Shalyndria
11-27-2004, 11:42 PM
Posted by simstash on 11-26-2004 06:25 AM:
I have two questions:
1. How many Humalog units cover a certain quantity of carb intake? Is there a formula?
2. Do you take a light night meal before going to sleep or no?
Thinking about these in the past i could come with more than one logical answer so i'd like to hear about what the rest of you do. Thank you in advance!
--------------------------------------------------------------------------------
Posted by Tony on 11-26-2004 08:03 AM:
1) The amount of insulin to carbs is different for everyone. My carb to insulin ratio is, 22carbs to 1 unit of insulin during the day. And night time it is 18/1.
2) If my bg is on the low end I will have a bed time snack.
__________________
17 million Americans have diabetes. About 6 million don't know they have it.
Tony
Administrator of diabetesforums.com
--------------------------------------------------------------------------------
Posted by Belinda on 11-26-2004 11:21 AM:
Mine is going to change since I wore the CGMS but if it is low at bedtime I usually put it on a temp basal for 2 hours or eat a snack.
--------------------------------------------------------------------------------
Posted by duck on 11-26-2004 11:25 AM:
quote:
--------------------------------------------------------------------------------
Originally posted by Tony
1) The amount of insulin to carbs is different for everyone. My carb to insulin ratio is, 22carbs to 1 unit of insulin during the day. And night time it is 18/1.
2) If my bg is on the low end I will have a bed time snack.
--------------------------------------------------------------------------------
You're 18-1? Wow. I'm at 8-1.
__________________
Minimed 508 Sapphire Blue Insulin Pump...
It changed my life, so I didn't upgrade it!
--------------------------------------------------------------------------------
Posted by HeatherP on 11-26-2004 11:35 AM:
My dietician usually starts a person out at about 1 unit of insulin for every 15 grams of carbs. From there it's kind of trial and error. You should get a carb counting book/list to help you learn what's what. You may find that your ins:carb ratio is different at different times.
Currently I'm at Bkfst 1:25, Lunch 1:15, and dinner 1:8.
As far as snacks go, it depends on what your sugar is before you go to bed. You should establish a threshold of what number you need to snack at. Lantus usually eliminates the need for snacking but not always. If you snack at bedtime, you should try some carbs and protien. The carbs will of course keep your sugars up, but the protein will slow down the absorption and keep it relatively even rather than a rapid rise from just carbs.
Hope that helps a bit,
HeatherP
__________________
When life hands you lemons, ask for a bottle of tequila and some salt
--------------------------------------------------------------------------------
Posted by Shalyndria on 11-26-2004 06:09 PM:
Re: For those who take Humalog
quote:
--------------------------------------------------------------------------------
Originally posted by simstash
1. How many Humalog units cover a certain quantity of carb intake? Is there a formula?
--------------------------------------------------------------------------------
Yep, there's a formula. It's based on one's TDD (total daily dose of insulin) and is called the "500 Rule".
Simply put, divide the number 500 by your TDD. The total is your CHO ratio. For example, if your current TDD is 30U, the equation is 500/30 = 17 (round the number). Thus, your CHO ratio would be 1:17, or 1 unit of Humalog for every 17 g of carbohydrates.
This is an equation derived from the clinical experience of Specialists over the years, so remember it's just an average and a starting point. It doesn't take into account insulin sensitivity, activity level, eating habits, and general lifestyle.
But it does give you a place to start, which then allows you to test and adjust according to the results.
Shy
__________________
~90% angel
--------------------------------------------------------------------------------
Posted by Belinda on 11-26-2004 06:46 PM:
where is my calculator!!!!!!!! I can't find anything at the palace!!!! LOL..guess where I am shy?
--------------------------------------------------------------------------------
Posted by Dewey on 11-26-2004 07:57 PM:
Re: For those who take Humalog
quote:
--------------------------------------------------------------------------------
Originally posted by simstash
I have two questions:
1. How many Humalog units cover a certain quantity of carb intake? Is there a formula?
2. Do you take a light night meal before going to sleep or no?
Thinking about these in the past i could come with more than one logical answer so i'd like to hear about what the rest of you do. Thank you in advance!
--------------------------------------------------------------------------------
1. My carb ratio is 15g CHO to 1 unit insulin, but it does slightly vary sometimes. As the others have stated, it is an individual thing, so what may work for one...It's definitely something you should check into with your endo or CDE.
2. I usually do not have to eat a night time snack before bed if I choose not to. If I'm hungry, I will, but (for me) it's not necessary.
__________________
Mitakuye Oyasin - "We are ALL Related"
*Type I Diabetic 22 years, Pump Therapy 8 Years, On Levoxyl and Mavik (ACE Inhibitor)
I have two questions:
1. How many Humalog units cover a certain quantity of carb intake? Is there a formula?
2. Do you take a light night meal before going to sleep or no?
Thinking about these in the past i could come with more than one logical answer so i'd like to hear about what the rest of you do. Thank you in advance!
--------------------------------------------------------------------------------
Posted by Tony on 11-26-2004 08:03 AM:
1) The amount of insulin to carbs is different for everyone. My carb to insulin ratio is, 22carbs to 1 unit of insulin during the day. And night time it is 18/1.
2) If my bg is on the low end I will have a bed time snack.
__________________
17 million Americans have diabetes. About 6 million don't know they have it.
Tony
Administrator of diabetesforums.com
--------------------------------------------------------------------------------
Posted by Belinda on 11-26-2004 11:21 AM:
Mine is going to change since I wore the CGMS but if it is low at bedtime I usually put it on a temp basal for 2 hours or eat a snack.
--------------------------------------------------------------------------------
Posted by duck on 11-26-2004 11:25 AM:
quote:
--------------------------------------------------------------------------------
Originally posted by Tony
1) The amount of insulin to carbs is different for everyone. My carb to insulin ratio is, 22carbs to 1 unit of insulin during the day. And night time it is 18/1.
2) If my bg is on the low end I will have a bed time snack.
--------------------------------------------------------------------------------
You're 18-1? Wow. I'm at 8-1.
__________________
Minimed 508 Sapphire Blue Insulin Pump...
It changed my life, so I didn't upgrade it!
--------------------------------------------------------------------------------
Posted by HeatherP on 11-26-2004 11:35 AM:
My dietician usually starts a person out at about 1 unit of insulin for every 15 grams of carbs. From there it's kind of trial and error. You should get a carb counting book/list to help you learn what's what. You may find that your ins:carb ratio is different at different times.
Currently I'm at Bkfst 1:25, Lunch 1:15, and dinner 1:8.
As far as snacks go, it depends on what your sugar is before you go to bed. You should establish a threshold of what number you need to snack at. Lantus usually eliminates the need for snacking but not always. If you snack at bedtime, you should try some carbs and protien. The carbs will of course keep your sugars up, but the protein will slow down the absorption and keep it relatively even rather than a rapid rise from just carbs.
Hope that helps a bit,
HeatherP
__________________
When life hands you lemons, ask for a bottle of tequila and some salt
--------------------------------------------------------------------------------
Posted by Shalyndria on 11-26-2004 06:09 PM:
Re: For those who take Humalog
quote:
--------------------------------------------------------------------------------
Originally posted by simstash
1. How many Humalog units cover a certain quantity of carb intake? Is there a formula?
--------------------------------------------------------------------------------
Yep, there's a formula. It's based on one's TDD (total daily dose of insulin) and is called the "500 Rule".
Simply put, divide the number 500 by your TDD. The total is your CHO ratio. For example, if your current TDD is 30U, the equation is 500/30 = 17 (round the number). Thus, your CHO ratio would be 1:17, or 1 unit of Humalog for every 17 g of carbohydrates.
This is an equation derived from the clinical experience of Specialists over the years, so remember it's just an average and a starting point. It doesn't take into account insulin sensitivity, activity level, eating habits, and general lifestyle.
But it does give you a place to start, which then allows you to test and adjust according to the results.
Shy
__________________
~90% angel
--------------------------------------------------------------------------------
Posted by Belinda on 11-26-2004 06:46 PM:
where is my calculator!!!!!!!! I can't find anything at the palace!!!! LOL..guess where I am shy?
--------------------------------------------------------------------------------
Posted by Dewey on 11-26-2004 07:57 PM:
Re: For those who take Humalog
quote:
--------------------------------------------------------------------------------
Originally posted by simstash
I have two questions:
1. How many Humalog units cover a certain quantity of carb intake? Is there a formula?
2. Do you take a light night meal before going to sleep or no?
Thinking about these in the past i could come with more than one logical answer so i'd like to hear about what the rest of you do. Thank you in advance!
--------------------------------------------------------------------------------
1. My carb ratio is 15g CHO to 1 unit insulin, but it does slightly vary sometimes. As the others have stated, it is an individual thing, so what may work for one...It's definitely something you should check into with your endo or CDE.
2. I usually do not have to eat a night time snack before bed if I choose not to. If I'm hungry, I will, but (for me) it's not necessary.
__________________
Mitakuye Oyasin - "We are ALL Related"
*Type I Diabetic 22 years, Pump Therapy 8 Years, On Levoxyl and Mavik (ACE Inhibitor)