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Jun 24, 2011
Carolin
83 posts
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Topic: General Discussion / ratio for snacks
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. |
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Jun 24, 2011
novorapidboi26
1,819 posts
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Topic: General Discussion / ratio for snacks OK, so in theory you could snack numerous times and as long as you have delivered the right QA, all should be well.........?I kinda thought that the peaks of the QA could clash etc and thus cause a low............. As I say, this is only a pretend situation and its unlikely folk are going to have several consecutive snacks to which they will match with QA....... I just assumed the OP was aware that you dont correct between meals/insulin doses [4-5hours], as it is one of the rules were taught as DAFNE graduates.... |
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Jun 24, 2011
Carolin
83 posts
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Topic: General Discussion / ratio for snacks 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.Clearly ratios can differ from person to person and/or at different times of the day, but if you get your ratio(s) right it means that by the time both your food and the corresponding dose of QA have cleared your system your BG should be back to where it started before you had the CPs. If you were to test your BG within a couple of hrs of having CPs/QA it's likely to be high as the QA hasn't finished working on the carbohydrate, so if you choose to have more CPs you should only have the QA to cover what you're having, no extra to correct the BG. That's what these fancy new bolus adviser meters take into consideration with this 'insulin on board' thing. If you find that you get low BGs when you snack and inject QA, then (unless you're exercising) it could be either you're overestimating the CPs in the snack, or using the wrong ratio, or that your BI is a little too high (which as you know you can test out by doing carb-free meal(s)) Hope this clarifies it? Carolin |
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Jun 24, 2011
novorapidboi26
1,819 posts
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Topic: General Discussion / ratio for snacks What do you mean it only relates to correction doses.....................?would there still not be a 'stacking effect' if you continued to snack several times between meals purely with the QA for the carbs alone......... I would consider what insulin is on board each time [with the help of my fancy meter...  ], but if I were to snack 2, 3, 4 separate times then I would expect my BGs to drop lower than expected, hence the reason I dont actually do this, and I expect for most people this doesn't happen often...
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Jun 24, 2011
Carolin
83 posts
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Topic: General Discussion / ratio for snacks
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 |
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Jun 24, 2011
novorapidboi26
1,819 posts
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Topic: General Discussion / ratio for snacks Welcome........Depends I suppose......... I am on a 3:1 for breakfast, and a 1.5 for lunch, so if it was in between it would be most likely a 2:1 ratio I would take, but again it all depends on how close to your previous/next meal you are.................. But say you were on 3:1 all day, then you would take your snacks at 3:1 also, you may need to consider active insulin on board though and possibly reduce the dose............. |
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Jun 24, 2011
ang31
1 post
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Topic: General Discussion / ratio for snacks if your on 3-1 ratio should what ratio do you take for snacks or extra food in between |
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Jun 24, 2011
JayBee
587 posts
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Topic: Questions for HCPs / Menstrual Cycle, BI Considering I feel like I'm experiencing deja vu this time around compared with last month while I was also recovering from stomach flu, I'm not convinced those hypos were caused by the illness recovery.Looking back at the previous thread, I'm going to look more into this tid bit:
Considering I did pick up on a slight raise before the drop day, I suspect this "typical" logic may apply to me, but considering I'm off the pill now and have a month (possibly 5 weeks) to wait, shall have to see... |
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Jun 24, 2011
maria51
22 posts
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Thank you to all who replied, I appreciate all of your comments very much. |
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Jun 23, 2011
Simon Heller
46 posts
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I guess its conceivable that if you have a 'stress response' to the vaccination (ie mild inflammatory immune response) which is unusual this could raise your stress hormones such as cortisol and adrenaline and this could raise your blood glucose for a day or two but I doubt it would have a major effect. Also very individual and wouldn't expect it effect most people. Simon |
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Jun 23, 2011
Willie Miller
1 post
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Topic: Questions for HCPs / Does flu vaccine affect BGLs I suppose everyone is different. I have the flu jab every year and immediately afterwards, my levels go up significantly for approx 24-36 hours, then back to normal. |
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Jun 23, 2011
marke
686 posts
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Topic: Questions for HCPs / Does flu vaccine affect BGLs 99% of people react to the suspension (fluid) used to deliver the vaccine into your system NOT the vaccine. The vaccine is NOT active and cannot make you ill, the suspension can and in some people does. I may be wrong but I don't think the vaccine works your immune system much, its just used as a 'id' so when you get the 'real' thing your immune system is ready for action.Like others I have the vaccine every year and have never had a reaction on any kind. I wouldn't worry about it 
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Jun 23, 2011
Adrian_Hill
8 posts
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Topic: Questions for HCPs / Metformin /Type 1 I have been on slow release metformin for a number of years and I am so pleased that I now know I am not the only one. I think that people often forget that type 1's can take metformin and so only talk about it in terms of type 2. Metformin sr has reduced my BI but has no effect on my ratios. If you have problems with metformin, try the sr version, I take 1000 mg and no problems. |
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Jun 23, 2011
Broady
13 posts
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I have a flu jab every year and it never affects my blood glucose levels |
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Jun 23, 2011
novorapidboi26
1,819 posts
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As already mentioned, your immune system is being put to work and so this requires a little extra energy, supplied by your livers stores, so you might be dealing with slightly elevated levels for a short time............ |
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Jun 23, 2011
chrisinbrum
41 posts
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Topic: Questions for HCPs / Does flu vaccine affect BGLs
I don't think your sister-in-law will be getting ill from the vaccine because there is no active flu virus in there, so the aches and pains will just be her immune system reacting to the vaccine which could be causing a bit of a reaction (but thta's a sign it's vaccinating her). I suppose if your immune system reacts a lot to the vaccine it might affect BGLs, but I doubt it would be as much as if you actually had a real infection when the DAFNE sick day rules could be used. I've been having the vaccination for years and I've never noticed any obvious effect on my BGL, even if it's given me an achey arm sometimes. I think it's safer to have the vaccination to hopefully avoid getting flu and just check your BGL afterwards if you're concerned at all
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Jun 23, 2011
maria51
22 posts
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Topic: Questions for HCPs / Does flu vaccine affect BGLs Can any one please tell me if getting the jab with the flu vaccine can affect your BGLs or not?My sister-in-law (non diabetic) gets the flu jab every year & told me she falls ill with a small case of aches & pains for a few days after the injection. Can some one enlighten me about the affects if any,the vaccination has had on them.It's winter here now so I need to get it done asap & I'd like to be prepared just in case. Many thanks. |
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Jun 23, 2011
JayBee
587 posts
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Topic: General Discussion / Travelling with insulin I've only been abroad for 2 weeks at most so all I've done is the typical of carrying the declaration of diabetes from my care team and various medication in my hand luggage.I avoid the diabetic meal myself because of the typical "diabetic foods" rubbish... meal with a feel of where I am going I'd much rather have on that note (aka, often Japanese! Yummy!). I hope you have a smashing time living in Australia whatever you end up doing about insulin, GXK949! 
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Jun 22, 2011
HelenP
218 posts
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Topic: General Discussion / Travelling with insulin I regularly travel with a frio pack. Do you plan to have it with you in the cabin? The pack is great and you can get into an airport without immersing it in water before you have to declare whether or not you have a gel. It has not been a problem but all you need is one over zealous official! Take loads of paperwork to cover you.I am not sure I would recommend a "diabetic meal". I have found that you are better off just dealing with the meal you get...real food! I do not notify the airline of my diabetic status. Helen |
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Jun 22, 2011
JayBee
587 posts
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Topic: General Discussion / DAFNE Myths
Ah I see. I get hypos at various points of the day and not always before a meal. If I have a high after a hypo, it's usually either because I didn't treat it in time (so liver responds I believe - which seems to be the cause of highs of 17-20 BG I think after hypos for me) or if I go 2+2, 12-14 BG seems to be the common spot I hit. I do exercise the "2+" only rule for pre-meals but sometimes take more off if I'm sure I'll be exercising of some kind. I usually do not correct with QA for 24 hours so my BI brings me down instead, but if I hit the 20s, I usually look at 1 QA to get me down a bit faster, especially if feeling a bit rubbish(!). It's during this sort of time that I found that 1 QA took me down by so much when working with only BI as well. Quite frightening to see when it happened and explained a lot - such as the boomeranging BGs pre-DAFNE.  If I over eat for a hypo, I usually take the insulin for the extra because well, CPs are CPs and it's not a correction... I try not to over eat though, as tempting as it is lol. ^_^; ....If you mean QA for your question regarding me being high after correcting (assuming after a hypo?)... no, I hypo again. |
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Jun 22, 2011
novorapidboi26
1,819 posts
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Topic: General Discussion / DAFNE Myths I agree with the correction principals you are reffering to, I suppose I am only referring to text book lows as opposed to unforeseen ones when you may be dropping really fast.........When I am low I correct with 2cps and its usually before a meal, and by the time the meal comes I am on Target..........do you find yourself high after correcting? |