Comments on: bring a high down at night

By: lane_1300

lane_1300 — Mon, 12 Jul 2004 01:50:28 +0000

I am not on the pump yet, but use Humalog and NPH. Mt BG’s have never been
within good levels. I have been counting carbs for the past 3-4 weeks. It
has really made a difference. I hate all the time I am spending right now to
accomplish the BG’s I am getting, now averaging around 110, but it is worth
it.

By: poole_110

poole_110 — Sun, 11 Jul 2004 01:56:41 +0000

1800/(total insulin in day) = mg/dl drop per unit H
(correction-ratio)

(1800/(total insulin in day)) / 3 = g -CHO covered by
one unit of H (carb-ratio) (bolus)

Example: I take 50 units/day.
1800/50 = 36 mg/dl per unit H
36 / 3 = 12 gCHO per unit H

If I’m 72 points over my target I’ll take 2 units to
correct. If I’m eating a meal of 60g carbohydrates,
I’ll take 5 units to cover.

Regular can use a similar formula but substituing 1500

for 1800.

-Sara G.

By: elmo_15

elmo_15 — Sat, 10 Jul 2004 13:31:07 +0000

Wow, what a group we have here, ya just ask a question and out poureth the
information. That’s big time for yer help guys.
fp

By: rodney_800

rodney_800 — Sat, 10 Jul 2004 03:35:49 +0000

That is the ratio Frank, that she used. Except I never changed it when I
switched to Humalog. Still works good for me, so I not complaining.
Gail

By: kristan_180

kristan_180 — Sat, 10 Jul 2004 00:02:41 +0000

Frank, you are absolutely right. I had forgotten the 1500 factor, and
that is how I arrived at my number of 25, which works fine with Humilog as
well, so I am not sure how significant the 1500/1800 difference is. I had
not heard about the 1800 number, and without knowing this, the original
calculation works just fine.

By: kristan_180

kristan_180 — Fri, 09 Jul 2004 15:55:00 +0000

I think the number I use is 25, but I arrived at it by using a formula in
Pumping Insulin that I don’t remember anymore. Anyway, it works very well
for me. Often I can hit 100-110 right on the mark in an hour using this
factor, based on a high reading. One important point; you must be high
without having had any carbs for some period of time. If you have had
carbs recently, this will not work. You must allow for the other factor
(in my case, I use 1 unit insulin/8 gm. carb.

David

By: antoinette_5

antoinette_5 — Fri, 09 Jul 2004 09:44:09 +0000

David now that I look at your message again they are applying the
1,500 factor in figuring out those ratios, I hope I explained it okay
in my first e-mail earlier. My Outlook express is not working
correctly and I’m unable to send replies.
These calculations are based on the 1.500 factor. Which says again
you take the amount of insulin you take per day and divide it into
the number 1,500 and that is how you come up with your ratio. So a
person taking only 10 units of insulins ratio would be 1 unit would
lower there blood sugar 150 points.
Using Humalog they apply an 1,800 factor becasue of the faster drop.
I hope that explains it better.

Frank

By: antoinette_5

antoinette_5 — Fri, 09 Jul 2004 01:36:29 +0000

I was taught to use the 1500 factor for regular insulin in the pump,
or the 1800 factor with humalog insulin in the pump to figure out my
figure out my supplemental ratio. Simply put if you are taking 30
units of
insulin a day, u take the number 1800 and divide it into 30 which
equals 60.
So my ratio would be for 1 unit of insulin it should bring down my
blood sugar by about 60
points. Not always on the money but it works okay for me.
I have to take a look at Pumping insulin because I believe the
ratio’s are discussed in his book and it is based on the same factor.
Youy have to remember a person who wieghs 200 pounds and takes 60
units a day, and a person who wieght is 150 pounds and takes only 30
units a day will have completely different ratios so there is know
hard fast rule in bringing down blood sugars and should be discussed

in dept with your diabetic team.
Also at night I was told by a prominent educator that before going to
bed you should cut that ratio in half to avoid a severe reaction
during the night.

Frank

By: silas_17

silas_17 — Thu, 08 Jul 2004 13:08:36 +0000

I pulled out the sheet given to me by the Diabetes Treatment center at Mercy
Hospital in Miami, here’s what it says:

TOTAL daily Insulin 10 units, Expected DROP per unit 150 points
20 units
75 points
30 units
50 points
40 units
38 points
50 units
30 points
60 units
25 points
100 units

15 points

Hope that helps!

By: elmo_15

elmo_15 — Thu, 08 Jul 2004 04:37:23 +0000

Hmmmm…. does anyone else know the formula??….. please…
fp