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Type 2 new to insulin advice much appreciated!
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<blockquote data-quote="Antje77" data-source="post: 2279861" data-attributes="member: 372207"><p>Using 2 insulins is a basal/bolus regime. The basal is your long acting, which (in an ideal world) covers your base need for insulin throughout the day without adding food to the mix.</p><p>The bolus is your quick acting, which you take before eating or to correct a high blood glucose when something didn't go according to plan.</p><p></p><p>This means you can suit the bolus to whatever you eat. Don't fancy breakfast today? Don't inject your bolus. Suddenly craving that extra portion at dinner? adjust the amount you inject for that meal. No fixed mealtimes, no fixed meals.</p><p></p><p>To make this work you'll need to adjust the amount of bolus insulin to the carbohydrates you'll eat. Big fat steak with onions and mushrooms? Hardly any carbs so no bolus or a very low dose. Eating at a friends place and they cooked spaghetti? Many carbs, so higher dose.</p><p></p><p>In real life it won't be as perfect as this theory. Stuff happens. You'll find things like exercise change the amount of insulin you need. You'll find you'll still need a snack occasionally when your blood glucose goes low. But you won't need a snack at set times and you won't need to eat set meals at set times.</p><p></p><p>It takes time to learn how much insulin you need, and it may well be you'll start out on fixed doses and more or less set meals to see how the food and insulin affect your bg.</p><p></p><p>Wish you all the best, and remember, it's a marathon, not a sprint, and you don't have to learn everything all at once!</p></blockquote><p></p>
[QUOTE="Antje77, post: 2279861, member: 372207"] Using 2 insulins is a basal/bolus regime. The basal is your long acting, which (in an ideal world) covers your base need for insulin throughout the day without adding food to the mix. The bolus is your quick acting, which you take before eating or to correct a high blood glucose when something didn't go according to plan. This means you can suit the bolus to whatever you eat. Don't fancy breakfast today? Don't inject your bolus. Suddenly craving that extra portion at dinner? adjust the amount you inject for that meal. No fixed mealtimes, no fixed meals. To make this work you'll need to adjust the amount of bolus insulin to the carbohydrates you'll eat. Big fat steak with onions and mushrooms? Hardly any carbs so no bolus or a very low dose. Eating at a friends place and they cooked spaghetti? Many carbs, so higher dose. In real life it won't be as perfect as this theory. Stuff happens. You'll find things like exercise change the amount of insulin you need. You'll find you'll still need a snack occasionally when your blood glucose goes low. But you won't need a snack at set times and you won't need to eat set meals at set times. It takes time to learn how much insulin you need, and it may well be you'll start out on fixed doses and more or less set meals to see how the food and insulin affect your bg. Wish you all the best, and remember, it's a marathon, not a sprint, and you don't have to learn everything all at once! [/QUOTE]
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Type 2 new to insulin advice much appreciated!
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