Nathan has given himself 6units or N/R more than he was told

[sasha1]

Hi Bev,

Also meant to say that some days Nathan has 10-16 units at lunch and 12-18 units at tea...dependent on his BG at the time of meal and the effect the food will have on his levels...the patterns that they follow

Heidi xx
🙂

 

[Northerner]

...Regarding the Baked potato, he has beans and cheese which are carb and the cake is both slow and fast carb....The potato at home have butter on them also the turnip is mashed in butter etc, he also has a slice of bread.
But also Nathan has the option of having something else if he requires..

Heidi xxx
🙂

No carbs in cheese or butter Heidi, and surprisingly few in beans - mostly in the sauce. It must be a nightmare with the hormones, growth etc. though - I shot up in height in my early teens!

 

[bev]

Heidi,
I never knew that teenagers need 3 times the amount of an adult! Wow! I had better start stock piling!
I must admit i think Alex is probably still a little bit in honeymoon etc ... so comparisons should not be made. I wasnt being critical- i am more confused to be honest - espcially as Nathan has a brilliant hba1c and i seem to put so much effort into carb counting and weighing etc ...it makes me wonder for what? Bev x

 

[sasha1]

Heidi,
I never knew that teenagers need 3 times the amount of an adult! Wow! I had better start stock piling!
I must admit i think Alex is probably still a little bit in honeymoon etc ... so comparisons should not be made. I wasnt being critical- i am more confused to be honest - espcially as Nathan has a brilliant hba1c and i seem to put so much effort into carb counting and weighing etc ...it makes me wonder for what? Bev x

Hi Bev...

Hun I know you were'nt being critical in the slightest....🙂...I understand that you find my way confusing, as I do yours....Carb counting, the weighing etc must be a nightmare...I would'nt no where to start..although I have been told the same ratio as you 1:10...

Diabetes is an individual conditon what works for on e does'nt necessarily work for another and there are allot of cotributing factors...motabalism, how the body uses and processes sugar etc

You are a brill mam to alex..and providing him with the best you can

Heidi
xx🙂

 

[NiVZ]

Hello,

Ah, computer problems I work in IT so familiar with those 😉

The details you gave of Nathan's normal day give a useful insight. From those numbers and food, I'd say his slow insulin is perfect, and his morning one is pretty good too. It's probably the mid-morning football that means he needs a Fredo, or as you mentioned you thought about taking his morning injection down by 1 or 2 and then he might not need the chocolate..

I know we're not supposed to give too much medical advice, but I'd suspect his lunch and evening ones may need lowering slightly.

Fast Insulin lasts for 3-4 hours and if you look at the times, he's doing his needle around 12:00 and hypoing near 16:00 and then he's doing a needle at 16:30 and hypoing at 19:30.

Not sure if I'm overstepping the mark, but it's just that thats the pattern that jumps out at me from those numbers.

Keep us posted with his progress.

NiVZ

 

[sasha1]

No carbs in cheese or butter Heidi, and surprisingly few in beans - mostly in the sauce. It must be a nightmare with the hormones, growth etc. though - I shot up in height in my early teens!

Hi Northerner,

About the carbs in cheese and butter..I must say that this is what we were told by the DSN and dietician

Adding butter for example to a baked potato, boiled potato, mash...changes the structure of the food...for example Mash is a fast acting carb as the fibers and cooking have altered the carb...but add butter you make it a slower acting
Baked potato..is slow acting card...but add sugar in lengthens the time
As for cheese..because it contains milk....it is therefore considered to be a carb...and was used to treat hypos many years ago....

Heidi
🙂

 

[Northerner]

Hi Northerner,

About the carbs in cheese and butter..I must say that this is what we were told by the DSN and dietician

Adding butter for example to a baked potato, boiled potato, mash...changes the structure of the food...for example Mash is a fast acting carb as the fibers and cooking have altered the carb...but add butter you make it a slower acting
Baked potato..is slow acting card...but add sugar in lengthens the time
As for cheese..because it contains milk....it is therefore considered to be a carb...and was used to treat hypos many years ago....

Heidi
🙂

Ah, yes, any fat in the food mix will slow the digestion and lower the glycaemic load, but if you were carb-counting (which you're not!) you wouldn't give insulin for butter, just expect it to smoth out any spikes. In some cases, the fat can cause the peak of the insulin and the glucose spike of the food to 'miss' each other, so the person goes high later on - I think pizza is notorious for this in some people. It's also why chocolate isn't good for hypos as the fat content makes it act too slowly to bring levels up.

Again, with cheese I wouldn't include that in my carb counting dose - a cheese sanwich would just be counted for the bread. Can't imagine how cheese would work for a hypo, I must admit! I looked up to make sure and found that there is virtually no carbohydrate in hard cheese, and very little in soft cheese.

 

[mikep1979]

i think the point everyone is missin here and i think it is the biggest point is that diabetes is an individual thing and no matter what works for one it might not work for someone else!!!! as for the advice that has been given it seems like to me one person is getting one lot of advice and others are getting another. i would just say it is best to stick to what you know and what works for you. great saying is if aint broke dont fix it

mike

 

[Adrienne]

Hi

Northerner, you mentioned no carbs in cheese. Can I just say that some of us have been experimenting with fat and food etc. If you are carb counting seriously you pretty much have to treat some fats as carbs !!! For example if you eat pasta with a tomato sauce then you count 25 cho for every 100 grams of cooked pasta. If you have pasta with a cheese based sauce, then I would count 30 cho for every 100 grams of cooked pasta. The fat sends the carbs up somewhat so you are totally right in that cheese doesn't have carbs but on a jacket pot with beans it is a nightmare as you have the fibre in the beans as well !!!

The theory is that with jacket and cheesy beans only 20% of the population can sort out the carb count and have no spike. 80% cannot and never will. We are in the 80%, one friend is in the 20% but most of the others are in the 80%. We get a huge spike and we have tried all sorts of combinations of dual and square waves and normal bolus' as well.

Unfortunately it is my daughter's favourite so I battle on.........

 

[mikep1979]

i carb count and i have a superb a1c and my levels are pretty stable no matter what i eat. i feel and i have said it on here and i think it is what heidi is getting at to is that diabetes is an individual thing and no one is right or wrong in what they do. it is what works best for you. i will never read a book on diabetes written by someone who isnt diabetic as i feel how can they write this when they dont experience it first hand??? they are going of medical knowledge and im sorry but diabetes aint all medical knowledge. it is a huge ammount of trial and error.

 

[Adrienne]

I totally agree with you.

Do you pump? Although carb counting is the same whether pumping or injecting with pumping you can do so much more ie lots of different ways to give a bolus. To get the best out of your pump, and again each to their own, if you can work out how fat works with you or against you in a meal then you get even better results.

I agree it is all trial and error

 

[mikep1979]

I totally agree with you.

Do you pump? Although carb counting is the same whether pumping or injecting with pumping you can do so much more ie lots of different ways to give a bolus. To get the best out of your pump, and again each to their own, if you can work out how fat works with you or against you in a meal then you get even better results.

I agree it is all trial and error

i dont pump as i have been refused one due to my levels being so good lol but never mind i will bide my time and see how the land lies in a years time.

i agree that fats work either with or against you. it is best to do a few days experiment then to leave it to what you know and let it all settle down again then try out some more experiments. just i found this worked wonders for me as it ment i had maybe a couple of days high or low then a week or so of stable levels and i also informed my dsn of what i was doing.

 

[Northerner]

...The theory is that with jacket and cheesy beans only 20% of the population can sort out the carb count and have no spike. 80% cannot and never will. We are in the 80%, one friend is in the 20% but most of the others are in the 80%. We get a huge spike and we have tried all sorts of combinations of dual and square waves and normal bolus' as well...

Hi Adrienne, I'm definitely in the 20% as I haven't had a problem with anything I've eaten, and I really do feel for those who are not as lucky as me in this respect - especially you parents who are trying to keep your youngsters safe and well🙂

 

[Adrienne]

Thanks Northerner and I would love to be in that 20%