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T1 diabetes

B

bigjoe

Member
Messages
22
Type of diabetes
Type 1
Treatment type
Insulin
Hi I'm 43 m last 10 years I have type 1 diabetic I'm using humalog mix 25 the last few months my blood sugar is not controlled if I increase insulin my blood sugar goes up not down any advice please
 
Hi :)

Is your blood sugar high all the time or just after meals? Do you count carbs?
 
bigjoe said:
Jest after the meals .count carbs no
Click to expand...

Hi @bigjoe

So I am using Humalog Mix25 with reasonable success (my last a1c was 6.8) but I've reduced my carb intake and I keep track of what I'm eating.

Using an insulin to carb ratio of 1:10, if I intend to eat 30g of carbs, I need 3 units of RA (rapid acting) insulin to keep my blood sugars under control. But only 25% of this insulin is RA so I need a total of 12 units with this meal - which gives me 3 units of RA and 9 units of LA (long acting). I need to to tweak this depending on my planned activity level and whether there is alcohol with the meal.

I find that if I try to eat roughly the same amount of carbs each day and inject the same amounts of insulin at the same times, I can keep fairly good control of my BG numbers. It does restrict spontinaiety a little, but it's a small price to pay.

I inject 12units every morning and don't go over 30g of carbs for breakfast. Depending on my activity levels I might need a biscuit mid morning to suppress a hypo. Lunch is a problem, because the RA insulin is spent after 4 hrs so I often take a couple of units of RA insulin for this (or have an ultra low carb lunch). My evening meal is variable so I adjust the insulin accordingly based on my experience so far.

It is always advisable to discuss any proposed changes in your insulin regime with your support team, unless you are supremely confident that you know what you're doing.
 
Last edited by a moderator:
bigjoe said:
Jest after the meals.count carbs no
Click to expand...

If you're not counting carbs then I'd guess that's a big part of the problem. There's no way the insulin can control your blood sugar properly unless it's matched to your carbs.

When I was first diagnosed, I was on mixed insulin and I had a certain amount of carbs to eat for each meal. That meant my blood sugar was more regular and controlled. We each have an insulin to carbs ratio - that is, how much insulin you need to cover a certain amount of carbs. Carbs and insulin need to 'match'.

Could you ask your DSN about carb counting? It might not be the complete answer but it will help a lot, I would think.
 
urbanracer said:
Hi @bigjoe

So I am using Humalog Mix25 with reasonable success (my last a1c was 6.8) but I've reduced my carb intake and I keep track of what I'm eating.

Using an insulin to carb ratio of 1:10, if I intend to eat 30g of carbs, I need 3 units of RA (rapid acting) insulin to keep my blood sugars under control. But only 25% of this insulin is RA so I need a total of 12 units with this meal - which gives me 3 units of RA and 9 units of LA (long acting). I need to to tweak this depending on my planned activity level and whether there is alcohol with the meal.

I find that if I try to eat roughly the same amount of carbs each day and inject the same amounts of insulin at the same times, I can keep fairly good control of my BG numbers. It does restrict spontinaiety a little, but it's a small price to pay.

I inject 12units every morning and don't go over 30g of carbs for breakfast. Depending on my activity levels I might need a biscuit mid morning to suppress a hypo. Lunch is a problem, because the RA insulin is spent after 4 hrs so I often take a couple of units of RA insulin for this (or have an ultra low carb lunch). My evening meal is variable so I adjust the insulin accordingly based on my experience so far.

It is always advisable to discuss any proposed changes in your insulin regime with your support team, unless you are supremely confident that you know what you're doing.
Click to expand...
Thanks very much very helpful
 
azure said:
If you're not counting carbs then I'd guess that's a big part of the problem. There's no way the insulin can control your blood sugar properly unless it's matched to your carbs.

When I was first diagnosed, I was on mixed insulin and I had a certain amount of carbs to eat for each meal. That meant my blood sugar was more regular and controlled. We each have an insulin to carbs ratio - that is, how much insulin you need to cover a certain amount of carbs. Carbs and insulin need to 'match'.

Could you ask your DSN about carb counting? It might not be the complete answer but it will help a lot, I would think.
Click to expand...
Today I start counting the carbs
 
Humalog mix 25 16 units before breakfast my reading 2 hour after 15.8 an evening 20 units do over after my reading is 21.3
 
@bigjoe , did you check your bg levels before the meal? This way you'll find out what the individual meal is actually doing to you.
 
bigjoe said:
Check my BG this morning before breakfast 4.4 last (night 20 units)
Click to expand...

OK that's good. So what did you eat for breakfast today, how many units did you inject for it and what was your BG at the 2hr mark?
 
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