Re: question on A1c levels

[Guest guest]

,

Do you count carbohydrates at all? That is, do you dose your insulin based

on the amount of carbohydrates you are eating? I noticed in another e-mail

you said you were 22 after having a piece of bread ... I don't stick to any

particular diet, but I do count carbohydrates in the foods I eat and I

change the amount of insulin I take based on this. There is no set dose I

take per meal. I might take 4 units for one meal but 8 for another and

occasionally, when I eat out, I'll take more than 10. This is in addition to

the extra insulin I take if my blood sugar is high.

Of course, this isn't perfect every time. Yesterday I was 5.3 after

breakfast, today with the exact same breakfast (I even weighed the food) I

am 16.6. But that's just diabetes sometimes, making no sense. At least

carbohydrate counting gives me a guideline to work with so that I am not

just taking wild guesses about how much insulin to take for food.

Jen

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> dave, i take four units of humalog for each meal plus i am on the sliding

> scale. i give myself a little treat occasionally of one little square of

> sugar free chocolate and this is very small. but to do this the occasionall

> evening i have to give myself two units of humalog. if i do the extra

> insulin my blood sugar reading will be o k for the next reading. karen

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