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highblood :(
- Thread starter lo123
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Lol, that doesn't seem like much Novorapid for a meal. I'd say a rough rule of thumb is 1 unit per 10g of carbohydrates. Obviuosly this varies slightly per person and won't take into account any excercise you might have done and what your sugars were before you had the meal. Do you normally adjust the insulin to suit what you are eating?
hi alan - i took 4 units of correction novorapid an hour ago and now its 10.7. my blood was 7 before my meal. If it goes low il scream (sorry) cause im meant to be fasting for a blood test in the morning and if it goes low il need to eat thus they won't be able to do the test! I usually adjust insulin for meals - usually 6 or 8 units for meals -they gave me that figure in the hospital. I don't count carbs at all. Im goin on the pump soon and hopefully il have more control with that!
Hiya,
I suspect the spuds were the killer on your blood sugar
A little trick I learnt many years ago was to split the meal bolus if eating spuds/bread/pasta. IE have 30% before meal and any correction for a high number and the rest 1 1/2 too 2 hrs after the original injection. All the above foods tend to take longer to digest so hit the blood sugars hard at the 3 hr mark.
I suspect the spuds were the killer on your blood sugar
A little trick I learnt many years ago was to split the meal bolus if eating spuds/bread/pasta. IE have 30% before meal and any correction for a high number and the rest 1 1/2 too 2 hrs after the original injection. All the above foods tend to take longer to digest so hit the blood sugars hard at the 3 hr mark.
I have news for you. You will not be let loose with a pump until you can carb count.
You will also have more control on MDI if you carb counted so why have you not be taught to carb count as a 1st option before a pump is offered
?If you are having just an HbA1c done in the morning you do not need to fast.
1 unit per 10g is a lot! I'd recommend starting at 1g per 15g of carbs. Especially for someone new to insulin. Ideally you want to start off with a lower unit dose then work you're way down till you find your ideal measure.
I find 1g per 15g for morning and lunch meal, then 1g per 13g for evening meal. I always split the dose (40% then 60% 1.5-2hrs later) if I'm going over 100g carbs.
Northerner
Admin (Retired)
- Relationship to Diabetes
- Type 1
I think it needs to be made clear that 'everyone is different', and what may seem a small amount to one person may be a lot to another. I take 1 unit novorapid for 10g carbs, but when I was on an education course I met someone who was on half that per 10g and someone who was on twice that, so it's really not possible to relate personal experience to someone else's, unfortunately.
aymes
Senior Member
- Relationship to Diabetes
- Type 1
absolutely, I'm on 1 unit for every 10g during the day and 1.5 units per 10 in the evening but I know others on a lot less and others as much as 3 units per 10g. Once they start you on carb counting, which won't be far off if you're going on a pump, the nurse should work with you to determine what ratio you need. For example on our dafne course everyone started on a 1 unit for 10g ratio and worked from there.
Of course, everyone is different. In general though, most people start out on 1 per 15g and then adjust from there. Like everything else, there will be local variations.
I know that a lot of people need more insulin in the morning and less in the evening, I am the complete opposite and always have been since diagnosis which allowed me to enjoy an almost unlimited amount of breakfast food on 1x500mg tablet of metformin. 🙂
sofaraway
Senior Member
I have news for you. You will not be let loose with a pump until you can carb count.
You will also have more control on MDI if you carb counted so why have you not be taught to carb count as a 1st option before a pump is offered
I agree, why give someone a pump that doesn't have the skills to make MDI work. I see this alot that people get the nod for a pump then learn how to carb count in preparation for getting it.
lo123 did you go low? it looks like you would have done from the drop that you got in the first hour.
Yeah it went low - when it was 4 i knew it would get lower so i ate. I don't carb count but I guess at how much food is there and dose according to that. so maybe that is kinda like carb counting. My counsultant in Ireland is very happy with my control - HBA1C's of 5, Its just sometimes when i eat sweets like that choc biscuit it causes my bs to go high. Where im getting my pump only people with good control is able to get funding for the pump. I know in other countries it's the opposite - people with poor control get the pump (as far as I know) but here im gettin g it because my control is considered very good!
sofaraway
Senior Member
i see didn't realise you were in Ireland. I think it's good that they are less restictive in giving people pumps there.
regardless if you have good control getting a pump you need to be able to carb count and have an idea of your correction factor.
are you going to go on a carb counting course or see your dietician to learn?
regardless if you have good control getting a pump you need to be able to carb count and have an idea of your correction factor.
are you going to go on a carb counting course or see your dietician to learn?
sugarfreerach
Well-Known Member
- Relationship to Diabetes
- Type 1
wow it is the opposite here! we have to have a certain amount of hypos a day to be able to get a pump
ya its the same in America. My consultant said as i have very good control (sometimes!!!!) I would be eligible for a pump. I'm not sure who is funding it but I.m visiting a doctor in one of the main hopsitals in Dublin and there is some pump programme there or something. I don't know much details at the moment though. Maybe some people do get them here also if they have bad control. Don't quote me on this 🙂 haha
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