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Permalink Reply by sweety1691 on May 12, 2012 at 11:21am

ok... thanx a lot... :)

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Permalink Reply by Sam Iam on May 6, 2012 at 6:33pm

Also, someone should mention no surprise that chapati(starch) + milk(lactose) will push you BG up very high.

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Permalink Reply by Oakville27 on May 6, 2012 at 7:49pm

Sweetie - I agree with the others on seeing if you can change your insulin ASAP. I was on the 70/30 for a few days out of the hospital and felt like it did NOTHING for me - my diabetic educator switched me immediately and my numbers started to get better right away: it clearly makes a HUGE difference.

Also, as Sam points out a chapati and glass of milk will raise your sugars significantly. Having the dual-insulin system will help you to match your insulin needs to meals that have higher carb counts, but eating less carbs is really a big help, as well.

I see that you're in Delhi - my family lives in India and I'm actually on my last day of a three week trip here. One of the biggest challenges I've had this trip has been the food: I love Indian food, but the carb content can be hard to measure because of things like sauces and high-carb staples like rice, dal, and roti. My best results here have been when I was able to have good protein in the morning, eat as many low-carb options the rest of the day, and get in some good exercise. This last week has been a bit more erratic since I have been traveling more, eating out more frequently, and haven't been exercising nearly as much (if at all) compared to the first 2/3 of the trip.

One thing I have noticed since my last trip here is that a lot of foods at grocery stores have very good nutritional info compared to what was available even a few years ago - if you are having bread, etc, try to buy the kind that list more of the nutritional info: this gives you a much, much better sense of how many carbs you're getting in a meal. I would also get a small digital scale to help you measure your carbohydrate portions. This will also help you to learn what certain quantities of food look like when you're at a restaurant or at a friend's house: you can get a good sense of what 100 g of cooked rice is or 50 g of dal.

These sound like pretty simple steps, and they really are - it's finding the time and energy to focus on them and make them a priority that can be difficult. I've found that if I make this my priority, everything else goes better.

Best of luck!

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Permalink Reply by sweety1691 on May 12, 2012 at 11:28am

thanx a lot...... i will try this and post my new controlled BG report soon...:)

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Permalink Reply by sweety1691 on May 12, 2012 at 11:25am

but what about soyabean milk.... and just one small cup of it twice a day....
also according to indian mothers chapati is a must..... as rice will again increse my BG......one more restriction on my diet... :(

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Permalink Reply by Oakville27 on May 12, 2012 at 11:45am

I personally feel that chapatis are better than rice because the use whole wheat flour. You don't have to stop eating chapatis, but you will need to find out what your insulin to carb ratio is and how many carbs are in the chapatis you eat at home.

For example, my doctor put me on a 12 carb to 1 unit of fast acting/meal-time insulin. I then figured that the chapatis I was eating at home had about 10g of carbs each, so i was able to have chapatis without big BG spikes. I limited myself to 2-3 and also made sure to count any other carbs in the meal (like dal or potatoes) and things worked out. You will have to find out what your insulin to carb ratio is and also how many g of carbs are in the chapatis you typically eat.

You'll also need to be careful if you eat out since restaurants will make chapatis or rotis in different sizes, but you will be able to figure out how many carbs are in those by looking at them with practice.

Good luck!

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Permalink Reply by sweety1691 on May 13, 2012 at 12:25am

okz thanx a lot... :)))))))

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Permalink Reply by Jonah on May 6, 2012 at 8:07pm

I agree that changing to plain NPH and plain R that you can mix at whatever ratios you want will probably get better results, but I also think it's worthwhile to see what can be done with the insulin you've got.
First thing, with the doses you're using the food isn't matching. It sounds like you need to eat a different breakfast or take more insulin. You could either eat less breakfast or something lower carb or take more regular in the morning. Me, I think I'd simply eat less breakfast (maybe the milk without the chapati) and eat a bigger lunch (add the chapati to lunch).
Getting good overnight numbers with NPH can be a struggle but if they're mostly high, just increase the dose. The issue tends to be that they go low and high so it isn't safe to increase the dose without also adding a snack at some point... if that's the case, add the snack.
Can I assume you're taking insulin twice per day?

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Permalink Reply by Sam Iam on May 6, 2012 at 8:40pm

I think I recall doing okay with 70/30 for a little while, taking it 3 x / day.

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Permalink Reply by sweety1691 on May 12, 2012 at 11:36am

but taking it three times sometimes leads my BG to around 50 at night..... i will surely try this again but with different units... thanx.. :)

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Permalink Reply by Dennis on May 9, 2012 at 7:51pm

1. Get the Book> THINK LIKE A PANCREASE

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Permalink Reply by sweety1691 on May 12, 2012 at 11:37am

ok... :)

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