Guest guest Posted April 23, 2008 Report Share Posted April 23, 2008 Be aware that in almost all literature, the insulin-to-carb ratio is expressed as an actual ratio, rather than as a decimal number. For example, Harry's 0.4 could also be expressed as 1:2.5, or one unit of insulin covering about two and a half grams of carbohydrates. My ratio fluctuates from 1:10 (one unit of insulin covers ten grams of carbs) to 1:14 (one unit of insulin covers 14 grams of carbs) depending on my activity level and the time of year/month. When this ratio is used, rather than multiplying it by the number of carbs as Harry does, the number of carbs is divided by the second number in the ratio, so for example if I were eating 15 grams of carbs I would divide it by ten and get 1.5 units of insulin, or by 14 and get one unit of insulin. Harry would divide it by 2.5 and get six units of insulin. Also, a CDE (Certified Diabetes Educator) and a dietitian can be valuable resources in determining your carb ratio and other insulin-related doses, and I think anyone who is put on insulin should have at least one or two visits with these professionals in order to use it safely. What I've written above also illustrates why it is important to figure out your own ratios, as they can vary widely between people as illustrated by comparing Harry's to mine! There are also some excellent articles online about determining these insulin doses which I will post later tonight when I get home from work. They are not as detailed as the books I've mentioned in another post, but still contain very useful information. Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2008 Report Share Posted April 24, 2008 Wow! this is interesting. I know someone sent me a list of basic foods and the amount of carbs, but does anyone have a list of packaged and/or frozen meals or other foods and their amount of carbs? Or maybe a website where this stuff may be found? revised r Figuring out what your little r, insulin to carb ratio, actually is is a time consuming, laborious and frustrating process. It takes lots of testing and the ability to count grams of carbs and dose insulin like Humalog or Novolog. It only took me around four or five months to figure out how to do it, and thanks to daubenmire, who taught me the absolute necessary technique on how to do it, I finally figured it out in about one month. Did I say it takes lots of testing? Well, it does. If you are not willing to do lots of testing at least six times per day, don't bother trying how to figure it out. Uh oh!, Did I say you need to know how to count grams of carbs? This may be unnecessary provided you choose a brand of breakfast or power bar, say one that contains 25 grams of carbs in it, and you get test2 to be near test1 with a dose of short-acting insulin like Humalog. If the readings are very similar within a very few points, then just divide the dosed units insulin by the number of grams in the bar used. Be sure to pick a bar you like. Knowing how to do this is an absolute must. In fact taught me that to figure out my little r, you must absolutely hold your total grams of carbs at almost a perfect level. He recommended starting with 15 grams of carbs consumed. He also recommended holding this consumption level constant as often as you can. You first do a bs test and chart your reading, call this testg1,then you eat 15 grams of total carbs as exactly as you can. next you dose Humalog or Novolog to see how well the insulin dosage deals with the 15 grams of total carbs consumed, and chart your next bs results an hourand a half or two hours post prandial reading, call this test 2. Is the test2 reading higher or lower than test1? You want the numbers in test2 to be very close to the numbers in test1. Since most insulin dependent diabetics are using two kinds of insulin, Lantus or NPH for long-acting insulin and Humalog or Novolog short-acting insulin, getting the two readings to be pretty much the same is a fine tuning balancing act. It takes many efforts, many finger sticks and many insulin injections to get it just right. I imagine that if a person is on oral medications for diabetes control and only uses Humalog or Novolog for prandial carbs, in other words only uses a single short-acting insulin and no long-acting insulin, getting test2 to be very near or pretty much the same as test1 would be easier. When the two readings, test1 and test2 are the same, you have dosed the exact number of units of insulin to handle 15 grams of carbs. For example if I eat 15 grams of carbs after test1 reading of 100 and dose 6 units of Humalog to deal with it and an hour and a half later test2 shows a reading of 100±5 points, then I cam be pretty sure I have hit upon the right combination of insulin dose to carb ratio. to verify this is true the next time I eat I double the carbs consumed and I also double the insulin dosed. Then I compare test1 with test2 and if they are pretty close in their reading then I know I am dosing the right number of units of insulin for the amount of carbs consumed. If you keep changing the number of grams of carbs consumed every time you test and dose insulin, then you may never figure out what the correct ratio actually is. This statement would be especially true if you are a type1 diabetic with little to no insulin resistance, since the type 1 diabetic has to account for every gram of carb consumed. final example: If I test1 and get a reading of 100 and consume 15 grams of carbs and dose 6 units of Humalog to deal with the carbs consumed and two hours later I get a reading in test2 of 100±5 points, then I can be fairly sure I am close to the correct ratio. Then I divide the 6 units of insulin by the 15 grams of carbs consumed, 6/15 and get a little r of 0.4. My insulin to carb ratio of .4 is what I need to plug into the formula: rC=U Hint: Usually breakfast bars have the same number of grams of carbs in each bar, so eating them and dosing with Humalog or Novolog is a good way to experiment to see if you can get test1 and test2 to be pretty much the same. If so, divide the insulin dose by the total grams of carbs in the breakfast bar. This should give you your little r. By eating breakfast bars each time you test should give you the same number of grams of carbs, provided you eat the same brand of breakfast bar each time. When plugging numbers into the formula, over estimating the total grams of carbs consumed can cause you to have a low sugar reaction. big numbers mean big mistakes and small numbers mean small mistakes. Good luck on discovering your little r. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2008 Report Share Posted April 24, 2008 Hi , I go to calorie king. www.calorieking.com . there another one also which I think I have, but can't find right now. This site I gave you also has restaurants in it,and it is terrific for checking out before you go out for things like chinese food, burger king 's or mcs, olive garden, and many more. Vicki Our days are happier when we give people a bit of our heart rather than a piece of our mind. revised r Figuring out what your little r, insulin to carb ratio, actually is is a time consuming, laborious and frustrating process. It takes lots of testing and the ability to count grams of carbs and dose insulin like Humalog or Novolog. It only took me around four or five months to figure out how to do it, and thanks to daubenmire, who taught me the absolute necessary technique on how to do it, I finally figured it out in about one month. Did I say it takes lots of testing? Well, it does. If you are not willing to do lots of testing at least six times per day, don't bother trying how to figure it out. Uh oh!, Did I say you need to know how to count grams of carbs? This may be unnecessary provided you choose a brand of breakfast or power bar, say one that contains 25 grams of carbs in it, and you get test2 to be near test1 with a dose of short-acting insulin like Humalog. If the readings are very similar within a very few points, then just divide the dosed units insulin by the number of grams in the bar used. Be sure to pick a bar you like. Knowing how to do this is an absolute must. In fact taught me that to figure out my little r, you must absolutely hold your total grams of carbs at almost a perfect level. He recommended starting with 15 grams of carbs consumed. He also recommended holding this consumption level constant as often as you can. You first do a bs test and chart your reading, call this testg1,then you eat 15 grams of total carbs as exactly as you can. next you dose Humalog or Novolog to see how well the insulin dosage deals with the 15 grams of total carbs consumed, and chart your next bs results an hourand a half or two hours post prandial reading, call this test 2. Is the test2 reading higher or lower than test1? You want the numbers in test2 to be very close to the numbers in test1. Since most insulin dependent diabetics are using two kinds of insulin, Lantus or NPH for long-acting insulin and Humalog or Novolog short-acting insulin, getting the two readings to be pretty much the same is a fine tuning balancing act. It takes many efforts, many finger sticks and many insulin injections to get it just right. I imagine that if a person is on oral medications for diabetes control and only uses Humalog or Novolog for prandial carbs, in other words only uses a single short-acting insulin and no long-acting insulin, getting test2 to be very near or pretty much the same as test1 would be easier. When the two readings, test1 and test2 are the same, you have dosed the exact number of units of insulin to handle 15 grams of carbs. For example if I eat 15 grams of carbs after test1 reading of 100 and dose 6 units of Humalog to deal with it and an hour and a half later test2 shows a reading of 100±5 points, then I cam be pretty sure I have hit upon the right combination of insulin dose to carb ratio. to verify this is true the next time I eat I double the carbs consumed and I also double the insulin dosed. Then I compare test1 with test2 and if they are pretty close in their reading then I know I am dosing the right number of units of insulin for the amount of carbs consumed. If you keep changing the number of grams of carbs consumed every time you test and dose insulin, then you may never figure out what the correct ratio actually is. This statement would be especially true if you are a type1 diabetic with little to no insulin resistance, since the type 1 diabetic has to account for every gram of carb consumed. final example: If I test1 and get a reading of 100 and consume 15 grams of carbs and dose 6 units of Humalog to deal with the carbs consumed and two hours later I get a reading in test2 of 100±5 points, then I can be fairly sure I am close to the correct ratio. Then I divide the 6 units of insulin by the 15 grams of carbs consumed, 6/15 and get a little r of 0.4. My insulin to carb ratio of .4 is what I need to plug into the formula: rC=U Hint: Usually breakfast bars have the same number of grams of carbs in each bar, so eating them and dosing with Humalog or Novolog is a good way to experiment to see if you can get test1 and test2 to be pretty much the same. If so, divide the insulin dose by the total grams of carbs in the breakfast bar. This should give you your little r. By eating breakfast bars each time you test should give you the same number of grams of carbs, provided you eat the same brand of breakfast bar each time. When plugging numbers into the formula, over estimating the total grams of carbs consumed can cause you to have a low sugar reaction. big numbers mean big mistakes and small numbers mean small mistakes. Good luck on discovering your little r. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2008 Report Share Posted April 24, 2008 Hi , I go to calorie king. www.calorieking.com . there another one also which I think I have, but can't find right now. This site I gave you also has restaurants in it,and it is terrific for checking out before you go out for things like chinese food, burger king 's or mcs, olive garden, and many more. Vicki Our days are happier when we give people a bit of our heart rather than a piece of our mind. revised r Figuring out what your little r, insulin to carb ratio, actually is is a time consuming, laborious and frustrating process. It takes lots of testing and the ability to count grams of carbs and dose insulin like Humalog or Novolog. It only took me around four or five months to figure out how to do it, and thanks to daubenmire, who taught me the absolute necessary technique on how to do it, I finally figured it out in about one month. Did I say it takes lots of testing? Well, it does. If you are not willing to do lots of testing at least six times per day, don't bother trying how to figure it out. Uh oh!, Did I say you need to know how to count grams of carbs? This may be unnecessary provided you choose a brand of breakfast or power bar, say one that contains 25 grams of carbs in it, and you get test2 to be near test1 with a dose of short-acting insulin like Humalog. If the readings are very similar within a very few points, then just divide the dosed units insulin by the number of grams in the bar used. Be sure to pick a bar you like. Knowing how to do this is an absolute must. In fact taught me that to figure out my little r, you must absolutely hold your total grams of carbs at almost a perfect level. He recommended starting with 15 grams of carbs consumed. He also recommended holding this consumption level constant as often as you can. You first do a bs test and chart your reading, call this testg1,then you eat 15 grams of total carbs as exactly as you can. next you dose Humalog or Novolog to see how well the insulin dosage deals with the 15 grams of total carbs consumed, and chart your next bs results an hourand a half or two hours post prandial reading, call this test 2. Is the test2 reading higher or lower than test1? You want the numbers in test2 to be very close to the numbers in test1. Since most insulin dependent diabetics are using two kinds of insulin, Lantus or NPH for long-acting insulin and Humalog or Novolog short-acting insulin, getting the two readings to be pretty much the same is a fine tuning balancing act. It takes many efforts, many finger sticks and many insulin injections to get it just right. I imagine that if a person is on oral medications for diabetes control and only uses Humalog or Novolog for prandial carbs, in other words only uses a single short-acting insulin and no long-acting insulin, getting test2 to be very near or pretty much the same as test1 would be easier. When the two readings, test1 and test2 are the same, you have dosed the exact number of units of insulin to handle 15 grams of carbs. For example if I eat 15 grams of carbs after test1 reading of 100 and dose 6 units of Humalog to deal with it and an hour and a half later test2 shows a reading of 100±5 points, then I cam be pretty sure I have hit upon the right combination of insulin dose to carb ratio. to verify this is true the next time I eat I double the carbs consumed and I also double the insulin dosed. Then I compare test1 with test2 and if they are pretty close in their reading then I know I am dosing the right number of units of insulin for the amount of carbs consumed. If you keep changing the number of grams of carbs consumed every time you test and dose insulin, then you may never figure out what the correct ratio actually is. This statement would be especially true if you are a type1 diabetic with little to no insulin resistance, since the type 1 diabetic has to account for every gram of carb consumed. final example: If I test1 and get a reading of 100 and consume 15 grams of carbs and dose 6 units of Humalog to deal with the carbs consumed and two hours later I get a reading in test2 of 100±5 points, then I can be fairly sure I am close to the correct ratio. Then I divide the 6 units of insulin by the 15 grams of carbs consumed, 6/15 and get a little r of 0.4. My insulin to carb ratio of .4 is what I need to plug into the formula: rC=U Hint: Usually breakfast bars have the same number of grams of carbs in each bar, so eating them and dosing with Humalog or Novolog is a good way to experiment to see if you can get test1 and test2 to be pretty much the same. If so, divide the insulin dose by the total grams of carbs in the breakfast bar. This should give you your little r. By eating breakfast bars each time you test should give you the same number of grams of carbs, provided you eat the same brand of breakfast bar each time. When plugging numbers into the formula, over estimating the total grams of carbs consumed can cause you to have a low sugar reaction. big numbers mean big mistakes and small numbers mean small mistakes. Good luck on discovering your little r. Quote Link to comment Share on other sites More sharing options...
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