11 posts, 4 contributors
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ang31
DAFNE Graduate
NHS Greater Glasgow and Clyde 1 post |
if your on 3-1 ratio should what ratio do you take for snacks or extra food in between |
novorapidboi26
DAFNE Graduate
NHS Lanarkshire 1,819 posts |
Welcome........ |
Carolin
Sheffield Teaching Hospitals 83 posts |
Any carbohydrate (over 1 CP) eaten will need to be covered by QA and we suggest you use the ratio you use at the mealtime closest to the snack. The thing to be cautious of (and to which Novorapidboi alludes) is overlapping doses, however this really only relates to correction doses. For that reason DAFNE Educators normally recommend NOT testing your BG when you snack, especially if it's within maybe 2-3hrs of your last dose of QA as it may lead you to making an inappropriate decision on your insulin and potentially take more corrective. So essentially, just take your usual ratio for that time of day for snacks, but don't take corrective. Correct only at mealtimes when you know all previous dose(s) of QA are out of your system and no longer affecting your BG. Good luck, Carolin |
novorapidboi26
DAFNE Graduate
NHS Lanarkshire 1,819 posts |
What do you mean it only relates to correction doses.....................? |
Carolin
Sheffield Teaching Hospitals 83 posts |
Snacking can admittedly be a tricky concept to grasp sometimes. But your QA:CP ratio should just 'cover' CPs eaten (or drunk) so that your BG doesn't end up high. |
novorapidboi26
DAFNE Graduate
NHS Lanarkshire 1,819 posts |
OK, so in theory you could snack numerous times and as long as you have delivered the right QA, all should be well.........? |
Carolin
Sheffield Teaching Hospitals 83 posts |
Yep. Spot on! Down side of lots of snacks however is you never get a 'true' BG reading before meals which can sometimes make it difficult to work out if your ratios are right. |
novorapidboi26
DAFNE Graduate
NHS Lanarkshire 1,819 posts |
Well, unless you waited till all QA and CPs had diminished................ |
JayBee
DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust 587 posts |
For clarification Carolin, when snacking for unplanned exercise, is it best to go on what you expect your BGs to be after the insulin has run out, which is determined by what you did at your last meal, rather than what you are at the time of expecting to do the exercise? |
Carolin
Sheffield Teaching Hospitals 83 posts |
OK, snacking for exercise is another matter ![]() I'd refer you back to your course handbook for this, but generally we recommend if you're doing exercise you need to start with a BG above 7mmol/l, therefore if you're below 7 you need to take on extra CPs. How much you need will depend on the intensity & duration of the exercise, so if it were something gentle/short-term, just 2 CPs should be enough; something more strenuous you might need 3 CPs. You'd be best to choose a fairly rapid carbohydrate as you'll need the fuel quickly for the exercise. It's worth considering what insulin you have around too of course, i.e. your last dose of QA or your BI in case either of these is likely to still be having an effect on your BG, or indeed if not, whether you need as many CPs prior to the exercise and/or a small dose of QA to help your body to use the glucose. Hope this hasn't confused you more JWo? |