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Re: [IP] re: Carb to Insulin Ratio Fluctuations



Susan,
There a couple of answers;
First, many people are more insulin resistant in the morning (part of the
dawn phenomenon).
This would explain your need for more insulin during the AM, both for meals
and for your basal rate.
Second, many people (I'm told) have different insulin to carb during
different times of the day.
I would say that if you raise your AM basal to the point where your meal
ratio is equal to the other times of the day, you will crash if you skip or
delay breakfast.
Just some observations that I have made.
Good luck.
Mario
----- Original Message -----
From: Susan Russell <email @ redacted>
To: <email @ redacted>
Sent: Tuesday, December 05, 2000 11:41 AM
Subject: [IP] re: Carb to Insulin Ratio Fluctuations


> For you medical buffs I need some clarification here.  I am a sufferer of
> varying CHO to insulin ratios throughout the day. i.e.:
>
> 1. Breakfast = 5 to 8 gms of CHO to 1 unit of insulin (big differences
here)
> (eat same toast+8 gms protein+coffee/cream almost daily)
> 2. Lunch = 10:1
> 3. Dinner 10:1
>
> Basal profiles: 3:00am to 9:00am .6/hour; 9:am to noon .4/hour; noon to
> 3:00am .3/hour.
>
> I proffered to my endo recently that clearly the dawn phenomenon is at
work
> here re: a.m. ratios and my difficulty in stabilizing/standardizing them.
> He said it was more to do with my a.m. basal being incorrect, ie., I
> increased my basal appropriately, my CHO to insulin ratio should be
> consistent at 10:1 at breakfast as it is for other meals.  I took his
advice
> and recently changed 3:00am to 9:00am basal from .5 to .6/hour.  It is
still
> not working. Pre-lunch today was 198 - breakfast was slice of brown bread
> with some tuna fish = 2 units (8:1).
>
> Does this basal profile adjustment theory wash with you guys out there or
is
> there simply an underlying resistance that requires and increased amount
of
> insulin to cover an a.m. meal??
>
> Thanks for your input.
>
> Susan R.
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