LOW INSULIN INTAKE

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alanG DAFNE Graduate
Rotherham General Hospital
11 posts
Mon
03/11
Time 08:30 12:30 16:00 17:00 18:00 22:15 [08:30] prior to 20 mins. mid-morning exercise bike
[16:00] took a glucagel after bike
[18:00] before driving to a meeting
[22:15] had 1 pint of beer after meeting
CP 0 2.5 1 6.5 0 0
BG 7.3 6.3 3.6 - - 6.5
QA 0 0 0 3 0 0
BI 2 0 0 0 0 10
Ratio (QA:CP) - - - 0.5:1 - -
QA Site - - - Stomach - -
BI Site Left Thigh - - - - Right Thigh
Type BI LUNCH AFEX DINNR AFDIN BED
Ketones - - - - - -
Tue
04/11
Time 08:30 13:00 17:30 20:00 22:30 [20:00] meeting plus 3 course meal
[22:30] carb intake was an apple to top up for night
CP 1 1 0 7.0 1.5
BG 6.6 6.7 6.2 - 5.7
QA 0 0 0 3 0
BI 2 0 0 0 10
Ratio (QA:CP) - - - 0.5:1 -
QA Site - - - Stomach -
BI Site Left Thigh - - - Right Thigh
Type BFAST LUNCH DRIV AFDIN BED
Ketones - - - - -
Wed
05/11
Time 09:00 13:00 14:36 15:45 21:00 [09:00] was gounig to a meeting plus 3 course lunch
[14:36] unsure if reading credible
[15:45] after driving home
[21:00] top-up carbs for night
CP 1 6 0 0 2.5
BG 6.5 - 11.4 6.4 4.7
QA 0 3 0 0 0
BI 2 0 0 0 10
Ratio (QA:CP) - 0.5 - - -
QA Site - Stomach - - -
BI Site Left Thigh - - - Right Thigh
Type BFAST LUNCH DRIV OTHER AFEX
Ketones - - - - -
Thu
06/11
Time 07:30 14:45 17:30 21:00 [21:00] carbs are top up for night after bike
CP 1 - 7 2.5
BG 6.8 6.2 - 4.7
QA 0 0 4 0
BI 2 0 - 10
Ratio (QA:CP) - - 0.5 -
QA Site - - Stomach -
BI Site Left Thigh - - Left Thigh
Type BFAST DRIV DINNR AFEX
Ketones - - - -


I attach a few days recent diary, which are fairly typical of my lifestyle pattern.
I have had diabetes for 18 months, and went on a DAFNE course about 6 months ago.
Using the tools from that, I have ended up taking 2 BI units in the morning, 10 units in the evening.
As I am reasonably active, golf, garden, exercise bike, and proper bike - weather acceptable, and I am trying to lose some weight, I have determined that if I have low carb breakfast and lunch, I can maintain good blood glucose levels without any QA insulin at all.
If I do have a more substantial breakfast or lunch, I take QA insulin at a ratio of 0.5:1.
We eat our main meal around 5 - 6 pm. I have been using a ratio of 0.75:1, which compensates for "grazing" in the evening. As winter is now setting in I have been on the exercise bike in the evening rather than watching crummy tv, and have now dropped the evening ratio to 0.5.
My blood glucose levels are good, including a long-term level around 42-44 over the last 12 months.
I have had occasion where I am out and about, and may have some reasonable carb intake without insulin correction - bacon sandwich while out shopping, couple of beers and a few crisps after a meeting, but when I check my sugar levels later there is no significant impact.
I am clearly confused (but happy) at my low insulin requirements, and wonder if other members have a similar experience, which would settle me down a little.
I also wonder if I am still producing some insulin that is supplementing my injections, although I recognise that any "honeymoon" period should have ended by now.


Garry DAFNE Graduate
North Lincolnshire
328 posts

Keep up the exercise alanG. I love my bike rides 3 or 4 times a week. They have reduced my insulin needs significantly over the last months. Afraid I am a little more insulin resistant than you after 35 years and am jealous. My lowest ratio throughout the day is 2:1.
Helps if you record your pre-driving BG every time. You need to avoid DVLC getting involved. Please record a BG before every meal or what do you base your QA and BI on?
Very happy to see your results are so good. Reminder to myself....Keep up the exercise.
Regards
Garry