I woke up low this morning so had the luxury of a slice of toast with sugar free marmalade. Normally I will have eggs with bacon or veggies. Or protein powder pancakes with sugar free jam. I’m T2.
Dumb question, Alan. I know some people bolus for protein and fat, but I thought it was smaller amounts than carbs, and never would have thought it could be 28 “carbs” worth! Maurie said something on here recently that explained something I’d been wondering about. Did your I:C ratio change when you started bolusing for protein and fat? He explained it more clearly than I can but it would make sense that it did.
Hi Zoe,
I back out all fiber and do bolus for the full 62 grams (6.2 carbs). However, I hold back around 10 carbs worth of insulin to take 2 hours post - even if I’m in the 80s.
Maurie
You may not have taken it to the Jet Propulsion Lab but it does sound like it comes from there! Whew! You must dream in numbers!
So if, ultimately it works out the same, why not just alter your I:C ratio to account just for carbs and save all that work? Just wondering…lol. I’m sure like anything, it gets easier as you do it.
Thanks for your response.
Sorry you were sick (and put on weight). One thing to consider is Symlin. I’ve only do 50% breakfast and lunch and 60% dinner of the amount of insulin I used to do. Haven’t lost any weight yet, but I just got my dosage up to where I think it will help more.
Yeah, I could see the wizard not being useful the way you do things. I don’t always listen to it either; I’m not bad with numbers but I prefer to clutter my mind with other things than multiplication and division 24/7!
Am type 2 and had my standard breakfast of 1 serving of frosted flakes (27 carbs) with 4oz of lactose free milk (6 cards), 8oz of coffee with 1 tsp of sugar (4 carbs) and 1 tsp of lactose free creamer (3 carbs)
= 224 calories, 40 grams of carbs, 3 grams of fat and 6 grams of protein for breakfast
BG before breakfast mmol 11.1
BG after breakfast mmol 7.4 (after 10 units of humalog)
I have not had breakfast yet, but I know what I will have. A bacon roll with a cup of tea. Oddly, some days my blood sugars will stay in a normal range throughout the day, and other days it will spike to 28 mmols and stay high despite the insulin until about 3pm when I will crash! I cannot understand why it will stay steady one day and spike another! Normal sugars are for me between 5 and 7 mmols.
type1
1 1/2 cups of wheaties fuel cereal (the new breakfast of champions lol) totals to about 90 carbs
i gotta get my carbs before going to work! wish i could type more, but i gotta go
3 c coffee over 2 hour period, no cream, no sugar,
2 slices of the 5 gm per slice bread, 10 g
2 oz cream cheese, not counted
1 Diabetic Friendly yogurt, 3g
1 hard boiled egg
Total carb g=13, Humalog 4units, figuring 1:3
Started at 94; I’ll be 94 in an hour, Type 1
When I eat no carbs at all I figure for the protein and fat using 60% for protein and 10% for fat. I even figure for the cream cheese.
The rest of the day I figure 1:4.5
I’m not hungry again til about 1 pm
You didn’t mention the timing of the Long term insulin. I get good results by splitting my Lantus to a morning shot and about 5 hours later a lunch time shot, that makes the so called 24hour insulin actually last longer. Also there is good proof in my experience that Dr Bernstein is right when he says it is best to never inject more than, he says, 7u in one location, so I make my maximum 8u, so I do 8u am and 7u at about 1-3pm and then when dinner comes I am usually so low, that I don’t even need a short term dose because I eat very low carb anyway. If my blood sugar level is at 8.x mmol at midnight, it will be down to 2.8mmol=50.4 mg/dl by morning, even with the remaining part ot the lunch time dose of Lantus.
One thing I remember from 5 years ago, is that during my monthly cycle I always had to take more insulin during the two weeks of the progesterone part of the cycle which is the second half after ovulation. I learned from a gynocologist’s book that the progesterone is high throughout pregnancy… When not pregnant, when the progesterone drops suddenly, that triggers the menstruation and the lining of the uterus comes out. So my prediction is that you will experience what seems to be insulin resistance for the pregnancy, but will get back to normal after the birth. Here’s a diabetic site that talks about it. http://www.insulin-pumpers.org/howto/menses3-1.html
I suppose your gynocologist following your pregnancy has mentioned that children inside can gain weight if their own pancreases start processing and storing the glucose from your blood, so that is an incentive to make sure your blood sugar is in control.
If you do eat something in the morning, then, make sure it is low carb for breakfast. What I do is cook beef on a George Foreman grill and have little 2oz cooked patties in the fridge, which I can eat cold like a cookie if I am really hungry. You could cut it up into bite sized pieces and warm it up in the microwave… Maybe only 1oz is all you need. The protein would be good for the baby’s development too, inside your body. I would say protein is more valuable than 1/8 of a bagel which turns mostly into glucose. Even protein can turn into glucose after the protein is used for the body’s immediate needs.
Had a bowl of porridge, piece of toast with half diet jam and half peanut butter, an orange and a glass of milk on the porridge. Also a multi vitamin pill and a vitamin D pill. (Usual breakfast)
yesterday after noted breakfast 10.52 AM finger poke 3.8 ( x 18 ) …darn …a hot day here ; should have taken less insulin …I took Dex 4 and less insulin during the day ( temp basal setting to 80 percent )
1 cup unsweetened plain nonfat Greek yogurt . 3/4 cup unsweetened vanilla almond milk and 1 cup frozen fruit blended into a smoothie with a dash of splenda . About 30 to 35 carb depending on the frozen fruit.
Well, let’s See…
EOD in summertime it’s:
Egg & Sausage Pattie in a Dish, Nuke it for 1 min
Add some Pepper
Diet Organge Drink or Tea
EOD it’s a Egg Toast Sandwhich ( Low Carb Bread) ave tot of 24 carbs
and Tea or Diet Orange Drink or cup of coffee…
Coffee Spikes me, so I need 1 unit per Cup,
I’ve had IR for Yrs… and got Tired of The Atkins and Other Almost No Carb Plans…
don’t let IR ( Insulin Resistance) get you down, deal with it… and treat it for what you want and Need to eat… Eating Vegiies, Beans etc is necessary…They have alot of carbs, but you have to eat them, so you Bolus For them, IF you know what your I:CR is… It’s no big deal… It’s just Not getting the Right Amt. of Carbs Figure correlty, that is the trick! Buy foods with carbs per 1/2 cup labled or get a Scale…and look up the Carbs per oz, etc. on The CALORIE KING for starters…
Why does anyone have to eat beans?
My ratios change every now and then. Not a ton but they’ll sort of drift a notch one way or the other. Sometimes I’ll switch exercise modalities, I ran lower when I biked more for a while last summer for example, the opposite of what I thought would happen because I look at running > biking for whatever reason but I’d been running a lot for a while and just switched. Even without big changes, sometimes it just seems to drift. One G/ U off or +/- .5U/ hour sometimes will make a difference between hitting the 120s and 140s or higher so to me it’s not as much “figuring it out” as it is “sparring with it”, since it keeps me on my toes.
I change from day to day! It is really frustrating and I am afraid I am no better now than I was when I first started! I generally have a bacon roll, or a couple of slices of toast and my blood sugars can spike to 28 or I can crash within a couple of hours to 1.3! It does not seem to be anything to do with activity - I can be very active and still be high, or less active and be low.
I wish I knew the answers!
Fortunately they spike my blood sugars…
It takes time and I’m going to suggest not worrying about 1 hour numbers right now. The “standard” advice at the Joslin is for T1s to test at three hours. If you can get your 2 and/or 3 hour post numbers settled down so that you aren’t more than 30 points higher or lower and are under 140 most of the time, declare a victory and move on to flattening the curve at one hour if you wish.
Maurie
Don’t let it get to you, Lynne. I think there is something operating I call the “luck of the draw”. Where some people bust their butts working on their numbers and are still subjected to lows and highs on a regular basis. Then there are those who without all that much effort stay effortlessly in perfect range. I’m in the middle - using all the info I’ve gained and trial and error on my own patterns I do ok most of the time but still have unexpected lows and highs sometimes. I do think most of the people with “perfect numbers” #1 have that “luck of the draw” and #2 use both pump and cgm.
Btw the only way to find your correction factor (since it differs for everyone) is to do it: start very conservatively and see the results. When you are in the 200s try using one unit and see how much it brings your blood sugar down. Then keep trying it and noting the results. If you start to see it regularly brings it down only 30 pts, you could try using 2 units when you are 200 and see if it brings you down to 140. After awhile of trying this the data will lead you to your Correction factor.