Guest guest Posted February 15, 2001 Report Share Posted February 15, 2001 Re: Protein The best way to check is to hold the insulin dose (or since you don't dose, forget it) and check and 1/2 hour after the start of dinner and one hour after dinner. Check the amount of rise. If you are using insulin, then give half of what you would take for dinner. Then check every hour, and if you notice a levelling off and then a rise, you can check 1/2 hour after the beginning of the rise again. What you might notice is something like this 107 Predinner 140 1/2 hour after 190 1 hour after 85 2 hours after 95 2.5 hour after 130 3 hours after ? 5 hours after Final reading will depend on how well your food and meds match, of course. With insulin dosed correctly to the meal you can get pretty close to the ending number you want. Last night Gabes bedtime was 64. This was totally within range of the random of variation for his dinner dose. I gave him 5 grams of cho in glucose tabs (will raise him 50). I was being supercautious; could have given less. Gabe 6 grams of milk protein which is 2.8 grams glucose which will arise him 28 points. 64 + 78 is 142. His a.m. reading today was 137. That's pretty good predictability. As I get more confident, I will not raise him that high at bedtime as he can be safe around 90-100 in the a.m. I simply would have given him 1/2 tablet (20 points) and the slice of cheese (28 points) for a morning of about 112. Well, that's Ron Sebols system. Pretty neat. I will be curious about your results of testing protein digestion. If you do need R at dinner, I would like to know how you will calculate dose....... and when and how you will inject it. Why R?? Have a good day. n Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2001 Report Share Posted February 15, 2001 n, I'm T2 and take no meds so my bgs are the result of food/activity alone. I have noticed delayed rises and attributed them to the fat in the meal, but I haven't tested this precisely. I'll try the same meal at a lunch and a dinner (on different days)to see if the curve is the same. My dinners are usually smaller than my lunches unless I'm eating out. Carol > Have any of you low carb-high protein folks noticed this? Check every > hour > > after dinner and see if there is a rise by 1 hour and then a lower or > level > > value for 1.5 hours and then a rise between 2.5 and 3 hours. Let me know, > > okay? This would apply only at dinner and only on a higher protein, lower > > carb diet. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2001 Report Share Posted February 15, 2001 > Have any of you low carb-high protein folks noticed this? Check every hour > after dinner and see if there is a rise by 1 hour and then a lower or level > value for 1.5 hours and then a rise between 2.5 and 3 hours. Let me know, > okay? This would apply only at dinner and only on a higher protein, lower > carb diet. ****I can do this, n. I eat very low carb for dinner with quite a bit of protein. If I remember (key word here :-), I'll do it soon. I'm type II, not insulin resistant, on insulin by choice (12U am, 9U pm), so I don't know if Gabe and I are similar. But, I've been thinking about checking this and maybe dosing protein with R, so I'm glad to have the nudge to do it. Barb -------- http://www.RainbowFarm.com http://www.RainbowFarm.com/photos.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2001 Report Share Posted February 15, 2001 >I will be curious about your results of testing protein digestion. If you do >need R at dinner, I would like to know how you will calculate dose....... and >when and how you will inject it. Why R?? ***I'd use R because protein takes longer to make bg's rise, and R takes longer to work, based on the assumption that I'm eating very few carbs at dinner. If I ate more carbs, I'd dose for the carbs with H and the protein with R. Barb -------- http://www.RainbowFarm.com http://www.RainbowFarm.com/photos.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2001 Report Share Posted February 15, 2001 Rainbow Farm wrote: > > > Have any of you low carb-high protein folks noticed this? Check every > hour > > after dinner and see if there is a rise by 1 hour and then a lower or > level > > value for 1.5 hours and then a rise between 2.5 and 3 hours. Let me know, > > okay? This would apply only at dinner and only on a higher protein, lower > > carb diet. > > ****I can do this, n. I eat very low carb for dinner with quite a bit > of protein. If I remember (key word here :-), I'll do it soon. I'm type > II, not insulin resistant, on insulin by choice (12U am, 9U pm), so I don't > know if Gabe and I are similar. But, I've been thinking about checking this > and maybe dosing protein with R, so I'm glad to have the nudge to do it. > Barb, Do your bg stay pretty much in control with a largere dose in the morning? Reading Bernstein, he says that bedtime doses lose 20-25% over the same morning dose, so I'm surprised that you have a higher dose in the am. -- Dave - 10:21:07 AM T2 - 8/98 Glucophage, NPH - Davors Daily Aphorism: * Where there's a will, I want to be in it. -- Visit my HomePage: http://dorcutt.homepage.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2001 Report Share Posted February 15, 2001 Hi Barb; Do you mix the H and R in one syringe or use two syringes. Do you take both before the meal or one first and then the other. How do you calculate the dose? n Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2001 Report Share Posted February 15, 2001 I inject R in the abdomen right at the beginning of the meal. Injected in the arm right at dinner, it did not work well. In the abdomen it is much faster. Injecting before dinner too much in advance is kind of dangerous because of Gabe's erratic digestion. Let me know what you do? n Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2001 Report Share Posted February 15, 2001 n wrote: << Check every hour after dinner and see if there is a rise by 1 hour and then a lower or level value for 1.5 hours and then a rise between 2.5 and 3 hours. >> n, I can't recall - how many minutes before dinner does Gabe inject the R? Susie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2001 Report Share Posted February 15, 2001 : Re: Protein > I inject R in the abdomen right at the beginning of the meal. Injected in the arm right at dinner, it did not work well. In the abdomen it is much faster. Injecting before dinner too much in advance is kind of dangerous because of Gabe's erratic dige > > stion. > > Let me know what you do? > > n ***Will do, n. Barb -------- http://www.RainbowFarm.com http://www.RainbowFarm.com/photos.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2001 Report Share Posted February 15, 2001 > Hi Barb; > > Do you mix the H and R in one syringe or use two syringes. Do you take both before the meal or one first and then the other. How do you calculate the dose? > > n ***Actually, I haven't done any R yet. I was thinking two separate injections. I know you can mix some insulins and not others, so I don't mess with it. I'll let you know how my test goes. I might try it tonight. Barb -------- http://www.RainbowFarm.com http://www.RainbowFarm.com/photos.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 16, 2001 Report Share Posted February 16, 2001 If I give R 1/2 before the meal, Gabe runs the risk of a hypo. He reacts very quickly to the insulin and his digestion is erratic. If I give R in the abdomen it supposedly works 87 minutes faster. He is back to normal by one-two hours and skirts a hypo at that time if the R dose is too big. Rise back again at 3-4 hours. If I gave the R before the meal he would be too close to a hypo at 1-2 hours and might actually hypo and then I have to add glucose and that makes everything high in the end. I might try moving the shot up a little before the meal. It seems to be more related to the content and size of dinner than anything else. R given in the abdomen at the beginning of the meal is already starting to work when meal is finishing (see Ron's post on absorption at different sites). It starts working slowly so that Gabe doesn't hypo if digestion is slow. It peaks at about 2-3 hours when the protein is finally being digested. However a large dinner will still overpower the correct dose of R and be digested after R's peak. n Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 16, 2001 Report Share Posted February 16, 2001 n wrote: << I inject R in the abdomen right at the beginning of the meal. Injected in the arm right at dinner, it did not work well. In the abdomen it is much faster. Injecting before dinner too much in advance is kind of dangerous because of Gabe's erratic digestion. >> The manufacturer says to inject 30-45 minutes prior to beginning the meal. You inject Gabe late. So he spikes. Then the R kicks in and he drops. Then it wears off and he has a second, smaller spike. R's major action is during the time 2-1/2 to 4 hours after injecting. Gabe begins reacting to his meals at 1/2 hour. He spikes because the R is not yet there to cover him. Diabetics report that the more insulin is given, the longer the peak lasts, and vice versa. Here are typical numbers you gave: 107 Predinner 140 1/2 hour after 190 1 hour after 85 2 hours after 95 2.5 hour after 130 3 hours after Susie Quote Link to comment Share on other sites More sharing options...
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