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Type 1 Diabetes Management
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<blockquote data-quote="Luke2" data-source="post: 2720240" data-attributes="member: 585537"><p>Hi,</p><p></p><p>I’m pretty much always in range (98% TIR) but I was only diagnosed in Jan so probably still in the ‘honeymoon’ phase. </p><p></p><p>A few things that make a big difference to me though:</p><p></p><p>- have nailed down 15g carbs to 1 unit of insulin.</p><p></p><p>- I have done a lot of testing with pre bolussing. Mornings I bolus 25/30 mins before breakfast, I then usually stay in range. If I do 15/20mins I usually peak outside of range. Afternoons/evenings I pre bolus 15/20 mins as I’m a lot more sensitive to insulin at this point.</p><p></p><p>- i inject for snacks, anything over 15g carbs.</p><p></p><p>- I split bolus for any meals over around 70g carbs. If I whack all my insulin in I’ll usually hypo and then have a massive spike an hour or two later. </p><p></p><p>- High fat/protein meals with high carbs (pizza etc) I’ll definitely split bolus. I usually split these 60/40. I’ll whack 60% of the insulin needed and then I’ll set a timer for an hour and 30 mins, then add the additional 40%.</p><p></p><p>- Final thing for me is once I’ve eaten I usually try do something a bit physical. I’m a very active person anyway but even if I do some household chores or go for a walk, it makes a big difference.</p><p></p><p>A couple things with being relatively new to all this. We are all different, we react differently, don’t try and be some else. I see these folks on Instagram who have great graphs etc but work on the small things for you. Set yourself a small goal, for instance reducing your weekly average glucose by 0.1mmol. This helps me <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>Well done for fighting it for 13 years <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="Luke2, post: 2720240, member: 585537"] Hi, I’m pretty much always in range (98% TIR) but I was only diagnosed in Jan so probably still in the ‘honeymoon’ phase. A few things that make a big difference to me though: - have nailed down 15g carbs to 1 unit of insulin. - I have done a lot of testing with pre bolussing. Mornings I bolus 25/30 mins before breakfast, I then usually stay in range. If I do 15/20mins I usually peak outside of range. Afternoons/evenings I pre bolus 15/20 mins as I’m a lot more sensitive to insulin at this point. - i inject for snacks, anything over 15g carbs. - I split bolus for any meals over around 70g carbs. If I whack all my insulin in I’ll usually hypo and then have a massive spike an hour or two later. - High fat/protein meals with high carbs (pizza etc) I’ll definitely split bolus. I usually split these 60/40. I’ll whack 60% of the insulin needed and then I’ll set a timer for an hour and 30 mins, then add the additional 40%. - Final thing for me is once I’ve eaten I usually try do something a bit physical. I’m a very active person anyway but even if I do some household chores or go for a walk, it makes a big difference. A couple things with being relatively new to all this. We are all different, we react differently, don’t try and be some else. I see these folks on Instagram who have great graphs etc but work on the small things for you. Set yourself a small goal, for instance reducing your weekly average glucose by 0.1mmol. This helps me :) Well done for fighting it for 13 years :) [/QUOTE]
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