RE: From Canada Read This

[Guest guest]

Hi .

I am not on a pump but yes, some in the US use a pump for better control but

good control can come from insulin shots and diet.

I phoned an 800 number to a non profit Canadian diabetic association and got

the math formula to convert your blood sugar readings to the US equivalent.

You take your bgs reading and multiply it by 18. US people, to get the

Canadian equivalent, you take the US bgs number and divide it by 18.

I found out that carbohydrate grams is a universal reading/measurement on

labels on foods you purchase. So, if 1 serving of cookies are 15 grams on

the US label, the Canadian label would also read 15 grams. So, that is good

to know.

So, yesterday you posted that you were at a low bgs of 1.5. Multiplying that

by 18 to get the US equivalent, that would be a bgs reading of 27 in the US

which is very very low.

So, I will discuss carb counting and shooting insulin in Canadian

measurement from this point on. Prior to a meal, you should be 5. The reason

you want this tight of control is it greatly minimizes, if not almost

iliminates, diabetic complications such as heart attacks, kidneys,

blindness, legs, etc. 2 hours past a meal, your bgs should be 5. To obtain

this consistently, you count the number of carbs you are going to eat then

take 1 unit of quick acting insulin per 15 grams of carbs. 1 unit of insulin

per 15 grams of carbs is the typical starting point that all are trained to

start at. If 1:15, meaning 1 unit of quick acting to 15 grams of carbs,

doesn't work for a certain meal, then you adjust it to, for example, 1 unit

per 14 grams of carbs and so forth til your 2 hour post test is 5. However,

again, the starting point is 1 unit to 15 grams of carbs. Quick acting

insulin such as R, novolog, or humalog is what people use to cover carbs

they eat. What quick acting insulin are you on? So, if you calculate that

you will eat 30 grams of carbs for dinner, then you would take 2 units of

quick acting insulin to cover those quick acting carbs you eat for dinner.

Two hours after dinner, you get checked and should be 5 on your bgs meter.

Don't practice any of this quite yet til you fully understand it. Let me

know if you have questions. Also, let me know what types of insulin you are

taking. The Canadian gal I spoke to on the phone didn't know if 1 unit of

Canadian insulin is the same as 1 unit of US insulin in an insulin shot. She

suggested that you phone a Canadian pharmacist and ask the pharmacist if 1

unit of insulin in a shot in Canada is the same as 1 unit of insulin in the

US. Tell him the reason you are asking is if you travel and run out of shots

and would have to purchase some in the US, you want to know if a unit of

insulin is a measurement that is the same in the US and Canada.

kind regards,

[Guest guest]

justin couod u re09st as suggested many thanks i am insulin dependant four

times a day and am a brittle diabetic. i understand in the states brittle

diabetics are on the pump but our doctors are not as informed as yours. as

for translating the readings. i had a chart but not being blind since

november i cant read it. i have no vision. karen

t

[Guest guest]

ok .

It looks like your insulin is set in place so lets adjust your diet to get

your bgs to be at 5 pre meal and back to 5 2 hours past eating. Anything you

post about yourself, post it in this thread so I can follow it. You said you

were 3.8, think it was, for breakfast. What did you eat prior to bed since

you need to be 5 in the morning. You then said you were 11.8, or some such

amount, for lunch. This is because we need to work on what to eat for

breakfast to keep that lunch pre meal test at 5. Let me know what you ate

for your bed time snack and what you ate for breakfast and post all your

info in this subject of from Canada read this so it can all stay in

one thread and I won't miss the information you post.

Re: From Canada Read This

> long acting humulin n nine units at breakfast and nine at bedtime, and

> short acting humog, four at breakfast, four at lunch time, eight at supper

> time and at bedtime depends on the reading. and the sliding scale extra

> short acting as follows. if blood sugar is under twelve nothing , if

twelve

> take two units extra, if between twelve point one to fifteen four units

> extra, if over fifteen take five units extra. karen

> i take the following insulin

> justin, one arrowroot cookie has five point four carbs in it.

>

>

>

[Guest guest]

long acting humulin n nine units at breakfast and nine at bedtime, and

short acting humog, four at breakfast, four at lunch time, eight at supper

time and at bedtime depends on the reading. and the sliding scale extra

short acting as follows. if blood sugar is under twelve nothing , if twelve

take two units extra, if between twelve point one to fifteen four units

extra, if over fifteen take five units extra. karen

i take the following insulin

justin, one arrowroot cookie has five point four carbs in it.

[Guest guest]

JUSTIN BEFORE LUNCH I WAS LOW ONE POINT SEVEN CANADIAN READING, THEN BEFORE

SUPPER TWELVE POINT FOUR. FOR SUPER I HAD FIFTY CARBS AND MY USUAL EIGHT

UNITS OFHUMALOG SHORT ACTING WITH TWO EXTRA. IS THIS CORRECT? KAXREN

[Guest guest]

justin i just read this email. i have posted this information already. and

will try in future to reply with this address. i will do breakfast and

readings again this morning and keep u pos

ted. looking forward to working with u. thanks, karen

[Guest guest]

How did you calculate you had 50 carbs for dinner? List me the foods and how

you determined the carbs in those foods. I need to see how you determined

this since I think you are not doing it correctly in your excitement and

fear you will take to much insulin. Do you have anyone sighted living with

you to read your food labels? Also, 1 unit of humalog insulin will drop your

bgs 2.7 to 3.3 bgs points so keep this in mind when you are high sugared and

taking extra insulin. So, if you were 12, for example, and you wanted to get

back to 5 you would take 2 units of humalog to drop your bgs 6.6 bgs points

since 1 unit can drop you 3.3 bgs points. For now, start with 1 unit of

humalog will drop your bgs 3.3 but only use this when you are high, not to

calculate food. What I am showing you here is for high sugars only, not for

calculating food. So, 2 units of humalog, with our example, would bring your

bgs back to 5.4 which is good enough. How I did this was opened up the

windows calculator and typed 12, then minus 3.3, then minus 3.3, until I got

to 5.4. Each minus 3.3 is 1 unit. Don't go below 5 on the calculator so 5.4

is fine.

When you calculate carbs, it is 1 unit of humalog per 15 grams of carbs but

if you do not calculate your carbs correctly, or if you don't have people

who is sighted to read you your food labels, you will miscalculate and take

to much insulin and go into a diabetic coma. There is no guess work in this

, it must be 100% accurate numbers. Do you have someone sighted to read

you food labels from the foods you eat?

Also, you must, must, must, must, check 2 hours past a meal to see if you

are getting low once you start carb counting and dosing insulin to cover the

carbs.

Your bgs are so out of control I'd suggest testing 1 hour past eating then 2

hours past eating then 3 hours past eating just to make certain you didn't

take to much insulin and mis judge your carb counting and go low and pass

out. How do you determine your carbs? Who is helping you or what are you

using to find out the carbs in the foods?

Re: From Canada Read This

> JUSTIN BEFORE LUNCH I WAS LOW ONE POINT SEVEN CANADIAN READING, THEN

BEFORE

> SUPPER TWELVE POINT FOUR. FOR SUPER I HAD FIFTY CARBS AND MY USUAL EIGHT

> UNITS OFHUMALOG SHORT ACTING WITH TWO EXTRA. IS THIS CORRECT? KAXREN

>

>

>

[Guest guest]

read all the posts for now since I answered your posts in all other

subjects you posted to smiles. I didn't figure you read this one so I'll

just keep reading all the posts as well and we'll be ok smiles. Just answer

my questions when you read them no matter what the subject is for now and

we'll fix that later.

Re: From Canada Read This

> justin i just read this email. i have posted this information already.

and

> will try in future to reply with this address. i will do breakfast and

> readings again this morning and keep u pos

> ted. looking forward to working with u. thanks, karen

>

>

[Guest guest]

justin, before lunch my reading was fourteen point nine i ate a sandwich

that is two slices of white bread with once slice ham thinnly slicedlunch

meat and one medium size foregot to tell u i took eight units of short

acting humalog insulin also

peach andblack tea. karen

[Guest guest]

.

Cut your evening shot of long acting from 6 to 5. If you woke up at 2.5 in

the morning, that is still to low so cut it back to 5 long acting insulin

units at the evening and then eat your normal bedtime snack of 1 fruit and 3

arrowhead cookies. I think in the morning you will be at or slightly above 5

bgs with taking only 5 units of long acting insulin in the evening which is

what we want.

Re: From Canada Read This

> justin i just did my bgs reading before supper at it was six point one. so

i

> just take my regular eight units of humalog, right? thanks, karen i will

> get my helper to tell me the number of carbs for my next meal when she

comes

> in. karen

>

>

>

>

[Guest guest]

That is fine for now but eventually, , we gotta get you counting carbs

and dosing accordingly. Test before you go to bed and if possible, test in

the morning to see if 5 units of long acting in the evening helped your bgs

in the morning.

Re: From Canada Read This

> justin i just did my bgs reading before supper at it was six point one. so

i

> just take my regular eight units of humalog, right? thanks, karen i will

> get my helper to tell me the number of carbs for my next meal when she

comes

> in. karen

>

>

>

>

[Guest guest]

justin i just did my bgs reading before supper at it was six point one. so i

just take my regular eight units of humalog, right? thanks, karen i will

get my helper to tell me the number of carbs for my next meal when she comes

in. karen

[Guest guest]

justin i am cutting my bedtime insulin for the first time. i took six units

humulin tonight as my reading was seven point one. andtook snack as

suggested, peach and three arrowroots. thanks, karen

[Guest guest]

I think 6.1 is a fine reading for the morning. Since you have ran low, 1.5

range, for quite some time, 6.1 is a great reading which in the US is 109

for those interested. I think we got that one figured out. Now this week we

will work on breakfast doses and lunch readings. For now, keep eating the

same snack before bed 1 fruit and 3 arrowhead cookies. This will help us

figure out your breakfast dose of insulins and so forth.

Re: From Canada Read This

> justin thankks for the warning. i saw in your email four point five and

> didnt realize i gave u the wrong information. one arrowroot is five point

> foour. i will head your words of this morning before breakfast i was six

> point one. that was after lowering the humulin n last night by two. so

this

> morning i did the humulin n nine and four units humalog and the usual

> breakfast. karen

> worning.

>

>

>

[Guest guest]

you want to eat snacks for now until we figure out if you need them or

not. Whatever you do, don't mis your mid afternoon snack or you'll get low.

Your long acting 9 units you take in the morning peeks in the mid afternoon

causing your bgs to drop so make certain to eat your mid afternoon snack

today. When you can test for the rest of the week, we'll see if you can get

rid of your mid morning snack but this will require you to test 2 hours past

eating breakfast then 3 hours past eating breakfast to see if your bgs stay

elevated and don't drop. You can't just stop eating snacks and think

everything will fall into place LOL. You have to work at this and do it

slow. Keep reporting to the list what your bgs readings are and what you

ate.

Re: From Canada Read This

> i figured this was wrong too . with this new system i will avoid the

> snacks. they were always a pain anyway. it seemed like i was always

eating.

> fbut i understand the concept with this new system and welcome it. thanks,

> karen

>

>

>

[Guest guest]

justin thankks for the warning. i saw in your email four point five and

didnt realize i gave u the wrong information. one arrowroot is five point

foour. i will head your words of this morning before breakfast i was six

point one. that was after lowering the humulin n last night by two. so this

morning i did the humulin n nine and four units humalog and the usual

breakfast. karen

worning.

[Guest guest]

i figured this was wrong too . with this new system i will avoid the

snacks. they were always a pain anyway. it seemed like i was always eating.

fbut i understand the concept with this new system and welcome it. thanks,

karen

[Guest guest]

ok, if your bgs was two point seven 2 hours after eating lunch, you were low

from the long acting insulin that you took in the morning peeking at the

same time the humalog was peeking. Cut your morning dose of long acting

insulin back by 1 unit tomorrow morning and then check your bgs 2 hours past

eating lunch tomorrow again and you should be closer to 5 since that will

lower the peek action of the long acting and not make it so strong.

Re: From Canada Read This

> justin i just did my mid afternoon or better than to hours after lunch and

> the bgs was two point seven. i took the mid afternoon snack as suggested

> about half an hour before thisreading. so i had juice. i will do a

readding

> before supper also. karen

> w

>

>

[Guest guest]

Hi .

Very good math work. If you are high prior to bed, we are going to have to

adjust your dinner insulin to carb ratio from 15 down to 13 so it would be 1

unit of humalog per 13 grams of carbs for dinner. Breakfast and Lunch we

will keep at 1 unit per 15 grams for now. I'd say in 3 more days of this, we

will have your insulin to carb ratios down for each meal. Let me know what

you were prior to bed.

Keep up the great work!

Re: From Canada Read This

> justin bsg for supper was nine point six less five equals four point six

> divide by three point three equals one unit extra humalog required

> ate dinner ro9ll twenty carbs, shickenvegatable soup twenty carbs, fruit

> fifteen carbs total fifty five carbs divide by fifteen equals three point

> five took five units humalog karen

>

>

>

[Guest guest]

justin i just did my mid afternoon or better than to hours after lunch and

the bgs was two point seven. i took the mid afternoon snack as suggested

about half an hour before thisreading. so i had juice. i will do a readding

before supper also. karen

w

[Guest guest]

justin bsg for supper was nine point six less five equals four point six

divide by three point three equals one unit extra humalog required

ate dinner ro9ll twenty carbs, shickenvegatable soup twenty carbs, fruit

fifteen carbs total fifty five carbs divide by fifteen equals three point

five took five units humalog karen

[Guest guest]

Perhaps , instead of adjusting your insulin at dinner, it might be

interesting to see what your morning sugar would be if you did not eat that

high carb snack before bed-then adjust your evening dose of insulin.

Re: From Canada Read This

Hi .

Very good math work. If you are high prior to bed, we are going to have to

adjust your dinner insulin to carb ratio from 15 down to 13 so it would be 1

unit of humalog per 13 grams of carbs for dinner. Breakfast and Lunch we

will keep at 1 unit per 15 grams for now. I'd say in 3 more days of this, we

will have your insulin to carb ratios down for each meal. Let me know what

you were prior to bed.

Keep up the great work!

Re: From Canada Read This

> justin bsg for supper was nine point six less five equals four point six

> divide by three point three equals one unit extra humalog required

> ate dinner ro9ll twenty carbs, shickenvegatable soup twenty carbs, fruit

> fifteen carbs total fifty five carbs divide by fifteen equals three point

> five took five units humalog karen

>

>

>

[Guest guest]

justin fell asleep early tonight was really tired. my tuesday night bsg was

eleven point six. took six humulin n and zero humalog. still confused on

what to do here. ate two arrowroot at five point four each equals ten point

eight. karen

[Guest guest]

.

For dinner this evening, make your dinner insulin to carb ratio be 1 unit

per 13 grams of carbs so divide 13 into your total carbs for dinner instead

of 15. Test prior to bed and let me know if it is still high.

So, your insulin to carb ratios for meals so far are:

breakfast: 1 unit per 15 grams

lunch: 1 unit per 15 grams

dinner: 1 unit per 13 grams

and I'd say in the next 2 to 3 days we'll have it down pretty good with

possibly having to adjust the dinner 1:13 a little lower and minorly

adjusting the other two if need be.

Re: From Canada Read This

> justin fell asleep early tonight was really tired. my tuesday night bsg

was

> eleven point six. took six humulin n and zero humalog. still confused on

> what to do here. ate two arrowroot at five point four each equals ten

point

> eight. karen

>

>

>

[Guest guest]

.

If possible, limit your total carbs to 45 grams each meal. Eating a lower

dose of carbs and the exact amount each meal will yield measureable results

which will help us better define your insulin to carb ratios for each meal.

Re: From Canada Read This

> justin fell asleep early tonight was really tired. my tuesday night bsg

was

> eleven point six. took six humulin n and zero humalog. still confused on

> what to do here. ate two arrowroot at five point four each equals ten

point

> eight. karen

>

>

>