insulin - DAFNE Online

July 04, 2013 12:16

cargeo111 ca... DAFNE Graduate
NHS Lanarkshire 12 posts

Hi do you cover milk with insulin in your cereal?

July 04, 2013 12:27

novorapidboi26 DAFNE Graduate
NHS Lanarkshire 1,819 posts

you would only maybe be looking at 5g of carbs, depending on the milk amount, but no more than 10g [1unit] for it.......

but there are carbs in milk, so it should be counted, as part of a meal at least......

July 04, 2013 12:49

cargeo111 ca... DAFNE Graduate
NHS Lanarkshire 12 posts

Thank you , i had two weetabix with milk at 10.30 took 4 units still sitting at 13.4 Crying or Very sad

July 04, 2013 13:11

novorapidboi26 DAFNE Graduate
NHS Lanarkshire 1,819 posts

4 units sounds about right, and your insulin should be on the way out by now, if not completely expired.....

have the same again tomorrow, see what happens.......you may need a ratio change.....

do you inject before or after you have eaten....?

July 04, 2013 13:18

cargeo111 ca... DAFNE Graduate
NHS Lanarkshire 12 posts

after my meal i was sitting at 11.2 before should have taking 1 for correction maybe Very Happy

July 04, 2013 13:43

youone DAFNE Graduate
Hull University Teaching Hospitals NHS Trust 102 posts

cargeo111 carol b said:
Thank you , i had two weetabix with milk at 10.30 took 4 units still sitting at 13.4

Hi
If you counted the 2 weetabix + the milk as 4CP and matched with 4QA that would be a ratio of 1:1
Your BG was 13.4
6 above my target of 7
Ie 2 units of QA
I would of changed the ratio to 1:1.5 giving you 6 units of QA
Which would bring you down to 6.4
Most type 1 usually have a higher ratio at breakfast
Of course this is only 1 test result,

July 04, 2013 14:01

novorapidboi26 DAFNE Graduate
NHS Lanarkshire 1,819 posts

11.2 before breakfast definitely needs a correction.........

say your target is 5.5mmol/l and your correction factor is 2.5mmol for every unit......

you want to come down 5.7mmol, therefore 5.7/2.5 = 2.3 units of correction, so 2 units......

which ties in with youones calculation that you needed 2 more units.....

make sure your correcting properly before you make any dose changing bg records......

July 04, 2013 16:14

cargeo111 ca... DAFNE Graduate
NHS Lanarkshire 12 posts

Hi i want to make sure my back ground insulin is holding me steady will i have carbohydrate free meals all day ?

July 04, 2013 21:18

youone DAFNE Graduate
Hull University Teaching Hospitals NHS Trust 102 posts

cargeo111 carol b said:
Hi i want to make sure my back ground insulin is holding me steady will i have carbohydrate free meals all day ?

I would use either your lunch or dinner meal as a carb free meal,I wouldn't do more than 1 meal at a time
The method I would use is this
Day 1 use the lunch meal, making sure its more than two hours after and 4 hours before your dose of BI
Note BG at the start if its higher than 13 leave until another day,
Try and act as normal as possible, I mean normal activities don't just sit and do nothing,
Its pointless having a BI level that's not suitable to your normal day activities.
This will give a guide for your morning BI,its only a guide.
Then try the evening meal which is more difficult, you have a lot more to watch since it will effect your morning BG
If you have a partner explain to them what your doing and why,also what to do if something happens.
Have some fun and get them involved by them having the same meal,I find a very large bacon and tomato omelette fills the hungry space.
Make sure you test and note in which direction your BG is moving
Regards
Brian
Type1 42 yrs

July 05, 2013 09:13

cargeo111 ca... DAFNE Graduate
NHS Lanarkshire 12 posts

Thanks Brian i am totally confused with my blood levels the now !!!!

July 04, 2013 12:16 cargeo111 ca... DAFNE Graduate NHS Lanarkshire 12 posts	Hi do you cover milk with insulin in your cereal?
July 04, 2013 12:27 novorapidboi26 DAFNE Graduate NHS Lanarkshire 1,819 posts	you would only maybe be looking at 5g of carbs, depending on the milk amount, but no more than 10g [1unit] for it....... but there are carbs in milk, so it should be counted, as part of a meal at least......
July 04, 2013 12:49 cargeo111 ca... DAFNE Graduate NHS Lanarkshire 12 posts	Thank you , i had two weetabix with milk at 10.30 took 4 units still sitting at 13.4
July 04, 2013 13:11 novorapidboi26 DAFNE Graduate NHS Lanarkshire 1,819 posts	4 units sounds about right, and your insulin should be on the way out by now, if not completely expired..... have the same again tomorrow, see what happens.......you may need a ratio change..... do you inject before or after you have eaten....?
July 04, 2013 13:18 cargeo111 ca... DAFNE Graduate NHS Lanarkshire 12 posts	after my meal i was sitting at 11.2 before should have taking 1 for correction maybe
July 04, 2013 13:43 youone DAFNE Graduate Hull University Teaching Hospitals NHS Trust 102 posts	cargeo111 carol b said: Thank you , i had two weetabix with milk at 10.30 took 4 units still sitting at 13.4 Hi If you counted the 2 weetabix + the milk as 4CP and matched with 4QA that would be a ratio of 1:1 Your BG was 13.4 6 above my target of 7 Ie 2 units of QA I would of changed the ratio to 1:1.5 giving you 6 units of QA Which would bring you down to 6.4 Most type 1 usually have a higher ratio at breakfast Of course this is only 1 test result,
July 04, 2013 14:01 novorapidboi26 DAFNE Graduate NHS Lanarkshire 1,819 posts	11.2 before breakfast definitely needs a correction......... say your target is 5.5mmol/l and your correction factor is 2.5mmol for every unit...... you want to come down 5.7mmol, therefore 5.7/2.5 = 2.3 units of correction, so 2 units...... which ties in with youones calculation that you needed 2 more units..... make sure your correcting properly before you make any dose changing bg records......
July 04, 2013 16:14 cargeo111 ca... DAFNE Graduate NHS Lanarkshire 12 posts	Hi i want to make sure my back ground insulin is holding me steady will i have carbohydrate free meals all day ?
July 04, 2013 21:18 youone DAFNE Graduate Hull University Teaching Hospitals NHS Trust 102 posts	cargeo111 carol b said: Hi i want to make sure my back ground insulin is holding me steady will i have carbohydrate free meals all day ? I would use either your lunch or dinner meal as a carb free meal,I wouldn't do more than 1 meal at a time The method I would use is this Day 1 use the lunch meal, making sure its more than two hours after and 4 hours before your dose of BI Note BG at the start if its higher than 13 leave until another day, Try and act as normal as possible, I mean normal activities don't just sit and do nothing, Its pointless having a BI level that's not suitable to your normal day activities. This will give a guide for your morning BI,its only a guide. Then try the evening meal which is more difficult, you have a lot more to watch since it will effect your morning BG If you have a partner explain to them what your doing and why,also what to do if something happens. Have some fun and get them involved by them having the same meal,I find a very large bacon and tomato omelette fills the hungry space. Make sure you test and note in which direction your BG is moving Regards Brian Type1 42 yrs
July 05, 2013 09:13 cargeo111 ca... DAFNE Graduate NHS Lanarkshire 12 posts	Thanks Brian i am totally confused with my blood levels the now !!!!