about the dose split (50/50?) and timing (how many hours should I wait for that second dose?)
Weirdly enough, I had better results by injecting doses every couple of hours for an entire afternoon (6 hours total maybe?), but it's unsustainable and stressful and I wonder what else I could try.
I have also increased my basal, some days it keeps me more flat between meals, and some days it doesn't.
I have tried exercise to lower my blood sugar, but every type of movement right now spikes me...
I don't know what I'm missing, honestly... if you could share some resources, or personal experiences, I would really appreciate it!
Thank you so much,
Nerdy