Carbohydrate counting insulin pumps
Common Questions and Answers about Carbohydrate counting insulin pumps
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.
I'm another volunteer and even tho' CB used a pump for a short time -- a while ago, she's right!
I've been pumping for nearly 10 years and was diagnosed about 35 years ago. Pumps now are smarter and easier -- for folks who are somewhat comfy with technology. You don't need to be a geek to work one ;-) but some folks are just not pleased to work *with* technology. I **love** pumping and find the occasionally YIKES! to be manageable in the larger context.
Hi again, Kneazlelady,
I'm also a long-time diabetic and not a physician. I've been pumping for about 9 years -- first with a Disetronic (which I loved dearly, and thought I could never love another pump as much), and now my beloved Cozmo (which I quickly came to love & be humbled by). It's terific you're working with a CDE... and you're reminding me that I'm overdue to make an appt with mine!
carbo ratio *and* your insulin sensitivity. These factors affect how much insulin you need (as in your Lantus dose) for background, as well as how much you need to cover your foods. It's really time for you have a follow up appointment to review your progress and timing of your injections.
Over time you might consider talking to your doc about pumping, which can give folks quite refined control. Good luck!
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.
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.
I have 2 kids on insulin pumps. As hard as I try to keep their sugars within normal limits their A1c's still run between 7.4 and 8.4. I was just wondering what other kids with pumps run. They are still way better than before the pump but as a single Mom I have alot of guilt that their A1c's aren't lower.
Steve, here is what I know about insulins and insulin pumps. Please consult your doctor for more details:
Insulins:
Novolog (aspart),onset 5-10 mins, peak 1-3 hrs, duration 3-5 hrs
Humalog (lispro), onset <15 mins, peak .5-1.5 hrs, duration 2-4
Regular, onset .
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.
I counsel two young ladies one age nine and one age eight at the YMCA near my home and they are thrilled with their insulin pumps. They are a lot easier to learn than you might think. the control you gain almost immediately is astounding , really a great move to make in my opinion after I waited way too long !!!
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.
He has been using the insulin pens up until now but now I have discovered the existence of the new MiniMed Paradigm insulin pumps (522, 722 or other models). I am interested in how much these pumps cost (including all the accesories one needs). We are in Australia so if anyone also knew the name of a distributor or distributors for these devices, it would be good. I appreciate any comments or news on the above. Thanks.
Peter.
I have had diabetes for 44 years and have been on an insulin pump for about8 yrs. Does anyone know where to go for assistance with supplies.
With a pump there are no more daily injections but rather one every 2-3 days. If you look up insulin pumps on the internet it will give you a wealth of information. In addition it gives you much more freedom as far as meals and scheduling. You do not say how old your nephew is but as he becomes more active with school activities etc timing meals can be more difficult so this may help. This little girl I mentioned earlier is now 5 and is on the insulin pump and is doing very well.
I am a type 1 diabetic, diagnosed at age 12, now 52 years old and considering going to a pump. My doctor has given me material on several products including; "Cozmore", "Animas", and the "Paradigm". Would appreciate any comments on these or other pumps, or other information to prepare me for the transition from the needle to the pump. Thanks in advance.
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