Replies to This Discussion

Permalink Reply by acidrock23 on May 19, 2012 at 5:34am

I'd disagree w/ the 0 units w/ breakfast, it's very inconvenient sometimes but, if I'm running low in the AM, I will correct, very gently, like 5G of fast acting and test again. Pretty regularly, 4-6 jelly beans (about 1G each, maybe a shade less...) will kick me up to 131 and then I dose and eat based on that (really, I'll dose, shower and eat after, to give the insulin time to get its teeth into the DP hormones or whatever it is...).

Dinner, OTOH, I usually use 1/2 c. of rice= 55G of carbs so maybe 20 was a bit light, particularly depending on what the "veggies" were? I don't TAG per se but would probably include about 5-10G of carbs for the chicken, depending on how much chicken it was. It may also be that the ratio is off a shade? I'd perhaps try the reconceptualizing above and perhaps try a carb/ insulin ratio of 9-1 or 8-1 if 10-1 results in regular runs up like that?

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Permalink Reply by Brunetta on May 19, 2012 at 6:05am

Your ISF and carb ratios, as Acidrock, mentioned, probably need tweaking. Read Pumping Insulin for tips on hw to do this.

Keep up the good work.. You are trying so hard One of the things I LOVE about Tudiabetes is that we can talk about issues such as these with people who have experience and who Truly understand the day to day struggles. My endo is good as gold: I would not trade him for another. But,even he said he just started realizing, in the past 2-3 years, how VERY hard it is to manage diabetes on insulin(whether type o1 or type 2).. He has more compassion as a result and really listens to his patients with an open mind.

God bless,
Brunetta

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Permalink Reply by Doris D on May 19, 2012 at 6:09am

U sure we don't have the same one??? LOL! I know he stays in TN for a few days then he flies to OH!!! LOL!

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Permalink Reply by Brunetta on May 19, 2012 at 6:11am

He is a true "Buckeye" Doris.. and I do not think he visits the "Volunteer State" very often.. :+)

God bless,
Brunetta

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Permalink Reply by Doris D on May 19, 2012 at 6:14am

LOL! Well there's 2 good Drs out there right???

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Permalink Reply by Katie on May 19, 2012 at 9:16am

Hey Brunetta! Maybe I do need some tweaking-seems like when i think Ive got it figured out diabetes proves me wrong! ;)Although yesterday was the first time I had those kind of post-prandials highs so I'll probably keep going steady for a few days and see how my pump reports look. At work I am downloading others' pumps and helping them figure it out so it's frustrating for me when I can't find a pattern for myself! That's the great thing about tudiabetes-y'all help me so much because a lot of times you just need another pair of eyes to figure out the issue! Thank you for your help! :) have a good weekend!

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Permalink Reply by Jen on May 19, 2012 at 7:15am

You count 55g for half a cup of rice?? I thought a cup was 40g (according to Calorie King and package information on the rice I've eaten), and I also use 20g for half a cup.

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Permalink Reply by Tim on May 19, 2012 at 7:31am

I don't know about others but for me some foods take a lot more insulin to cover, than I would expect by the carb-counting books and tables. Rice is certainly one of them.

Don't we all apply the "tweak factors" knowing from decades of experience that carb counts don't always account for how much insulin we'll need? Carb counts are a good start, I don't want to discourage anyone from carb counting, but real meals seem more complicated than just a single number.

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Permalink Reply by Katie on May 19, 2012 at 9:21am

Tim you are so right about that! We have carb counts drilled into us for years but I try to explain to my endo that sometimes there's just no rhyme or reason to diabetes. I remember in my dietetic internship my instructor got mad because I argued that just because a food has 15 grams of carbs doesn't mean it will affect every diabetic the same. There's no textbook for really managing diabetes we just have to do our best! Thanks for your help!

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Permalink Reply by Brunetta on May 19, 2012 at 9:59am

YDMV ( Your diabetes may vary) is the name of the game,Katie.I totally agree!! I forgot ,in my post telling you to read Pumping Insulin. that you ARE A CDE. Sorry if I was "preaching to the choir".It is great that you have both the first-hand experience and the credentials to help others. Way to go!!!

God bless,
Brunetta

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Permalink Reply by Jen on May 19, 2012 at 9:44am

I agree with this, but to me this is different than saying 1/2 cup of rice is 55g of carbs when it's really 40g (if that's the case). For some meals I will add on extra insulin, but I still put in the carbs as whatever the carb count is, then add on the extra just before delivering.

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Permalink Reply by Katie on May 19, 2012 at 9:08am

Thanks for the help acidrock! I've found I am more sensitive to glucose in the am-dang DP! I knew better but I think I trust the pump too much sometimes. 
I'll try correcting very gently first next time. As far as the rice goes I normally don't eat it but if I do it's brown rice and only 1/4 c cooked or less. I typically count the total carbs I do not ever subtract for fiber even though I've always been taught to do so. I have never included carbs for meat but this morning I did try the TAG for my breakfast and I had no bg spike at all...ah diabetes is constant trial and error, right? Anyway thanks again for the help. Have a great weekend! 

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