Quote:
Originally Posted by Gangrel  Scratch, that's all well and good, and I think belyro has her carb ratios and fix ratios down. What we are just wondering is how you can eat, bolus, and have a 2hr reading of 5-7, and not go low in the next two hours, with no snacking?
If i eat 40gs of carbs, I take 4u. I will shoot up to 10, then back down to 4-6 on a good day. IF I take MORE Hlog, i'll be lower at the 2 hr mark, probably 6-8. but then 2 hours after that, due to the extra Hlog, I'd be 2 or 3......
We're wondering if it's possible to have such tight control on Humalog MDI, or if we're stuck shooting for 10.0...... |
Well the point is this: if you eat more carbs, you're going to have more insulin that needs to be taken. More insulin taken equals more insulin remaining equals more that that blood sugar will still come down after the 2 hour mark.
If I take 4u, there'll be 1.2 units or still 42 mg/dl of drop left. 5u = 1.5u remaining or 52.5 mg/dl drop remaining. See what's happening? Which gives you two principles to consider if you want your postmeal numbers to be closer to normal --
1. eat fewer grams of carbs
2. take more insulin but be prepared to have a snack to cover the remaining insulin.
Those aren't mutually exclusive options, both can be used to the degree that one finds comfortable. But you need to observe enough data to establish what your bolus insulin profile is like and have your numbers. You then need to figure out what you want to target for, and once you know that, what you'll have to do to get the numbers in that target. Some may choose to reduce their carb intake. I aim for that by trying not to go hogwild and eat meals with a huge load of carbs that'll take larger shots of insulin to cover. But I also sometimes aim for some extra insulin when I want to indulge a bit more.
It's a pain in the arse. It's just what I've been able to develop for myself as I collect the data. And I expect my next A1c to be around 6 or better.
