Online support totally changes diabetes. I am so grateful it is here.
I’m not the palm pilot type, so I use a desktop based program to look up nutrition, LifeForm at http://lifeform.com. Over the ten years I’ve been counting carbs, I’ve memorized just about everything I eat so the biggest issue for me when I started insulin was using a food scale to make sure that the portions I was eating matched the portion the count was based on. This is crucial.
Whatever software you use, check out portion size, and spend some time weighing food until you really know what portion is. I was often off by a factor of 20-30 grams with some foods because I misguessed the weight.
The feature of my daily management I couldn’t live without is other people who deal with the same issues.
As far as trends and adjustements, I’ve been using insulin for several years now (I have a form of MODY) and I can’t think of when I haven’t had to make adjustements. Every time I get used to a certain insulin and certain dosing, something changes. The doc will take me off a pill or put me on a pill that changes my insulin sensitivity (which is very high to start with). Or the insulin I’m using gets discontinued (UL), or I develop antibodies to the one that worked best ®, or my hormones get changed, etc etc.
So I’m constantly testing and tweaking. And I vary in how much carb I eat, too. When my control gets sloppy, I do a Bernstein type low carb diet for a few weeks to get rid of the bad habits and then gradually raise the carbs again.