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?
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.
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!
He is a true "Buckeye" Doris.. and I do not think he visits the "Volunteer State" very often.. :+)
LOL! Well there's 2 good Drs out there right???
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.
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.
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!!!
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.