[Diabetes-Talk] re a good tutorial or introduction on how to use rapid acting insulin as i have just been place on it for the first time

[gary-melconian]

Thanks for the info.i guess to start up with slow an then ad if need be for
correction factors. This is something that the  diabetic educator did not
pay that much attention to .they talked about the  ratios and all that .how
in the  hell do I figure that out.   What's appropriate for someone who
would be about 230 pounds,  on about 40 units of long acting and then they
recommended about 30 units of rapid acting a day.   Which I found a bit
extreme .but I don't know and  that is wwhy I am asking about all this for
my own use case so that  I can make adjustments along  the  way.  

-----Original Message-----
From: Diabetes-Talk <diabetes-talk-bounces at nfbnet.org> On Behalf Of Veronica
Elsea via Diabetes-Talk
Sent: Monday, May 11, 2020 9:36 AM
To: 'Diabetes Talk for the Blind' <diabetes-talk at nfbnet.org>
Cc: Veronica Elsea <veronica at laurelcreekmusic.com>
Subject: Re: [Diabetes-Talk] re a good tutorial or introduction on how to
use rapid acting insulin as i have just been place on it for the first time

I actually don't do as well if I take my bolus after eating. So I wouldn't
say this is outdated, just not used for you. My correction factor is that 1
unit brings me down 40 points. This is the thing that scares me the most
about ever landing in a hospital. They always do the 1 unit over 200 bit and
that's not how pumps do it these days. Actually, in the middle of the night,
1 unit brings me down 60 points. 
But if I bolus after I eat, my food gets ahead of me and then I'm playing
catch up. I actually do wish more pumps worked with rapid acting insulin
though. Hope that day comes soon.
And yes Gary, someone at your doc's office should be talking to you about
how to adjust your routine to match the insulin. I don't think there really
could be an online tutorial because it's only about amount and timing, which
is quite individual. Good luck and hope it works well for you.
Veronica


"Guide Dogs, First Hand", Veronica Elsea's classic album is now available on
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To learn more, visit:
http://www.laurelcreekmusic.com
                Veronica Elsea, Owner
Laurel Creek Music Designs
Santa Cruz, California
Phone: 831-429-6407


-----Original Message-----
From: Diabetes-Talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of
Bridgit Kuenning-Pollpeter via Diabetes-Talk
Sent: Monday, May 11, 2020 7:48 AM
To: 'Diabetes Talk for the Blind'
Cc: Bridgit Kuenning-Pollpeter
Subject: Re: [Diabetes-Talk] re a good tutorial or introduction on how to
use rapid acting insulin as i have just been place on it for the first time

Your endo should really create a protocol with you. Some people take
fast-acting insulin as a bolus before a meal; but despite it still being
done, it's an outdated method. I eat my meals then calculate my carb/insulin
ratio and deliver a bolus. My current carb/insulin ratios are 1/6 for
breakfast and lunch. 1/9 if I have an afternoon snack and 1/20 for dinner. I
do incremental fasting, so only eat between noon and 8 p.m. However, about
every 3 or 4 months, we have to adjust my ratios. For correcting highs, I
take 1 unit beginning at 200, and take another unit for every 50 units over
200. So, for 200, I take a unit. At 250, I take 2 units. So-forth-and-so-on.
But, your sliding scale is specific to you. This really needs to be set by a
medical professional. I can't believe your doctor hasn't created a
carb/insulin ratio for you and a sliding scale.

Bridgit

-----Original Message-----
From: Diabetes-Talk <diabetes-talk-bounces at nfbnet.org> On Behalf Of
gary-melconian via Diabetes-Talk
Sent: Sunday, May 10, 2020 10:13 PM
To: 'Diabetes Talk for the Blind' <diabetes-talk at nfbnet.org>
Cc: gary-melconian <gmelconian619 at gmail.com>
Subject: [Diabetes-Talk] re a good tutorial or introduction on how to use
rapid acting insulin as i have just been place on it for the first time

Hello I have been just been placed  on to rapid acting insulin.so I would
like to know what the best way or tutorial on doing rapid acting insulin
before or after eating .all the methods in getting the  right level of the
rapid acting insulin to balance lows and highs .  
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