Quote:
Originally Posted by kel4han  .... (I am not on any basal) So what about this.....
Premeal (146)
I have learned I am high (235) at two hours.
(189) at hour three
(182) at hour four
..... Hmm time to increase carb ratio at this rate?? ..... change the ratio by 5carbs or so? |
All those readings are too high .... It looks like you need to increase that carb ratio substantially. The fact that BG levels didn't drop to normal levels after the meal is proof of that. And it looks like you should be on a basal as well. The fact that you were 146 before eating shows that your pancreas isn't producing enough insulin to keep your BG at normal levels between meals. Some Lantus would help get your premeal levels into line.
You need to be careful that you don't confuse the effects of basal and bolus insulin here. And it makes the most sense to get your basal right before you start messing with your boluses. So I would suggest that you first titrate the basal dose to the level that maintains normal BG in the absence of a meal/bolus. Then increase your boluses to the point where they bring BG down to near-normal levels after meals.
