I am on much greater amounts and so my ratios are given slightly differently........
3:10g in the morning, 1.5:10g the rest of the day.........
Would I have to go back to 1:10g when starting a pump, what would the HCPs say.................
It makes no difference whether you are on smaller or larger amounts. You have been taught the same way as Northerner counts carbs. For pumping you should do it the other way. You always work with 10 carbs which is what some DSNs or dieticians teach. They will soon change their way of teaching when they start pumps.
You have to count carbs using 1 unit of insulin as your basis not 10 carbs.
So your ratios, with what you have given me,are :
morning : 1 : 3 which is 1 unit to 3 carbs
Rest of day : 1 : 6.5 which is 1 unit to 6.5 carbs which would be rounded up to 7 so it would be 1 : 7
That is the way you need to do it as that is how pumps are set up. You would programme in times and numbers starting at midnight. So using Jessica as an example (and I appreciate you are on more insulin but lets say your breakfast is 1 :3 and lunch is 1 : 7 )
Jessica's settings for her ratios look like this :
0000 7
1130 9
1630 13
Which means from midnight to 11.29 am she is on 1 : 7
from 11.30 to 1629 she is on 1 : 9
and from 1630 to 2359 she is on 1 : 13
Yours would look like this :
0000 3
1130 7
So from midnight to 1129 you would be 1 : 3
and from 11.30 am to 2359 you would be 1 : 7
No you would not have to start again at 1 : 10. I have no idea what your DSN would set you at. It would make sense to start at say 1 : 10 as your lunch time is not that out and I bet at tea time you would need about 1 : 10. You will find you will need less by tea time.
Within the first day you would have tweaked the breakfast own possibly down to 1 : 6 to begin with and maybe the next day tweak the lunch time down.
It is all bit by bit and for a few days you may feel horrid as your levels will be up and down and not much pattern that you can see. An experienced pumper or DSN will, however, see a pattern and will be able to tweak.
Hope I am making some sense here for you.
🙂