I thought it would be a long time until I could see an endocrinologist. It turns out they had a cancellation for tomorrow morning and I can come in! I never expected it this quick, and feel a bit ill prepared. How did you guys organize all of your data for your first endo appointment? I've just been keeping track of everything on dbees.com.. but that's not exactly a friendly format to show people the data..
Any ideas on questions I should ask? I'm making a list.
Yeah... I feel like I get that I should not be a carbaholic like I used to be. I was a very bad carbaholic. >.> I may in fact need carbaholic rehab..
But honestly, it's nice to know that occasionally is okay. I don't want to be giving myself tons of insulin all the time because of bad food decisions, and I also have no desire to weigh 500 pounds and be insulin resistant on top of my pancreas giving out! :/
But I will not feel bad about eating a piece of cake on my birthday (just not the whole cake).. or having an occasional glass of wine. :)
I just have no idea how many carbs per day is considered 'low' or 'moderate' for me and I don't meet with the dietician until late March.
I've been eating around 75g a day.
Wow, that's great! I eat under 100 a day and consider that "low/moderate". True low carb ala Dr. Bernstein the low carb guru is 30 grams a day. Sounds like you are doing great on diet (despite the ADA party line!)
I admit it may hit 100g of carbs a day now that you've told me that (LOL).
I've talked about getting a bicycle for exercise (I detest running :/).. and boyfriend wants one now too. So if I exercise lots... does that mean I can eat more carbs??? >.> I know, I know, probably not. :)
But if I eat a filet of fish sandwich... it's only 38 grams. LOL.
You are moving fast and dealing with it well. They will be conservative with the I:C ratio and correction factor at first...they dont want you to have a severe hypo. Also you probably still have some native insulin production now and it will be easy to overdo things. ..things can be slowly tightened up as you learn what works. You'll see the ratios change as you need more insulin as the autoimmune process, unfortunately, continues.
It's great you've found a team you like working with....it really helps.
Thanks! With their current ratios, I'm doing about half the humalog I was doing before. I have 'permission' to go to 1:18 if it doesn't seem to do much.
My immune system has failed me indeed. :/
You actually might have to have different ratios for different meals. Many of us do, as we are more carb sensitive in the morning. Mine, for example are 1:5, 1:10 and 1:21. Not everyone's are that far apart, but it works for me. I:C ratio is basically trial and error. If 1:20 leaves you high, try 1:19, then 1:18, etc until you find the number that most consistently leaves you in target without going low. It's great they gave you a correction factor; many endos seem to think that's too much for patients early on. But I personally think correcting promptly has been one of the main things that has helped me have a good A1C.
I think I'm going to take your advice and just go down 1g of carb at a time to see how it does. I looked back at some of my numbers from the past couple weeks (I've been intermittently carb counting, trying to get used to it).. and it *almost* seems like I need 1:6ish for breakfast, 1:10ish for lunch and again at 1:5ish for dinner. But I'll make adjustments gradually with each meal.
I haven't had to use the correction factor with meals yet, but when my BG was 230 after eating lunch today, I hit myself with a small amount of Humalog because that was WAY too high!