My Daily Blood Sugar & Insulin Levels - Type 1 Diabetes Edition
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- Опубліковано 24 лип 2024
- I’ve lived with type 1 diabetes since 1997, and have managed my blood sugars using insulin injections since day one. What I eat has a huge impact on my blood sugars and my overall well-being and after I created a video showing what I eat in a day (See video HERE ► • What I Eat in a Day - ... ) a lot of you asked for a follow-up video showing my blood sugar levels that day and how much insulin I took.
You ask and I deliver 😊 so in this video I’ll be showing my blood sugars for all of May 1, 2022, what I ate (including carb count), and how I managed my blood sugars.
If you’re into low carb meals, you can find a lot of low carb recipes on the Diabetes Strong website HERE ► diabetesstrong.com/recipes/
0:00 Introduction
1:21 Correcting for Dawn Phenomenon
2:04 Dosing insulin for breakfast (including detailed carb count and blood sugar impact)
4:05 I don’t dose insulin for all snacks
4:39 Dosing insulin for lunch (including detailed carb count and blood sugar impact)
6:15 Dosing insulin for snacks and corrections (including detailed carb count and blood sugar impact)
8:00 Dosing insulin for dinner (including detailed carb count and blood sugar impact)
9:15 Dosing insulin before bedtime
10:00 My daily Time-In-Range
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DISCLAIMER: I’m not a medical professional, never stop your current treatment without consulting with your doctor
Great video. Every new type 1 needs to watch this. It’s so helpful to know that one is not alone when dealing with the ups and downs and often frustrating irregularities of this condition.
Thank you. And thank you for suggesting that I made this video
I have lived with type 1 diabetes for 80 years but i learned so much by watching this video. The advancements of understanding why the blood sugar varies so significantly was something which has perplexed me over the years. Thank you again.
I’m so glad it was informative. Thank you for watching
This is such great information for me!! I use similar insulin ratios, but I get so frustrated trying to carb count and deal with different types of carbs impacting my blood sugar. I hate taking insulin for coffee because some days I need it and other days if I take a unit my blood sugar crashes
That is an excellent point, yes, different carbs and meal compositions will most likely impact blood sugars differently
Awesome video! Love seeing how other type 1s navigate managing diabetes whilst living a busy and active lifestyle! I’m currently on a 3 day per week intense strength training program and have finally gave in to the idea of taking insulin before the workout since I spoke from 6mmol-13/14 during the workouts!
Thank you. And that’s awesome, I’m glad you’re adjusting. I pretty much always take insulin before my morning workouts, even if I don’t eat
Thank you so much for sharing! Always insightful! I smiled when you mentioned your frustration as I have yet to meet someone living with diabetes like us that doesn’t have some frustrations at some point! 😊 One thing that also makes it sometimes a little challenging is not only the carb ratio but our blood sugar level at the time we take our meal which means it can also have an impact with the total bolus dosage!!! 🙏
Absolutely! And thank you
Excellent, very informative, thanks!
Glad it was helpful!
Great video, thank you for your honesty of getting irritated as I often feel this way when I have a wonky day of highs and lows. Very helpful videos, thanks!
You’re welcome 🙂
So glad I found you here on UA-cam. I joined the Facebook group, but left quickly since so much content didn't seem relevant to me. You and I are similar in a few ways and different in others. Ratios, way of eating, and target range same. You have regular exercise plan, hydrate more, and don't use a pump. That is where we differ. But I know I can learn a lot from you. I'm excited. I have a doctor I like and now a great mentor. I've been doing this for 34 years, but still haven't figured it out and still fluctuate TOO much. I'm tired of worrying (and getting frustrated) over it and it's time to get a grip on this!
Welcome. Yeah, I let the FB group live its own life, and I can understand why some of the conversations might not be that relevant for you. Hope you’ll find this channel more interesting
Gosh this is so insightful and helpful to watch. I'm a mother of a T1 13 year old boy. We are about one year in. Your video is very interesting. Thanks for taking the time to share and post. p.s. you are an amazing inspiration, thank-you.
Thank you 🙂I'm so glad it was helpful! And so glad quite a few viewers suggested I do the video.
Fantastic information, really helps me as a 7 months in Mama to a ten year old T!D . Breaking it all down. just helps me work through a good thought process for the day and double checking of my techniques. One thing is I think I will do a little more is a in range before bedtime correction. High all night is sooooo stressful watching his Dexcom intermittently throughout the night! Not proud of myself in the morning !
Don’t beat yourself up, mama! But I know how annoying it is to wake up and realize blood sugars have been too high overnight. I set a 160 mg/dl alert overnight. That way my Dexcom will alert me if for some reason my blood sugars should be traveling upwards
Wow! I am not doing too bad for not knowing what I'm doing. I am using the same reasoning on my dosing. Sometimes I nail it and sometimes I don't. I need to stop beating myself up about it. Thanks so much for this video!
Awesome!
Thank you so much for your videos! You have helped me so much in my transition from type 1 to type 2! This is a difficult disease with so many variables! Thank you for the explanations I have needed!
Sorry I meant type 2 to type 1 haha
I understand 🙂 Glad my videos have been helpful
I loved your explanation. I've only been diagnosed with T1 about 2 years ago and considered the pump since I'm still struggling with trying to keep my sugar relatively level. One thing that keeps me from deciding to go with the pump is that I'd have to have it hooked up to me 24/7. Injecting with a pen is more involved but I feel like I can allow myself to forget about my diabetes between injections, at least to a certain degree. Thank you!!!
I'm glad you found it helpful. Choosing between a pen and a pump is such a personal matter. You might find that later on in your "diabetes life" it becomes a preferred option. I still haven't ruled it out :-)
Thank you for watching
Thank you for this video! My I:C ratio and correction factor is very similar, and seems to be common for many type 1s. I'm happy with a time in range of above 75%, so 90+% is excellent! My main issue is when I get close to 5 mmol/L (90 mg/dL) I start feeling a bit hypo and get nervous, then eat something that sometimes raises my blood sugars higher than I hope for. Still learning and always a balancing act!
Thank you. And yes, the distinction between "feeling" hypo and actually being hypo can be challenging. Generally if you tend to run on the higher side, a normal blood sugar of 90 mg/dl can feel low. You can also feel low if your blood sugars are dropping quickly. Still learning is the way to go :-) Maybe try just 5 grams of carbs and see if that takes you to a level where you feel more comfortable
Great video!! Thanks for sharing I know the frustration !! When the weather changes from extreme cold to hot my blood sugers fluctuate crazy right🥺 love your channel !! Oh by the way do you stilluse levemir I remember when you had your surgery you tried tresiba ? Tresiba workes better for me then Levemir for now.. be well and thanks again ❤️🌷🌷
Thank you. Yes, went back on Levemir before my surgery and haven’t switched back
Brilliant video, really REALLY useful to see what someone else does both for my own confidence and to give me ideas. Thank you!
Also i would KILL for your insulin: carb ratio!
Do you find decaf impacts your blood sugar?
Thank you :-) I don't drink decaf, so I'm not sure...
Great video...I found you due to just going on the Decom 7. I'm type 2 since 1989 and been on insulin for over 15 years. When you say 3 units for 27 grams of carbs it points out a huge difference between your type and my type. I would take 15 -18 units based on that carb load. I know each diabetic is different but just to confirm, your 3 units are based on a 300 unit pen, right? I am loving the Dexcom 7!
Yes, just a regular U-100 insulin pen with 300 units. My carb ratio is around 1:10 meaning 1 unit of insulin covers 10 grams of carbs. You're absolutely right our carb ratios will differ. If you take 15 units for 15 grams of carbs (of U-100 insulin) your carb ratio is closer to 1:2
My blood 🩸 sugar will start rise for no apparent reason in the morning and nighttime. But I have noticed when I have not drank enough water 💦 it’ll rise as well. It is truly a balancing act and get very frustrating. Thanks for the video.
Dehydration can do that to you. Great observation
In the "diets for diabetics" resources they most always, I can't say always because I haven't read them all, that water, tea, diet soda's, and coffee are "free foods". Have as much as you want. You and another channel mentioned that coffee can raise your glucose. I have never experienced that being a factor. Thankfully coffee does not affect me because I do like my coffee. It's a comfort to see other people having to deal with the daily variables too. We are not alone.
You are not alone! We also get so much conflicting information. I’ve even had a doctor tell me that hormones don’t impact blood sugars. And that’s why I think it’s so important that we spend the time to learn how different foods and situations impact our blood sugars
Thanks for sharing. Very interesting and informative. You don't need very much fast acting insulin.... would you tell us how much basal insulin you take ? Many greetings from Germany from a Lada diabetic. Looking forward to your next video
Thank you. It depends on how active I am but most days I take around 20 units of Levemir
it shows how different diabetes for everyone, i take 1 unit of insulin for roughly 6 grams of carbs. thanks for the video!
one thing that surprised me is, i've been told by my endo to do not change my meal times whatsoever, so for the past 16 years i've been having breakfast at 8am, 12.15 lunch and 18.15 dinner. i was really surprised when you told that you had breakfast at 11, i did not know i could do that hahahah.
We’re all a little different for sure. I used to be on a fixed eating schedule with the old insulins (I actually touch on this in my “Things I had to unlearn video) but with the new rapid-acting insulin (Humalog/Novolog/Apidra) there’s no longer a need for that very scheduled way of life. I would suggest a discussion with your endo unless, of course, you’re happy with the way things are. Nothing wrong with structure 🙂
@@DiabetesStrong i'm actually really happy with fixed schedules, i feel like it helps my adhd a lot.
i've only used novorapid/lantus but since 2007 i'm on pump and novorapid only.
i'm binge-watching your whole channel at the moment, thanks for all the vidoes, will be watching “Things I had to unlearn" video.
also started using g6, it's my first week on any cgm(it's not covered by insurance in my country) but i can proudly say that i never went over 180 or under 70 so far, it's probably honeymoon phase because i'm being extra careful, but will be trying my best. again, thanks for all the insightful videos, wish you and every t1d's out there the best!
@@indaneym so happy to hear that you’re doing that well 👏🏽 And thank you for watching
How do you dose a half unit? I have the humalog u100 pen and it is only whole units. Also, i like your style in explaining things, I am classified am a type 2 insulin dependant using humalog and a generic Lantus. I also have been wearing the dexcom g7 since December 2023 and still strugle trying to understand this device. Thanks for all your personal challenges.
I use a durable smartpen called InPen, which has 1/2 units. If you want to stick with prefilled pens and need the 1/2 unit option, see if your insurance will cover Humalog Junior KwikPen for you. Same insulin but allows for 1/2 units
@@DiabetesStrong thank you. I was just curious.
Great video! Think you can give yourself some slack with saying “milligrams per deciliter” once or twice at the beginning. We get it after that👍🏻
I like following your channel but I wish I could find a type 2 person like you to follow..know anyone to suggest? ❤️
Thank you, and I wish I knew one. Hopefully someone else sees your comment and can chime in
Oh by the way do you ever enter your info on the InPen then get your dose or you figure it out with out the pen?? Just curious thanks❤️ be 💪
I do but not every time. With a 50 correction factor and 1:10 carb ratio, the math is pretty straightforward but I’ll sometimes use the app to double-check, to see my IOB, or if I’m really tired
Hi.. what type of rapid insulin did u use ? I have use Novo, then Fiasp, and now im on Lyumjev witch is very fast in special when u inject higher doses insulin.. Thanx ❤
I’m currently using Humalog but my insurance is switching me to Novolog
@Diabetes Strong Thank you ! For me with Novo wasn't so good i always do spikes and after 2h drop down.. but we're different maybe works 4 u ❤️
Ditto, my dear, ditto. ❤️
I'm so shocked by hearing how many units insulin you take per a meal, especially when you said 2 units for a large meal... I usually take 10 to 12 units of insulin per meal, and I'm 12 years old!
How much we each take depends on a lot of factors, so don't worry about it 😀 Most importantly you need to take the amount that manages your blood sugars
Wow, I use 1.5 units for every gram of carbs. I'm curious, what is your AC1 being this dialed in?
I aim for an A1C between 6% and 6.5% It travelled up a bit over the last year as I've not been able to exercise as much (non diabetes related issue) and I think my last was 6.3%
@@DiabetesStrong My AC1 has been 6.3 for the last 6 months. Down from 7-7.3 prior to using Dexcom, and doing finger tests.
@@WASN55 that's awesome! Well done
How much long-acting insulin do you take per day and what time/times do you take your long-acting insulin? Thanks
How much long-acting insulin we each need is very individual and will depend on a lot of different factors including your body weight, activity level, and diet. So it most likely won't make sense to take the same amount as I do. I currently take around 20 iu, split in two at 9 AM and 11 PM
@@DiabetesStrong
So you are saying you take 10 in morning and then 10 at night? I realize we are all different and our bodies need different amount just trying to get a visual. I have maintained an A1C of 6-6.5 for 30+ yrs. This is while wearing a pump and then the last 3 yrs. With a CGM because of Hypo unawareness beginning. Now I would like trying the InPen but struggling with the accurate dosing/timing. Endo seems to think it’s somewhat trial and error. I don’t want to sacrifice care in anyway but I think this change is possible just finding the correct strategy for me so searching for info…
Do you have any issues with fast acting insulin with protein . My daughter has a serious issue spiking after protein eating
I dose extra for large amounts of protein of if I eat protein alone, so it's definitely part of my insulin calculation
@@DiabetesStrong how do you calculate protein . Do you do a conversion mathematically or break it down to ounces and go from there ?my daughters endocrinologists in the past said just give half before and half after but to me that didnt work to cover protein
Hi Cristel. Seems like yourself and every T1 who has replied has low Insulin to Carb. ratios. Sometimes if I have carbs for breakfast, my ratio is as much as 1 to 2. I know it sounds very odd so I try to avoid carbs at that time of day.
I know some people who have carb ratios around 2-3 in the morning. If that's what your body needs, it's what it needs. I generally find fasting makes everything harder for me, but awesome that you've found something that works for you. Diabetes management is so individual
Thanks for sharing. You really are amazing:)
what are your average bolus vs basal ratio?
I don’t go by a set ratio. I currently take ~20 iu long-acting insulin and my rapid-acting insulin depends on what I eat.
How do get 122 Glue
avg without a pancreas ?
It's a lot of work, but for me doable with the right amount of insulin injections and blood sugar measurements/monitoring
What are your goals for sleeping blood sugars? What do you go to sleep at and wake up at?
I prefer to wake up around 90-100 mg/dl. My long-acting insulin is titrated so I don’t drop overnight, so that the evening target as well
Hi hillo
so daily dawn phenomenon u will inject correctio?
i hate that😩
Yes, if my blood sugars are going up and my long-acting insulin can't manage it, I will do a correction
I am a little confused because you say you are type 1 diabetic and you take fast acting and long acting both! I do too! I am told I am type 2? I may be carb counting wrong!you seem to be taking a lot less than I do
All types of diabetes can require both long-acting and fast-acting insulin. How much we each need can depend on a lot of things including what we eat, how active we are, and our size. If your blood sugars are managed well, I’m sure you’re doing a good job of carb counting
Any calories need insulin, not just carbs. We find a bolus combo of Walmart Regular insulin and Humalog keep us between 80 and 120 pretty much all the time, but it takes a lot of work with set meal plans and experience…. Humalog by itself is useless if you eat in a healthy way ie. Higher protein, controlled carbs and fat… it simply runs out of steam too fast for healthy meals.
@Engelbert Humperdinck I know his methods well…. We find regular alone doesn’t work fast enough for most of our meals… we eat a lot of chicken white meat which seems to spike things pretty fast… typical is 2:1 regular to humalog ratio about 30 mins before meal. Meals are around 600/700 calories…!we have a growing 12 year old to cater to… female who is already 5’8” tall and ideal body weight.
huh?
SENSIONICS???
You can see my video on Eversense E3 here ua-cam.com/video/rF_D4aOOB1E/v-deo.html
For such an off-schedule day and injections, that Dexcom plot is really good. Having accurate figures for your personal ICR and CF and actually using that information can make a big difference in QOC.
I'm still experimenting to home in closer to mine so I feel comfortable switching to using a pump with sw that relies on those numbers being accurate to be not just safe, but have what I consider good control. IMO 75% TIR is passing, +90% is not good. I do better than 80% on a very bad week with a G6 and XDrip. Since you're willing to share numbers it might be helpful to other people if you were to show a Dexcom summary for a week.
Doing a whole week of data is a good idea. Can you clarify the last part of your comment where you talk about TIR? Think you’re saying 75% is the low bar but you aim for +90% I’d think that’s reasonable since you’re clearly tightly managed, some have a hard time achieving that, but it’s a good goal