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Re: [IPk] Bad night hypo

It still presumes you know exactly how much carb you have eaten, and I don't 
believe anybody weighs all their food all the time.....there is still an 
element of guesswork involved!


>From: "Michael" <email @ redacted>
>Reply-To: email @ redacted
>To: email @ redacted
>Subject: Re: [IPk] Bad night hypo
>Date: Thu, 22 Feb 2001 09:07:10 -0800
> > I've never understod this unused insulin rule. 3 hours after my
> > bolus, there may still be insulin unused, but there will also be
> > carbs still being absorbed (since normally, the carb absorption
> > curve should match the insulin activity). So, the two should cancel
> > each other out and you shouldn't need to consider the unused
> > insulin, unless the two activity curves are mismatched. Please
> > explain why you should consider the unused insulin but not the
> > unused carbs! I never consider the unused insulin, which works for
> > me, but of course others may be different. Di
>If you use the first derivative in addition, everything works out
>pretty well. This is unfortunately a little hard to teach the average
>person because they don't have the math background. Basically you
>look at the target bg, the real bg and the expected trajectory based
>on the data points before and however many after the meal. From that
>data set you can make a good estimate on additional required insulin
>or carbs to get you back to the desired target. Some consideration
>must be given to the glycemic index of the food vs the insulin
>absorption rate, but for a "mixed" or average lot of food, it can be
>Did I make that clear as mud?? :-)
>email @ redacted
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