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T1 - drastically needing help with how to carb count and actually control my glucose levels
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<blockquote data-quote="Scott-C" data-source="post: 1458949" data-attributes="member: 374531"><p>You've got a libre, so scan when you bolus and eat and enter the dose and carbs. Then, once in a while, have a look at the daily graphs and find ones where it worked out OK.</p><p></p><p>For example:</p><p></p><p>[ATTACH=full]22862[/ATTACH]</p><p></p><p>Limits are set to 4.7 and 7.8, running fairly stable overnight within range, took 3 units to pin my usual foot on floor morning rise, took 9u about twenty minutes before a a 65g lunch, so that's about 1.5 to 10, levels are dropping before the meal so I know the insulin is working, yet it continues to pick up over the afternoon to out of range by teatime, so maybe 1.5 wasn't enough. Then teatime, 12u for 90g, a bit below 1.5 because generally I'm more insulin sensitive later in the day, sure enough, starts dropping so even that was may be too much, so I have a couple of biscuits 15g to pick back up, overshoots slightly, maybe 10g would have been enough, before some 20g toast at 2u, 1 to 10, and there's still a drop to about about 5 before going to bed, probably a combination of the tail end of the teatime bolus and the supper bolus peaking.</p><p></p><p>One big difference between DAFNE and cgm is that on DAFNE, they'll say don't test between meals unless feeling hypo,and save corrections until meals, whereas with cgm (and that includes you as a libre user) you can be a hell of a lot more proactive in sorting shifting levels <em>before</em> they get too out of range. As in the graph above, I took a 15g correction <em>before </em>I got hypo, I'm still above 4.7 at that point but I reckoned I'd be below 4 if I'd left it. Fair enough, it overshot me a bit, so playing it again, would have just done 7 or 10g but I now know that for next time. And the rise after lunch suggests either the ratio was wrong or I miscalculated the carbs. Looking at it now, I should probably have taken a 1 or 2u correction mid-afternoon to tail off the rise. I've done that plenty of times. These little tweaks and nudges, 1u, 5g are common with cgm, but frowned upon by DAFNE.</p><p></p><p>There's a good book, Sugar Surfing by Stephen Ponder which explains all the ins and outs of this for cgm users</p><p><a href="https://www.amazon.co.uk/Sugar-Surfing-manage-diabetes-modern-ebook/dp/B017EIX9HG" target="_blank">https://www.amazon.co.uk/Sugar-Surfing-manage-diabetes-modern-ebook/dp/B017EIX9HG</a></p></blockquote><p></p>
[QUOTE="Scott-C, post: 1458949, member: 374531"] You've got a libre, so scan when you bolus and eat and enter the dose and carbs. Then, once in a while, have a look at the daily graphs and find ones where it worked out OK. For example: [ATTACH=full]22862[/ATTACH] Limits are set to 4.7 and 7.8, running fairly stable overnight within range, took 3 units to pin my usual foot on floor morning rise, took 9u about twenty minutes before a a 65g lunch, so that's about 1.5 to 10, levels are dropping before the meal so I know the insulin is working, yet it continues to pick up over the afternoon to out of range by teatime, so maybe 1.5 wasn't enough. Then teatime, 12u for 90g, a bit below 1.5 because generally I'm more insulin sensitive later in the day, sure enough, starts dropping so even that was may be too much, so I have a couple of biscuits 15g to pick back up, overshoots slightly, maybe 10g would have been enough, before some 20g toast at 2u, 1 to 10, and there's still a drop to about about 5 before going to bed, probably a combination of the tail end of the teatime bolus and the supper bolus peaking. One big difference between DAFNE and cgm is that on DAFNE, they'll say don't test between meals unless feeling hypo,and save corrections until meals, whereas with cgm (and that includes you as a libre user) you can be a hell of a lot more proactive in sorting shifting levels [I]before[/I] they get too out of range. As in the graph above, I took a 15g correction [I]before [/I]I got hypo, I'm still above 4.7 at that point but I reckoned I'd be below 4 if I'd left it. Fair enough, it overshot me a bit, so playing it again, would have just done 7 or 10g but I now know that for next time. And the rise after lunch suggests either the ratio was wrong or I miscalculated the carbs. Looking at it now, I should probably have taken a 1 or 2u correction mid-afternoon to tail off the rise. I've done that plenty of times. These little tweaks and nudges, 1u, 5g are common with cgm, but frowned upon by DAFNE. There's a good book, Sugar Surfing by Stephen Ponder which explains all the ins and outs of this for cgm users [URL]https://www.amazon.co.uk/Sugar-Surfing-manage-diabetes-modern-ebook/dp/B017EIX9HG[/URL] [/QUOTE]
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T1 - drastically needing help with how to carb count and actually control my glucose levels
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