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Re: [IPk] CHO v UNITS OF INSULIN
In message <email @ redacted>, email @ redacted writes
>I have found that I only need to give 1.0 unit through the pump per 20g CHO
>eaten. For an apple, Danielle only needs 0.5 units. I count the carbs in
>her meals and if I get to, say 60g, you would probably work out that I need
>to bolus 4 units for her, but I tried that and she went hypo, so I tried 3.5
>and that was still too much, so I tried 3.0 and she was coming home from
>school around 2.5 mmols. I now never do more than 3.0 for her meals but for
>sandwiches, yoghurt and biscuit, I just give 2.5.
Er, if it's 1 unit for 20g, a meal with 60g needs only 3 units, not 4.
>Does everybody on this list weigh their food and count every single gramme
I do count every gramme, but I don't weigh stuff much, apart from pasta
and rice, which I weigh dry to get the portion sizes right. Other stuff
I just look at the back of packets.
>Does anybody else find that they stick to a certain number of units for each
Yes and no ... I find that most days I have 20g CHO for breakfast, but
occasionally I have four or five times that amount.
>I do an extra bolus for Danielle if she has something out of the
>ordinary. She stayed at her friend's house for tea last night and they ate
>chips and burger. This sent her sugars all over the place by midnight and I
>couldn't control them. She never has chips or burgers normally.
By an 'extra bolus' do you mean a second bolus, later, to cover the fat?
It's probably worth doing some experiments: choose a day with nice
stable blood glucose levels, grit your teeth, and serve burgers and
On the different times / different amounts question:
I do find I need different amounts of insulin to cover the same food at
different times of the day: 10g at breakfast needs 1.5 u, at lunch 1.
unit, and at dinner needs 0.8 now and 0.2 on an extended bolus. I was
on the pump for over six months before my control got good enough to see
(dm 30+, 508 1+)
email @ redacted
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