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Apr 21, 2013
Warwick
434 posts
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Topic: General Discussion / Dealing with large carb meals You have just ensured that you will never be on my Christmas card list Youone. I love Pizza Express, but my closest one is 16500 km away. I now have a craving for Pizza Express and I can't do a thing about it until my next visit to the UK which is years away. Any more of this nonsense and I am leaving this thread
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Apr 21, 2013
youone
102 posts
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Topic: General Discussion / Dealing with large carb meals I know the feeling at work, Friday was supposed to be a watch the camera and take the rolls off the machine, but as usual the previous shift fell behind so it was me who had to speed up, more stress so a planed day was changed, had to correct at mid morning since by breakfast BG was 7.8 at 8 it was 7 to low I expected it to be around 10, took 1:50 CP no QA at 10 it was 8.Type1 would be so easy without work, mores the pity I didn't change my job years ago |
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Apr 21, 2013
Gari
17 posts
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Thats really interesting thanks. I had a large spag bol for dinner last night. This is a meal i usually have problems with. I done the 3 dose split. But it wasnt that succesful. Thing is with me is that for my evening meal i am very sensitive. So take a 40% QA reduction. I think this is because i am very active during the day at work. And do a lot of walking to and from. Yesterday i did work but just for a few hours and drove there. So not very active day. But for dinner i still reduced. (Possible should have give the full dose) i have had the same dinner tonight and have not been very active today so gave the full dose split into three. In 30minutes will be 4 hours after i ate so i shall see what happens. I'll keep you posted. Your advice has been amazing and given me so much freedom. Something that the healthcare proffesionals were unable to do. Thankyou |
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Apr 21, 2013
youone
102 posts
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Topic: General Discussion / Dealing with large carb meals Garijust had a pizza express large 500g (19 CP) pizza also a cheese cake which I estimated at 3CP BG was 8 before meal when the pizza arrived I injected 10 QA 1 hour later I injected 8 QA 41/2 hours after the meal my BG was 12 I finished off with a correction of 2 QA according to the person at pizza express who to be honest had no idea what I was asking about, the carb contents, the app said 19 CPs for 550g pizza hut, if I had done this and took the full 23 CP match in QA I would have sailed close to a hypo. doing this split especially with large meals of CPS you have less chance to take to much since you have a correction at the end of the 4 hours the next morning I had a BG of 7 my target was 7 to 9 |
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Apr 21, 2013
youone
102 posts
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Topic: General Discussion / drops in BG levels pauljif I understand your question correctly been a type 1 means 99.9% of the time your body doesn't produce insulin or the processes needed to use the insulin to convert your carbs into energy hence the glucose stays in your blood. very simple explanation I know. you will use 2 insulin's 1 BI background QA quick acting if like you say your BG level is falling and your sure your CP count was correct and your Ratio is correct removing inject sites etc. that leaves your background BI On your Dafne course you would have done a carb free meal too check your BI insulin I do a carb free meal once a week I have a very large Spanish omelette, but this could be anything that you like. always check your BG reading before the meal don't take any QA and check your BG ever 2 and 4 hours the 2 hour is a safe period this gives you time to act if your BG has gone down the 4 hour BG is the important 1 this will tell you if your BI is set at the right amount, if your BG is too high your BI is not enough or your time of injection needs adjusting if your BG is to low your taking to much BI insulin if its near to the BG you took 4 hours previous you know your BI is set correctly and any changes for low or high BG is more pointing to the amount of QA your taking to me the BI is as important if not more than the QA, if you had a BG of 6, didn't eat anything and just sat in a chair all day and didn't take any QA your BG should stay at 6 if its set correctly. another way to check your BI is the BG before bed and BG before Breakfast they should be close to each other. Best to speak to your Dafne nurse if your unsure on the BI insulin and the purpose of carb free meals |
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Apr 21, 2013
paulj
36 posts
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Topic: General Discussion / drops in BG levels is it just because i am diabetic that if i have a mealat say 12.00 o clock and take the correct insulin ratio for that meal that at 5.00 o clock when the insulin has worn off and my BG level is at a acceptable level that lets say an hour later my BG level is still falling unless i have something else to eat? does that make sense ?is it something to do with my doses of background insulin and/or does this happen to everyone whether they are diabetic or not this is all quite new to me with only being on insulin for 6 months but i would appreciate any thoughts and comments that you have to help me understand what goes on cheers paulj  |
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Apr 21, 2013
youone
102 posts
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Topic: General Discussion / Double Hypos round meals. If your hypoing before a meal, not good, look at your previous BG and the ratio of insulin you usedI don't know your BG for this advent so I'll use this example Lunch BG was 8 had 8CP's matched with12 QA ratio 1.5:1 Dinner BG was low 4 If you stuck to the same ratio at Dinner you would be in a hypo Next time reduce your ratio from 1.5:1 to 1:1 for lunch check your BG before Dinner If its OK reduce the ratio for Dinner and check BG Since this would be change to what your doing take more BG tests ,but only correct after the 4 hour one after your QA Its always best to be a slightly higher BG that's constant than hypos Once you've got the BG the same and constant you then start to bring it down to your target with the Dafne techniques One more thing when do you take your BI insulin Is your bed time BG the same as your before breakfast BG ? |
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Apr 21, 2013
Anthony Murray
9 posts
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Topic: Questions ? / "Bed time" testing time & BG hit and miss I did my Bl test yesterday:At 4:56 my BG was 5.0 At 9:03 my BG was 5.5 At 9:31 my BG was 5.2 At 10:03 my BG was 5.4 I'm guessing this means that my Lantus isn't running out and that it's a ratio problem. I say "guessing" as this is the first Bl test I have ever done, I only started using QA and Bl a day or two before I did the dafne course less than a year ago. |
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Apr 20, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / BG Diary - CPs Entry?
Lol! It was deffinately just 5.5 cps - it was a shops own brand of frozen rice where you get 4 sml pkts in one large pack details copied & pasted from the pack: Carbohydrate - (microwaved) Per sachet - 54.0g Hope I'm correct with all this, still doubt myself  |
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Apr 20, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / 7-day waking average Fri 19/046.7 - bedtime 3.8 - this morning - 17.47pm - tea & QA - BG was 7.3 - 23.01pm - bedtime test was done - hypo before bed @ 22.42pm 3.9 treated with 4 jelly babies Sat 20/04 5.3 - bedtime 13.3 - this morning - 19.20pm - tea & QA - BG was 6.2 - 23.14pm - bedtime test was done - hypo before bed @ 22.52pm 3.9 treated with 4 jelly babies - supper was sandwich 2 slices / 2 treat size biscuits - probably about 5 cps - no QA |
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Apr 20, 2013
Anthony Murray
9 posts
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Topic: Questions ? / "Bed time" testing time & BG hit and miss I think I will try it again after I figure out the reason for the night highs and hopefully fix it. |
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Apr 20, 2013
novorapidboi26
1,818 posts
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Topic: Questions ? / "Bed time" testing time & BG hit and miss So it seems you need more overnight than you do in the morning..........it would be good in my opinion to maybe try a split again when your ready, means you can deal with the two different parts of the day separately,.... |
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Apr 20, 2013
novorapidboi26
1,818 posts
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Topic: General Discussion / BG Diary - CPs Entry? yeah 55 cps is 550g of carbs, and that a lot........ |
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Apr 20, 2013
novorapidboi26
1,818 posts
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Topic: General Discussion / Double Hypos round meals. Its not uncommon, I think I have experienced this before............I suppose it all depends on why you had the first hypo, essentially you could be dropping even after you have given the 15g of quick acting carbs......which would mean your next meals dose would end up being too much........ what have your bg been like before the next meal, so after the hypo.........? |
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Apr 20, 2013
Anthony Murray
9 posts
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Topic: Questions ? / "Bed time" testing time & BG hit and miss
Thank you very much, I'll try the carb free dinner today. I was splitting my lantus from the 17th of February till the 23rd of March, was getting the same kind of results (hit and miss... mostly miss). I started out at 4 units at breakfast and 4 units at dinner and by the time I stopped splitting it I was taking 3 units at breakfast and 7 units at dinner. |
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Apr 19, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / BG Diary - CPs Entry?
Thank you Vickyp 
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Apr 19, 2013
Vickyp
135 posts
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Topic: General Discussion / BG Diary - CPs Entry? 55g is 5.5cps |
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Apr 19, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / BG Diary - CPs Entry? If something was 55 cps how would this be written into the diary. Would it be 5.5? |
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Apr 19, 2013
Gari
17 posts
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Hi all. I wanted to know if anyone else has two hypos round a meal time. If I have a hypo within 1 hour of a main meal, I tend to have another about 1 to 2 hours after I have eaten my meal. I wondered if anyone finds that they have to reduce their QA for the meal they eat after experiencing a hypo. This does seem to be a pattern for me. Please help. |
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Apr 19, 2013
novorapidboi26
1,818 posts
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Topic: Questions ? / "Bed time" testing time & BG hit and miss Welcome to the forum AnthonyThere is 2 possible reasons for the high which I am sure your aware: BI running out Not enough QA at dinner If you are reluctant to change the QA ratio, which in my opinion is good, then the next step is a BI test.... You should carry this out from dinner till bed time, so a carb free dinner...... This will tell you what your BI is doing between dinner and bed.......you may find that it holds steady till about 9 or 10 then goes up, this means that your BI dose is running out..... Because its a single Lantus dose your only option would be to move the time of it or compensate with some extra QA at dinner..........if you don't want to split you will likely need to compensate somewhere for the lack of full coverage over the 24 hours.... When did you split it? What were the timings then? |
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Apr 19, 2013
Anthony Murray
9 posts
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Topic: Questions ? / "Bed time" testing time & BG hit and miss I was wondering if someone could help me with my night time highs.I'm currently using Humalog (1:1) and Lantus (10 units a night) What time should I do my "bed time" test? I take my dinner at 5 and do my test at either 9, 10 or 10:30, take my lantus and then go to sleep at around 1 or 2. If my BG is good or close to good at 9 then I take that as a win, if it's quite high then I will probably wait till later to check again just in case I have some insulin still working away. When I had my last check-up in February the DSN thought that I should change my dinner ratio to 1.5:1. I haven't tried it because surely if I was supposed to be on 1.5:1 and I'm only doing 1:1 then my "bed time" BG would be in the 20+ range. I've tried splitting my lantus but it didn't make any difference. I know people say lantus is a 24 hour insulin but I read in the dafne book that it's 18-24 hours and can be split. |
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Apr 19, 2013
novorapidboi26
1,818 posts
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Topic: General Discussion / DIARY Your numbers look really good, well done.......You do seem to be on the lower side as you approach bed time....that may justify a carb free test from dinner on wards, just to see what your BI is doing at that time........your on Lantus, I assume, so you may have to reduce your dinner time ratio to avoid making changes to your BI because of its inflexibility...... Do you feel low at 4.2 - 5.0? Officially this isn't actually a hypo and so you don't need to take anything for it.......obviously if you fear going low overnight then you should take something........would be interesting to see what your BG does without extra CPs........ Good job though......welcome to the forum......
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Apr 18, 2013
Stephen Will...
3 posts
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Topic: General Discussion / DIARY Things going well so far |