Carbohydrate counting insulin adjustment
Common Questions and Answers about Carbohydrate counting insulin adjustment
carbohydrate
While it is normal to have a rise in blood sugar level after a meal, excessive rise in blood sugar levels could indicate inappropriate dosage/ timing of injecting the insulin or excessive or inappropriate proportion of carbohydrate in diet. You could start by slightly lowering the carbohydrate and increasing the protein portion of diet. If this does not seem to help, I would suggest consulting your treating endocrinologist for adjustment in dosage/ timing of the insulin.
Hope this is helpful.
When used in larger amounts, as in cooking and baking, these calories and carbohydrate should be accounted for by carbohydrate counting or by using starch/bread exchanges. As an example, one half cup of SPLENDA® Granulated contributes 12 grams of carbohydrates and 11 to 20 grams are counted as one starch exchange.
In SPLENDA® No Calorie Sweetener Packets, sucralose is combined with maltodextrin and dextrose. These ingredients contribute 1 gram of carbohydrate and four calories per packet.
Carb counting is a fairly simple way of quantifying the effects that different foods with have on blood sugar levels. Because all carbohydrates (except for fiber) will convert to blood glucose, adding up the carbs in a meal or snack allows us to determine its effect on blood sugar. Those who take rapid-acting insulin at mealtimes can match the dose to the amount of carbohydrate using an "insulin-to-carb" ratio.
if possible , start carbohydrate counting. You may need to buy a basic scale in order to measure raw materials going into your curries and their carbohydrate count. The net has number of sites which can help in calculation.
Best of health.
and actually produce no insulin of their own (or very little insulin if they do produce any), and so lowering the carbohydrate count in their diets will not solve the problem.
It sounds like you need a specialist that can help you with both carb counting and your insulin intake. Any changes in your insulin intake can take time to adjust. The fact that you are testing so much shows that you are trying to take care of your diabetes. Have you talked to your doctor about the highs and lows? Has your doctor talked to you about going to the pump? There are so many varibles that come into play here. I would suggest speaking to your doctor.
Resistance training, running and any other strenuous exercise deplete glycogen in the muscles. Recovery sports drinks are superior to water because the body needs more than just water after exercise to replenish energy stores. During recovery, the body is busy removing lactic acid and replacing depleted glycogen supply.
To correctly dose insulin you need to work or both your basal rate (show acting insulin dose), and your carb to insulin ratio. You also need to work out tour correct timing for dosing.
Buy or burrow the book Using Insulin or Think Like a Pancreas. They both explain how to do this.
In short:
For basal testing you need to fast and take your basal insulin and see if it keeps your blood sugar stable or if it rises. If it risers even without eating your dose needs to be increased.
Carbohydrate addiction is caused by an imbalance - an over release of the hormone, insulin, when carbohydrate-rich foods are eaten. Among its many jobs, insulin signals the body to take in food (it has been called the "hunger hormone") and, once the food is consumed, signals the body to store the food energy in the form of fat."
Full read here
http://www.carbohydrateaddicts.com/cadfnd.html
Another read on high insulin
http://www.drmirkin.com/diabetes/8113.
Your bolus should only cover what you eat and you determine that by counting carbs. The carb/bolus ration determines how much insulin you get per carb. Your basal rate is what your body needs 24 hours a day to keep your blood glucose in line. From what you describe, it seems to me you need to adjust your basal rates. Are you using a pump? That is the best way to make this happen.
Im diabetes 2 since 3 years a go, I used pills at the begining and 2 years ago my doc changed my treatment to insulin. Some days I wake up and my BS is high as today, was 225. Im using an app for counting carbs, yesterday I ate 220gs or carbs and my insulin dosis was 28 Levemir. I don't understad what failed, I know one unit of insulin works for 10gs of carbs. What could be the reason my BS is high? Every day I check my meals very carefully.
With blood sugar this high, you must drink plenty of fluids. Non sweetened. Water and unsweetened tea are ok. Do not take any carbohydrate containing foods until your blood sugars come down. If your numbers don't come down within a few hours you should go to the ER.
You will need to see your doctor. maybe you need to start on insulin to help control your blood sugars.
A low carbohydrate diet, and low glycaemic index foods may help you in controlling blood sugars.
Hi Lurius,
Net carbs are getting lots of attention these days because of all the Atkins dieters, but it's actually long been an important concept for diabetics who do carbohydrate "counting" and then try to match our insulin to the amount of carbos we're eating.
Foods that have carbos typically have a combination of carbos that we can metabolize (and therefore will affect our BG) and those that we can't (fiber). We subtract fiber from total carbs to get net carbs.
However, sounds like he needs a lot more adjustment of his insulin. Perhaps you can attend some education classes so you can help him. Maybe you should also be attending his drs appointments with him to ask questions and make sure all possible is being done.
His level of blood sugars are very detrimental to his health. At his age it is critical to get things in better control and regain his appetite before.
Best wishes to you and your father.
Depends on how you use your insullin. My doctor gave me an insulin to carbohydrate ratio to use. I use 1 unit of insulin to every 12 grams of carbs I eat. The less carbs I eat, the less insulin I use. I have a very physical job for four hours a day and I don't even need my Humalog when I eat lunch. My pen generally lasts me the whole month. My Humalog is only good for 28 - 30 days.
Eating sugar or other simple carbohydrates helps temporarily because they stimulate serotonin release. If you are insulin resistant your body is still making insulin but the cells do not respond to it you may also develop persistent food cravings. Adrenal imbalance can also cause food cravings, according to the National Endocrine and Metabolic Diseases.
A healthy diet, moderate exercise and pharmaceutical grade nutritional supplements to help break the cycle of carbohydrate cravings.
for something sensible like a day or two of meal plans. The big thing is carbohydrate counting so get a carb book. If he takes Humalog insulin, dose would be 1 unit per 10 grams carb. If not, you must watch the simple sugars carefully. Small amounts of fruit are okay and larger amounts can be tolerated after eating protein.
Hello umobile98! I'm glad you've come to the Forum in search of answers to assist your husband in taking the best care of himself possible. I hope I can provide you with some answers and I know you'll probably get lots of additional suggestions as this topic is one that concerns everyone affected by diabetes, especially at the beginning. I want to let you know that none of us here are medical professionals ~ we are parents and spouses of type 1's or type 1's themselves.
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