Ok, I went to see my dietician today for the first time. She seems really nice, and is probably younger then I am, and very French.
(if you lived in Ottawa, you understand levels of French-ness according to English guys)
Anyway, we talked very little about carbs actually, because she felt like I was doing a good job of counting already. It helps that here in Canada all packaged food must have a label on it that includes the Carbs per serving. She gave me a few other books and phamplets, including one for chinese food! so I will have to try that one day and report back to you.
We also talked a lot about insulin, which impressed me as I thought a dietician wouldn't know that much about it, but I was wrong. One piece of good news is that I am more then likely starting Levemir next week, so gooood bye NPH and good frickin' riddance!
We talked about correction doses, which is the whole point of this thread. I told her I find my rate to be about 1 unit of Humalog per every 2 mmol i want to drop, and it fits in line with the little chart she gave me for a 1:10 carb ratio, so all is good.
She talked about corrections at meal times, which i do, but I also asked her about correcting at the 2 hour post meal mark. I told her if i test, and i'm 15.0 for example, I would then give myself 3 units of Humalog to push me back down to 10, which is what it should be at 2 hours post meal.
She reccomended *against* doing a fix at the 2 hour mark however. She explained that if I am doing that, then I still have that Humalog in my system when i go to eat my meal in another hour or two, and take my meal bolus, and it causes a risk of making me low.
In one way I can see a risk if I test before the meal, give my bolus, and ANOTHER correction for the current level, because then i'm double dipping. But if I just gave a meal bolus, do you not think I would be ok?
Or should I just do as she says, and wait for the correction at the next meal? She did agree however that if the number is ridicioulsy high, like 20, a dose is needed right away.....
So, I guess all this rambling to ask, do you guys on MDI correct for the 2 hour post meal mark or not?
