Thank you for the reply!
Can I ask, what are some of the most common ratio's? At the moment I am on a 1-10 ratio.
As other have suggested, while it can be helpful to know what other ratio works for other people, the more important thing is to work out what basal dose and ratio work for you *at the moment* and then use it until it doesn’t seem to work reliably any more (or at that time of day) and then change it in smallish increments, perhaps 10%, up or down until it works.
My definition of ‘works’ is something like:
Basal should hold your levels steady if you miss a meal and overnight. You can skip a meal or set an alarm or two to check this. ‘Steady’ means not rising or falling by more than 1.5-2mmol/L. Your BG is likely to dip in the early hours. The more steady your basal holds you when not eating or exercising, the more effective your meal doses will be.
Bolus: Doses matched with accurately carb counted meals or snacks should return BG to the starting point after 4-5 hours. Meals/snacks should be chosen, and doses should be timed to give a rise of max 3mmol/L and ideally so that BG peaks ideally no higher than 9mmol/L (for timing... sometimes you need to leave a gap between dose and eating). Peak BG can be given some flexibility depending on premeal BG.
Range: best discussed with your clinic, but research seems to suggest that aiming to be within 4-10mmol/L at least 70% of the time is ideal.
Hypos: As feels as possible. You should aim to be able to go several days (most days?) with no readings below 4.
This is intensive management.
🙂
Non-intensive management would be mixed insulin twice a day, and not counting carbohydrate but just being told to eat a ‘healthy’ diet.
