How Many Carb Ratios


#1

How many carb ratios do you use throughout the day?


#2

TWO: Nighttime, and 10AM until midnite.


#3

Two, one for the first meal at mid-day and another for my second meal in the early evening.


#4

I have several (day, evening, nighttime), and I also have different ratios for the weekend than I do for the workweek.


#5

I have four, three that vary with meal times to help control rise after my meals and one that is for midnite to 6:00 AM.


#6

Two: 6am-10am and then the remainder of the day.


#7

I’m confused. Do you mean how many times you use insulin, or do you mean how many times you eat carbs. Sorry, please explain. Thank you.


#8

Carb ratio is the amount of 1 unit rapid acting insulin needed to cover 1 gram of carbohydrate consumed.

In the morning I am more insulin resistant to 1 unit of insulin covers 2 grams of carbohydrates for me. After 10am, 1 unit of insulin will cover 3 grams of carbs for me.

Every body and everybody’s diabetes is different :slight_smile:


#9

Thx. I think this needs to be discussed more. I understand everyone is different, but I was told 1u for every 15 carbs, maybe 12. Things is though if my sugar is high I take anywhere from 3 to 10 u of insulin like nothing. My goal is to eat without having to count carbs or think about what I’m eating.


#10

Two. I produce a bit of endogenous insulin that pretty regulary kicks in around dinner time, so I can use less insulin per carb from 5pm-7pm.


#11

I was using four and have now dropped it to one.


#12

I pretty much use just the one throughout the day. 1u to 10 carbs.


#13

Um, it’s not really possible to not count carbs one way or the other. You’ll need to count to calculate a dose…or do old school where we took a precise prescribed dose and used an “exchange system” diet to basically eat the same number of carbs daily. Sorry, I know it sucks.


#14

I asked because I wondered what was unreasonable. I am using a 670G pump on automode and was trying to use my carb counts to influence the insulin I was getting in micro-boluses.

My NP and the endocrinologist was just not okay with me managing it that way and reduced it to one ratio all day…but I am very concerned I’m going to run amok. (I had 3, but it ended up being 5 settings because I’d switch from pre to post meal at lunch and dinner.)

BTW, I had a lot of labs done and apparently I produce no insulin at all. So I’m not supposed to need more than 1, but I know I produce a lot of cortisol and glycogen, because stress can drive me up 300 points within a half hour.


#15

Yeah I know, but certain diets where foods such as rice, bread, pasta are eliminated and replaced with nuts and vegetables I think would dramatically decrease carbs. I think it’s more of a digestion issue which makes it difficult. Fruits also are natural sugars which are better for digestion. Just my opinion, but I went 3 months eliminating all complex carbs from my diet, and my a1c’s were dramatically improved and the amount of insulin I took was less relevant to controlling my sugar levels. It’s tough though to stick to especially when people around you do not eat the same way; ie grocery bills, cooking time, eating out, families, etc.