Life with type 1 diabetes is always changing. That's probably THE most frustrating part of diabetes, well for me, for today anyway.
Three weeks ago my blood sugars after my dinner were skyrocketing up into the high teens and twenties. I haven't changed my routine in any way, the food is the same, my stress levels might be a little elevated but not too much.
This trend of high blood sugars after my meal (postprandial) continued for the week and my instructions from my endo are that if something happens for two days in a row then on the third day take action to prevent it. I usually let it continue for a couple more days though just to be sure that it's not something random happening twice (you never know do you?).
I considered all the options that were available to me. I could decrease my insulin to carb ratio for dinner, or I could increase the basal rate on my insulin pump from dinner time until bedtime. Or both but I decided that this was a bad idea. It's better to try one change at a time as too many changes at the same time can leave you guessing which one is to blame if you start having hypos.
I chose to decrease my insulin to carb ratio from 1 unit of insulin to 10 grams of carb (1:10) to 1:7grams. It worked just a little too well on the first night and I ended up with lows for the rest of the evening. So the next night I tried 1:8grams. BINGO! That's the perfect number.... for now anyway.
My next question is why did my insulin to carb ratio have to change for no apparent reason? I mean, I've been at 1:10 for a number of years. AND it was so easy to work out 1:10gms. Now I have to actually use a calculator cos I'm terrible at math.
Ah well, it's nice to solve a diabetes problem. I have so many others that I can't solve.
Three weeks ago my blood sugars after my dinner were skyrocketing up into the high teens and twenties. I haven't changed my routine in any way, the food is the same, my stress levels might be a little elevated but not too much.
This trend of high blood sugars after my meal (postprandial) continued for the week and my instructions from my endo are that if something happens for two days in a row then on the third day take action to prevent it. I usually let it continue for a couple more days though just to be sure that it's not something random happening twice (you never know do you?).
I considered all the options that were available to me. I could decrease my insulin to carb ratio for dinner, or I could increase the basal rate on my insulin pump from dinner time until bedtime. Or both but I decided that this was a bad idea. It's better to try one change at a time as too many changes at the same time can leave you guessing which one is to blame if you start having hypos.
I chose to decrease my insulin to carb ratio from 1 unit of insulin to 10 grams of carb (1:10) to 1:7grams. It worked just a little too well on the first night and I ended up with lows for the rest of the evening. So the next night I tried 1:8grams. BINGO! That's the perfect number.... for now anyway.
My next question is why did my insulin to carb ratio have to change for no apparent reason? I mean, I've been at 1:10 for a number of years. AND it was so easy to work out 1:10gms. Now I have to actually use a calculator cos I'm terrible at math.
Ah well, it's nice to solve a diabetes problem. I have so many others that I can't solve.
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