Hi folks,

For the last week I've been very sensitive to carbs. Really, eating 15 grams will send my glucose levels up into the 180s to the 230s. I called my Endo and they want me to increase my I:C ratio from 6.0 to 6.5.

That seems counter-intuitive to me. If I'm seeing huge increases in my glucose levels shouldn't I be taking more insulin, not less?

Scratching my head here.

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call back! might have meant for you to go the other way! have you gained a bit of weight? i have had this happen to me and simply losing the pounds i put on has helped me! i know they (the darn pounds) can creep up sometimes! especially in winter months when i like my snacks but don't like taking my walks in the cold temps! good luck!

I reckon that'd be a yep....may need a new endo too

Yes, it seems like if you are shooting up after eating carbs, you need more insulin, not less. But another important question is, are you returning to baseline after 3 or 4 hours? If that's the case, then it's not more insulin you need, but an adjustment to WHEN you take your insulin. I know in my case, if I bolus too late, I will peak before the insulin really has time to start working. So I bolus 5-10 minutes before I start eating, and that USUALLY takes care of it. No one ever said managing diabetes would be easy, man!

I usually bolus just before I eat. I will try bolusing 10 minutes prior and see what happens. I do tend to return to baseline eventually, but it seems to be taking longer and also requires a correction bolus (even when I know exactly how many carbs I've eaten). Weird.

OK, I just looked at your page, and I see you've written that you're T2. I don't know what your circumstances of diagnosis were, but whatever, it seems apparent that your pancreatic function is deteriorating, and that you may well need more insulin, both basal and bolus. Exactly how much is up to your doctor and you, but I think you need to discuss it. You LOOK young enough that you definitely need to have an eye toward preventing complications, whatever it takes! :-)

You are right Natalie, my primary concern is preventing complications associated with diabetes. I have an appointment with my Endo on Thursday and it will be a topic of discussion.

I visited my Endo today and they changed my basal at breakfast, my sensitivity ratio at lunch and my carb ratio in the afternoon. We will see how it pans out.

In my experience how I react to carbs depends on if they are processed foods or high glycemic index foods. While medtronic wants us to treat all carbs the same, if I eat black beans 15 gms it is way different than 15 gm of whole wheat bread.
Lots of us are gluten intolerant, dairy intolerant and will benefit from getting more carbs from vegetables & increased fiber over "fixing" the carb/insulin ratio. Sorry that is probably not the answer you wanted.

The answer I want is probably not the one that will fix the problem. I learned a long time ago that I have to deal with the issues though. The good news is that Thanksgiving came and went I did not have a high BG issue and I didn't stuff myself. I think it was a win!

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