Keeping Track and Making Changes?

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Keeping Track and Making Changes?


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Old 02-08-2011, 02:19   #1
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Default Keeping Track and Making Changes?

As I have mentioned earlier, I am a newly diagnosed Type 1 diabetic. Recently I have had a very hard time trying to get my blood sugars in range. I am committed to making changes to get better control, however, I simply dont know where to start. Should I increase my basal rate on my pump? Should I increase my insulin/carb ratio on my pump? So I ask this... Do any of you have any suggestions as to how I can start recording my glucose values before and after meals, my exercise during a given period and how different carb choices effect my blood sugar levels. I look forward to hearing any suggestions any of you may have.

Michael

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Old 02-08-2011, 04:43   #2
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Originally Posted by michael.bell View Post
As I have mentioned earlier, I am a newly diagnosed Type 1 diabetic. Recently I have had a very hard time trying to get my blood sugars in range. I am committed to making changes to get better control, however, I simply dont know where to start. Should I increase my basal rate on my pump? Should I increase my insulin/carb ratio on my pump? So I ask this... Do any of you have any suggestions as to how I can start recording my glucose values before and after meals, my exercise during a given period and how different carb choices effect my blood sugar levels. I look forward to hearing any suggestions any of you may have.

Michael
Hello Michael, I have T2 diabetes and take MDI. Hopefully, a T1 member will come by and give you some tips. Enjoy the forum and read what interests you and I hope you visit often and take care.

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Old 02-08-2011, 05:03   #3
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When I was first diagnosed I wrote down everything I ate and the portion size. I also kept (still keep) a log of all the blood glucose readings I get when I'm testing before or after meals. This allowed me to look at certain foods and help determine what foods and portion sizes do to my bg. It was very helpful. I don't keep a log anymore but I do still measure my carb intake and eat roughly the same amount of carbs every day for the respective meals (15 grams at breakfast, 45 grams at lunch and 15 grams at dinner) since this means I don't have to do any math to figure out how much insulin to take.
I hope this helps and good luck!

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Old 02-08-2011, 15:04   #4
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Originally Posted by Joshua Shorter
When I was first diagnosed I wrote down everything I ate and the portion size. I also kept (still keep) a log of all the blood glucose readings I get when I'm testing before or after meals. This allowed me to look at certain foods and help determine what foods and portion sizes do to my bg. It was very helpful. I don't keep a log anymore but I do still measure my carb intake and eat roughly the same amount of carbs every day for the respective meals (15 grams at breakfast, 45 grams at lunch and 15 grams at dinner) since this means I don't have to do any math to figure out how much insulin to take.
I hope this helps and good luck!
Thanks for the advise joshua. I appreciate it. I have one more question for you if its not to much trouble. Did you simply use a bg journal or did you create your own record system to establish trends with exercise for example? Im just wondering the best way to record for easy and accurate understanding of the results.

Michael

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Old 02-08-2011, 15:27   #5
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I am reaching the point I need to keep neater, clearer records for my endo.

If you go to Integrated Diabetes' website, Gary Scheiner has designed some nice logsheets, I think including pumping ones.

I only record grams of carb and insulin amts. at this point.

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Old 02-08-2011, 18:35   #6
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You should use Carelink and download your pumps information. And if you are using a linked meter it makes keeping track of things so much easier. It will create a trends graph for you so you can see where to adjust.

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Old 02-08-2011, 20:01   #7
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You should use Carelink and download your pumps information. And if you are using a linked meter it makes keeping track of things so much easier. It will create a trends graph for you so you can see where to adjust.
Thank you for the advice. I will check it out.

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Old 02-08-2011, 20:07   #8
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Thank you for the advice. I will check it out.
If you didn't get the carelink with your pump you can order it from there web sight.

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Old 02-08-2011, 23:28   #9
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I actually developed a spreadsheet for the food and exercise portion of my record and I use a diabetes journal to record my BG and insulin intake.
Here is a PDF version of my form. You can use it as you wish or you can take and modify the portions you would like to change.
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Excercise and Meal Log.pdf  


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Old 02-09-2011, 00:17   #10
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Michael, the book "Pumping Insulin" will help with the issues you have mentioned. Don't ever expect to get perfect control. I try to stay in the range 70-130. I am comfortable there. Many people would have trouble at the lower end of that range, but I have adjusted to it very well with my Minimed pump. I stay in that range about 90% of the time. I could not do that without a pump.

I have used trial and error and found my insulin:carb ratios and my insulin sensitivity levels. Both vary throughout the day for me, and yours may vary for you. A lot of trial and error may be needed to deal with that. The book that I mentioned addresses these items. Basal testing is very important in order to stay in range. That is addressed in your pump manual, and in the book mentioned above.

If you have any specific questions, don't hesitate to ask.

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