![]() The solution: Once you have eliminated these variables, you may need to adjust the insulin-to-carbohydrate ratio to get more insulin at the meal or snack. Did you count the carbohydrates correctly? Did you take the proper blood sugar correction dose before you ate? Were you more or less active than usual? Under any unusual stress? If you think the ratio is out of balance, ask yourself these questions. It is important to know how many grams of carbohydrate are covered by one unit of insulin – this is your insulin-to-carbohydrate ratio. If you have a special occasion coming up, be sure to discuss any special “party meal” or “banquet” medication dose adjustment with your medical provider.īack to questions Insufficient insulin coverage of the carbohydrate (ie Inadequate insulin-to-carbohydrate ratio) In general it’s wise to limit your mealtime consumption of carbohydrate to less than 60-75g or to whatever has been recommended by your nutritionist. The solution: If you decide to eat more than you planned, you will need to take more insulin to cover the additional carbohydrates. Moreover, there are individual limits on how much mealtime carbohydrate can realistically be covered. However, missing the mark has the same effect as if you miscounted carbohydrates. It’s not always easy to anticipate how much you will actually eat during a meal. Research nutrition information online for food options at restaurants and chain outlets.īack to questions “Out-eating” the insulin Eat foods with carbohydrate counts that you already know. Weigh and measure your food whenever possible. The solution: Learn more about carbohydrate counting. This is particularly true when eating out or when eating foods that don’t have nutrition labels. If your mealtime carbohydrate count is wrong, your insulin dose will be incorrect as well. Injecting into scarred or overused areas.Taking medications that cause insulin resistance.Under-insulinization because of fear of low blood sugars.Taking too little insulin because of fear of low blood sugars.Insufficient insulin coverage of the carbohydrate.Why am I having high blood sugars? Possible causes include:
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