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Question about insulin doses

Your insulin doses are tiny in comparison to mine, I have been diagnosed for around a year and a half. Just about getting my head around it all.
Typical day I would have 46 levimir, split with 34 before bed and 12 in the morning. Sometimes my night dosage is still not enough.
Nova rapid I would typically have (depending on meals) around 40 units.
Just had my hba1c done and it was 48, down from 65 so I am relatively pleased with that.
 
Also having a no carb breakfast and still having highs at dinner, could this be due to your liver kicking out a boat load of glucose to kick start your body in the morning seen as though it's not getting it from the food?

Just taking a guess, dont know if this is a thing or not? :)
 
Don't forget that diabetics are more prone to gluconeogenesis than non-diabetics. If I don't bolus for an omelette I can trace a pretty quick rise in bg level, although with it taken as a split I find that I am fine.
 
Gareth94 said:
Also having a no carb breakfast and still having highs at dinner, could this be due to your liver kicking out a boat load of glucose to kick start your body in the morning seen as though it's not getting it from the food?

Just taking a guess, dont know if this is a thing or not? :)
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My diabetic nurse told me we tend to need most insulin at breakfast because of how it rises. Diabetes is a dark art!
 
chl0ejasmine said:
My diabetic nurse told me we tend to need most insulin at breakfast because of how it rises. Diabetes is a dark art!
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Yes that's often the case. The amount you need to correct the dawn rise though should be independent of what you eat. Unless you don't eat enough and that triggers a "liver dump".

Ideally you correct for the dawn rise using your basal dose(s).
 
noblehead said:
No not really Lucy, both protein and fat take a while to convert to glucose in the absence of carbs, for a cheese omelette/bacon & eggs breakfast I need to bolus 4 units of insulin in a split-dose otherwise my bg would be high before lunch, to compare my usual breakfast of porridge oats with seeds, berries, milk & yogurt I just need an extra 1 unit of insulin on top of the 4 I'd bolus for an omelette, it doesn't make sense but that is the way it is........
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It does seem to be the case that at the low end of the carb spectrum there is a sort of minimum dose per meal, regardless of the carbs in it.
 
Spiker said:
It does seem to be the case that at the low end of the carb spectrum there is a sort of minimum dose per meal, regardless of the carbs in it.
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Yes there does, I think most people find their insulin usage decreases as they lower their carb intake then it plateaus out, at what carb level that may be depends on the individual I would expect.
 
Ate an omelette with bacon this morning and going to check between every 1-2 hours, will let you know what happens!
 
chl0ejasmine said:
This is what happens to me - I give about 4 units, the same amount of units I give with granola. Yet with the omelette I'll be higher than I would have if I ate the granola! So weird..
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hi chl0ejasmine
with a bit of experimentation and your meter you can solve this !!!!:):),

footnote -- check every hour please
 
Checked again at 9:40 and going to at 10:40, was 7.3 and I didn't bolus anything. I put the carbs into my meter and it said give nothing @himtoo

10:40 result was 6.7
 
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cool -- so you have had an omelette this morning with no bolus and your bloods are staying pretty stable -- that is a question not a statement :)
 
@himtoo Yep they've remained stable - sometimes when I used to have omelettes I'd ate a piece of toast maybe that's what made it unstable, my bs isn't very good with bread
 
chl0ejasmine said:
@himtoo Yep they've remained stable - sometimes when I used to have omelettes I'd ate a piece of toast maybe that's what made it unstable, my bs isn't very good with bread
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hi again chl0ejasmine
i have had type 1 for 42 1/2 years and i am still learning all the time - and you are right -- at times it does seem like a dark art.

have you been on a DAFNE type carb counting course ?
 
chl0ejasmine said:
@himtoo Yep they've remained stable - sometimes when I used to have omelettes I'd ate a piece of toast maybe that's what made it unstable, my bs isn't very good with bread
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Eat the omelette without the bread.

Your bg postprandial only went up by 2mmol which is very good indeed, especially as you didn't bolus for the meal, your very lucky :)
 
I had a 2 egg omelette for breakfast this morning. Tested 2 hours afterwards (as per) and had BGs of 4.7. Had to have 2 bikkies before I could drive to GP. There is little rhyme or reason at times so I just go with and manage whatever happens.
 
@himtoo I'm being registered tonight actually to go on the DAFNE course in August - really looking forward to it! I was at the hospital for ketones in January and a diabetic specialist there said she learned so much even though she's a specialist!

@noblehead I'm really pleased, I felt really full up for the whole 6 hour gap between breakfast and dinner too. I don't want to eat eggs everyday - but its definitely given me more breakfast options which is great!

@Alanp35 Ah the pain of having to be 5 to be able to drive! Loved my omelette today and glad my bs did too!
 
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