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  #15 (permalink)  
Old 04-15-2008, 03:59 PM
BlueSky's Avatar
BlueSky BlueSky is offline
Senior Member
I am a: Type 1
 
Join Date: Sep 2006
Location: Auckland, New Zealand
Posts: 1,954
Quote:
Originally Posted by DCaplinger View Post
My initial insulin:carb ratio is 3:15 for breakfast and lunch, and 5:15 for dinner, ....
Those ratios look odd . Most people find they need more insulin before breakfast than before dinner, but your ratios are the other way round. Your ratios (1:5 and 1:3) are very aggressive, especially for someone who is still producing endogenous insulin. I would have expected to see ratios of 1:15 or 1:20. Are you sure you are getting enough Lantus basal coverage? It is possible that you are covering part of your basal requirements with your boluses.

If you haven't done this before, you can test basal coverage by skipping a meal and monitoring blood glucose for a few hours. Blood glucose should remain in the target range if your Lantus dosage is correct.
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Type1 since 1977
MDI using Lantus, Protophane, Novorapid and Actrapid
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