
07-27-2010, 11:46 PM
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Junior Member
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Join Date: Jan 2010
Location: California
Posts: 19
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Great, now I know more about what you know:
- I'm so glad to hear you have your I:C ratio started, keep in mind it can change.
- Your not "given" the correction ratio, like all things D, I want to strongly urge you to take charge and utilize your Drs. and "diabetes nurses' " knowledge to figure it out. For example, establish your target mmol/L: ( these are just suggestions, please talk with your Drs. and nurse to create the proper targets for yourself. )
- 6 mmol/L for before and
- 10 mmol/L for after meals.
- When you find yourself high try a correction, let's say 1 unit of Nov/rapid for every 2 mmol/L points you are over target.
- Check bg every hour to see what that correction does. It's all experimentation. It is very helpful to log all "events". For example I log, every day every shot, every before/after bg reading, every meal in carbs. It can be a pain in the a^&, but you have to do it at the beginning to learn how your body reacts to the food you eat and the insulin you take. We can discuss the easiest ways to log. For ex. I have an iPhone, I use the app from this website. I'm going to assume you have an iPhone or you wouldn't be on this forum. GB is my main tool. I could not live without it.
- Remember - it's your health and YOU are in CHARGE. At 17, you have a long life ahead of you, one that will be healthy if you advocate for your diabetes management.
- It is wise to know how much carbs are in everything you eat. Again, not easy to figure, but it is possible.
- Every diabetic I know, estimates all carbs, everytime they eat.
- There are many books that will give you a complete view of the carbs. Now, they're not all exact but it's a good place to start so you are not "guessing in the dark".
- I use this book: http://amzn.to/b5pe6P
- There are many others.
- You need to always have sugar with you for hypos. I carry raisins with me at all times and use apple juice to correct at home.
- What ever you decide on, juice, glucose tablets - whatever.
- Use the same thing "sugar" to correct hypos everytime so you get to know it.
- Correct hypos with 15g of carbs at a time, if below 3mmol/L correct with 30g of carb.
- Check every 15 minutes until you are above 4 mmol/L
- ( these are rough approximates, based on your conversion of 1 mmol/L=18 mg/dl - my measurement unit. I haven't checked your math )
I'm just using some safe numbers as suggestions. Please check on these numbers with your nurse or Dr. I would not wait to see them. I would advocate for yourself to learn all you can. I would also suggest strongly to buy the books I mentioned.
You sound like you've learned a lot of the basics. Keep going, worry not about being a bother, and learn all you need to learn to take best care of yourself.
As well, in public, if you don't like "doing the do" in front of the people you eat with, move to another part of the restaurant. Forget about what people are going to think. Bathrooms are not a good place to "do the do".
You'll get it all down. It takes a while, but don't stop know and please see your health professionals if your numbers are consistently above 11 mmol/L. I'd like to see you keep it under 11 as a first goal. Eventually, you can shoot for targets that make the most sense for you.
Let me know if I can be of any further service.
Best,
Josh
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T1 DX 4/2008
MDI
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