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quick question on insulin vs carbs
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<blockquote data-quote="Scott-C" data-source="post: 2008854" data-attributes="member: 374531"><p>Hi, gingerfluff, if you're commited to a higher carb breakfast, it's maybe worthwhile experimenting with ratios and pre-bolusing.</p><p></p><p>Many folks, especially where they've not done DAFNE, can get stuck in the rut of doing the 1 to 10 ratio because their docs said so.</p><p></p><p>While that works for many, a lot of us have found that a different ratio works much better. I'm generally around the 1 to 7 mark most of the time. It's worth experimenting with. Even a tiny bit more insulin can make a huge difference.</p><p></p><p>Pre-bolusing works wonders too. Again, it depends on the individual, so needs some playing with. With me, I've found that injecting about 20 to 30mins before the meal gives the insulin time to start working so it can deal head on with the food as it starts digesting. People trying this for the first time will generally do it in 5 min stages with a set meal, test a lot afterwards and add another 5 mins to see how that works.</p><p></p><p>If you get blinged up with a libre/cgm, there's a technique called "waiting for the bend", where you literally just wait till you see the cgm trace starting to bend downwards, a good clue that the insulin is in action.</p><p></p><p>Pre-bolusing makes an extraordinary difference: if I inject with a meal, I could easily go to 12 to 15; pre-bolus about 25 mins before, and I'll either at worst get an 8, and sometimes it'll actually dip down , a spike in reverse, before coming back up to 5 or 6.</p><p></p><p>Stephen Ponder's book Sugar Surfing covers this sort of stuff but is mainly aimed at cgm users.</p><p></p><p>The other option is, erm, choosing another food option. I'm not a low carber and am never going to tell another T1 what to eat, but it's fair to say that, while we can technically eat anything, some options are more bother than they're worth.</p><p></p><p>I still eat bread, but the absorption can be sketchy. Don't know about cereal, don't like it that much.</p><p></p><p>I have found, though, that oats just seem to match insulin patterns quite well and can smooth levels out very well, so maybe have a try of oaty granola, or a bit of cheese on a few oatcakes and see how that pans out?</p><p></p><p>Nairns do seeded oatcakes which are really tasty, honest, oatcakes can taste good!</p><p></p><p>[ATTACH=full]31878[/ATTACH]</p></blockquote><p></p>
[QUOTE="Scott-C, post: 2008854, member: 374531"] Hi, gingerfluff, if you're commited to a higher carb breakfast, it's maybe worthwhile experimenting with ratios and pre-bolusing. Many folks, especially where they've not done DAFNE, can get stuck in the rut of doing the 1 to 10 ratio because their docs said so. While that works for many, a lot of us have found that a different ratio works much better. I'm generally around the 1 to 7 mark most of the time. It's worth experimenting with. Even a tiny bit more insulin can make a huge difference. Pre-bolusing works wonders too. Again, it depends on the individual, so needs some playing with. With me, I've found that injecting about 20 to 30mins before the meal gives the insulin time to start working so it can deal head on with the food as it starts digesting. People trying this for the first time will generally do it in 5 min stages with a set meal, test a lot afterwards and add another 5 mins to see how that works. If you get blinged up with a libre/cgm, there's a technique called "waiting for the bend", where you literally just wait till you see the cgm trace starting to bend downwards, a good clue that the insulin is in action. Pre-bolusing makes an extraordinary difference: if I inject with a meal, I could easily go to 12 to 15; pre-bolus about 25 mins before, and I'll either at worst get an 8, and sometimes it'll actually dip down , a spike in reverse, before coming back up to 5 or 6. Stephen Ponder's book Sugar Surfing covers this sort of stuff but is mainly aimed at cgm users. The other option is, erm, choosing another food option. I'm not a low carber and am never going to tell another T1 what to eat, but it's fair to say that, while we can technically eat anything, some options are more bother than they're worth. I still eat bread, but the absorption can be sketchy. Don't know about cereal, don't like it that much. I have found, though, that oats just seem to match insulin patterns quite well and can smooth levels out very well, so maybe have a try of oaty granola, or a bit of cheese on a few oatcakes and see how that pans out? Nairns do seeded oatcakes which are really tasty, honest, oatcakes can taste good! [ATTACH=full]31878[/ATTACH] [/QUOTE]
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