Fixed amount of insulin for every meal is such an old fashioned way of managing diabetes. The much preferred way is matching insulin to carbs via carb counting along with corrections doses, as needed.
I treat my T1 very conservatively, my choice. I rarely take corrections and prefer to ‘walk it off’ with a brisk 15 minute walk and I find this works for me. I don’t like the idea of rollercoastering ie automatically treating highs with insulin and treating lows with glucose if I can watch what’s going on (with the help of a Dexcom G6) because mostly a low doesn’t always need treatment and I will only treat a low if I’m feeling it, again very conservatively.
I work in Paediatrics and some patients prefer this way of treating as they don’t want to complicate things in their day to day life..It’s their choice but hopefully in the future they will see this is not the be all and end all diet regarding T1 Diabetes. Carb counting really helps to reduce the amount of injected insulin… I practise this everyday as a T1 myself.
The insulin to carb ratio is a bit more complicated than what you said. Fats and proteins will affect insulin absorption and then there is the glycemic index as well as physical activity. I don't know how it can be done.
7:29 you say you talk about how prandial is calculated in another lesson... and then you never do. It's never reference in part 2 at all. So how is prandial dosage calculated?
Insulin dose: 0.5 IU/kg/day Basal: 40% of regimen Prandial 60% of regimen (divided into 3 meals, so 20% of total daily insulin) eg. 80kg person gets 40 IU/day Basal: 16 IU at night (eg. glargine) Prandial: 24 IU / day --> 8 IU (eg. aspart) each before each meal (assume Px eats 3x daily)
Type 1 here believing we are entitled to normal blood sugars. Fear of hypoglycemia doesn’t scare us into accepting complication-inducing elevated numbers. Believe in us and don’t sell us short!
My mother is diabetic patient and now on insulin since 2018-19, unable to adjust dose , kindly share your experience via email so I can manage ,@ zaaru25@gmail.com
Violating patients rights. You must absolutely educate patients of dose name action or you could face assault and .malpractice. it is a great way never to make mistakes.
Thank you. Very straight forward, my teacher mentioned sliding scale in my nursing class and I said what is that?? So much clearer now.
Thank you, young man, it was something I should have asked my doc yesterday but you cleared it for me.
Doc should have educated it is your right
This video changed my life. Literally.
Fixed amount of insulin for every meal is such an old fashioned way of managing diabetes. The much preferred way is matching insulin to carbs via carb counting along with corrections doses, as needed.
I treat my T1 very conservatively, my choice. I rarely take corrections and prefer to ‘walk it off’ with a brisk 15 minute walk and I find this works for me. I don’t like the idea of rollercoastering ie automatically treating highs with insulin and treating lows with glucose if I can watch what’s going on (with the help of a Dexcom G6) because mostly a low doesn’t always need treatment and I will only treat a low if I’m feeling it, again very conservatively.
I work in Paediatrics and some patients prefer this way of treating as they don’t want to complicate things in their day to day life..It’s their choice but hopefully in the future they will see this is not the be all and end all diet regarding T1 Diabetes. Carb counting really helps to reduce the amount of injected insulin… I practise this everyday as a T1 myself.
How much insulin for high blood sugar of about 260-400 ml/dl. For day and night?
Well said and easy to understand.
The insulin to carb ratio is a bit more complicated than what you said. Fats and proteins will affect insulin absorption and then there is the glycemic index as well as physical activity. I don't know how it can be done.
Thanks for simplify the contents. Good video!
7:29 you say you talk about how prandial is calculated in another lesson... and then you never do. It's never reference in part 2 at all. So how is prandial dosage calculated?
Insulin dose: 0.5 IU/kg/day
Basal: 40% of regimen
Prandial 60% of regimen (divided into 3 meals, so 20% of total daily insulin)
eg. 80kg person gets 40 IU/day
Basal: 16 IU at night (eg. glargine)
Prandial: 24 IU / day --> 8 IU (eg. aspart) each before each meal (assume Px eats 3x daily)
@@TheJohn2607 based on how many carbs per meal/per day?
Best explanation! Thanks so much!!
Great explanation! I always got the Prandial, Correctional, and patient dosing mixed up.
It seems that Part 2 is no longer available. Is anyone else having problems accessing Part 2 of this video?
Amazing explanation. Thank you so so so much!
your website is out of stock for bags ):
Thanks🙏
Great video. Thank you.
Type 1 here believing we are entitled to normal blood sugars. Fear of hypoglycemia doesn’t scare us into accepting complication-inducing elevated numbers. Believe in us and don’t sell us short!
He is not practicing. He is mistaken out of ignorance in direct care
very very helpful. thanks a lot
Nowadays, with CGMs and other wonderful tools we now have many Type 1 Diabetics can safely have an A1c of
My mother is diabetic patient and now on insulin since 2018-19, unable to adjust dose , kindly share your experience via email so I can manage ,@ zaaru25@gmail.com
no reason T1 and T2s cannot safely maintain A1c of
Excellent
Helpful
Great video .thx.
great video. Thank youuu
thank you so much! 12/7/2021
Really great! ❤️❤️🌹 thank you sir
Thank you :-)
Violating patients rights. You must absolutely educate patients of dose name action or you could face assault and .malpractice. it is a great way never to make mistakes.
That isnt English
If you can't afford your insulin or doctors appointments, then don't bother trying again. You're done. Go get meds in Mexico or Canada
You can buy regular vial and syringes insulin for $10-30
Its the pre filled pens that are expensive.
Speech is very fast