Ratios

[ed2065]

I am just now learing about carb counting and was taken off of NPH and Reg.(after 23 years) and placed on Novolog and Lantus. My last A1c was 6.7 using experience as my guide. They have set my carb to insulin ratio at 10/1 and I am getting high readings. They said it would take a little time to get the adjustments made and to try and avoid modification shots so they can get an accurate read on what my ratio needs to be. What ratio are you on....?this seems like a small amount of insulin to me..Thanks in advance for the replies.- Eric l

[Oradev]

I am just now learing about carb counting and was taken off of NPH and Reg.(after 23 years) and placed on Novolog and Lantus. My last A1c was 6.7 using experience as my guide. They have set my carb to insulin ratio at 10/1 and I am getting high readings. They said it would take a little time to get the adjustments made and to try and avoid modification shots so they can get an accurate read on what my ratio needs to be. What ratio are you on....?this seems like a small amount of insulin to me..Thanks in advance for the replies.- Eric l

Currently in my pump i'm using 1:7 for breakfast, and 1:10 for lunch and dinner. My breakfast might have to come down, still testing it. I would try using a 1:7 and see what your post meal bloodsugar is. It also might be the Lantus. How are you fasting sugars?

[duck]

I was on 1/10 when I was taken off of NPH then shortly went to 1/8 when my sugars were running high...I was told that wasn't unusual since basically I had to take less R (now Humalog) when I was on NPH since I probably had lingering NPH acting on me...until it ran out.

Lantus is peakless as you know, so some experimentation will be required.

[Oradev]

I was on 1/10 when I was taken off of NPH then shortly went to 1/8 when my sugars were running high...I was told that wasn't unusual since basically I had to take less R (now Humalog) when I was on NPH since I probably had lingering NPH acting on me...until it ran out.

Lantus is peakless as you know, so some experimentation will be required.

ducks is right, as usual. It does take some time to get used to Lantus.

[ed2065]

My readings two hours after I eat are the ones coming in way high. What is unusual is at lunch that ratio seems about right but 2-3 hours after dinner I will get really high readings.

[Oradev]

My readings two hours after I eat are the ones coming in way high. What is unusual is at lunch that ratio seems about right but 2-3 hours after dinner I will get really high readings.

I would lower your dinner ratio. Some research has shown that your biggest meals (Highest Carbs) are in the morning and at dinner.

[duck]

...and some members here have different ratios for different times of day (like Oradev alluded to), and even different ratios for different times of the day on the weekends! We're complex, it takes a while to grasp all the granularities, but it can be done.

The key (as always) is good record-keeping. Keep a log of what was eaten, how much insulin was taken and what time, and what your blood sugars were. I seem to say this a lot: You can't get to where you are going if you don't know where you are...

You were advised not to take adjustment shots...I kinda agree with this to a point, I can see where your team is coming from. But I wouldn't run around high for too long. Also, it may be that your basal needs are higher later at night, and maybe that is why your sugars are higher?

[mark-TN]

Another possibility if you take one shot of Lantus per day at night, your Lantus may be loosing steam at around Dinner time or a little after. They say Lantus is a 24 hr insulin but in my experince it is only full strength for about 16-18 hrs. I split my Lantus dose and take half before bed and the other half when I wake up.

Mark