Carb Ratio for Insulin Calculation

By SuzeeQQQ Latest Reply 2014-04-03 08:15:26 -0500
Started 2014-04-01 12:16:09 -0500

I am curious to know from anyone calculates their insulin based on carb ratio, do you find that your ratio is consistent all day long? I find that I need more insulin per carb in the morning, less at mid-day meal and even less at evening meal. I am in the process of trying all kinds of experimental things like eating the same meal for breakfast and dinner to see if my theory is accurate. Sometimes I can't wait for time to pass so I can move on to the next phase of my experiment. I am trying really hard right now to do the right thing with any sort of continuity. I have had probably 8 decent days in a row now. I feel like I could definitely do this, no problem if it was for a defined period of time, however, forever, that seems completely un-doable. Sometimes I am watching the clock even trying to get 2 hours from the injection to test so I can eat. I also find that I am ravenously hungry about 45 minutes after my insulin. Looking forward to hearing about anyone else's experiences. Sue

5 replies

Glucerna 2014-04-02 18:49:49 -0500 Report

Many people find that they use a different carb ratio at different times of day. Perhaps you can enlist the help of your diabetes educator to help you figure this out? Gary Sheiner's book "Think Like a Pancreas" is also really helpful. ~Lynn @Glucerna

IronOre 2014-04-01 17:34:44 -0500 Report

Yes it varies with the time of day.
What is the short acting insulin that your are using?
Do you take a long-acting insulin liek Levimir or Lantus? what time?
What is your next phase of the experiment that you mentioned?

SuzeeQQQ 2014-04-03 00:37:34 -0500 Report

Novolog with 3 meals, Levemir 45 at bedtime 45 in AM. That split is working much better for me than 90 all at one time. Also take Janumet with breakfast and dinner insulin. By next phase, I guess I meant adjusting carb ratio for same period next day and see if I get closer to target blood sugar. I collected a weeks worth of data so far and made 2 adjustments to calculation, but first I trie different food. Example, I started having 8 oz of milk w/breakfast instead of 4 oz OJ.

IronOre 2014-04-03 08:15:26 -0500 Report

It also matters if you have protein with you meal.
I notice a differnce if I have yogurt at breakfast or not.
What kind of range do you want to be in with your BS readings?
Are you working with a CDE and/or Endocrinologist on this?

kimfing 2014-04-01 13:56:31 -0500 Report

I find i need less in the morning. I have the same ratio for lunch and dinner unless i know what im eating will cause a high post meal bs

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