Hi Alex, do you live in the US? Apparently you have not been told to use carb counting to determine your novolog doses before eating. I use 1 unit for every 8 carbs I eat. That is called a 1:8 insulin:carb ratio. You would have to use trial and error to determine your own ratio, it could be very different from mine. carb counting is a much better way of having stable control after meals. There are other things you need to learn. I recommend the book "Using Insulin" by John Walsh. You can buy the book from amazon.com.
I was diagnosed in 1945, when I was 6, and am very healthy. If you have good control, you can have a long, healthy life.
I do live in the US. They did not tell me about the insulin/carb ratio but I have read about it and was planning on bringing it up at my next appointment.
They explained it to me as using 15 units and eating 4 carb choices (60 carbs) and put me on a sliding scale. Thats all I was told at first, but I am learning quite a bit lately from places like this forum.
I will check out the book as you are not the first to recommend it!
Some doctors don't want to overwhelm their patients at first. I knowing didn't. I don't think that is a bad thing, but sometimes it leaves us with more questions than answers. Mine allows me to call his office and leave questions with his two nurses who will get back to me later that day. Perhaps yours will do the same. Mine also hasn't covered ratios yet. That's my next appt. he likes to tak things slowly and make sure I got a good grasp of things as we go along.
Alex, if I eat as much as 60 carbs at a meal that could mean 200 carbs per day, including snacks. That requires a lot of insulin, an I gain weight. So I limit myself to a max of 150 carbs per day, and use a total of 34 units of insulin per day (basal + bolus). I do not gain weight that way. About 35 carbs per meal and a couple of snacks of 20-25 carbs each is how manage my food intake.
I have thought that was high for each meal since they told me. I actually only eat one snack and its carb free or <2 carbs (lunch meat or cheese etc) so I get around 180 per day.
I wanted to lower my carbs to 45-50 each meal and was going to bring that up in my next visit with the insulin ratio question. I think I've started to figure out my ratio numbers as well. There is a lot to learn at first.
Do most people on MDI's inject before snack also? I've found even 5 carbs will spike my blood sugar more than i'd like (thats why i've kept my snack is usually carb free).
Alex, some MDI's inject 15-30 minutes before eating. That gives the insulin a head start. I have done that many times. It would not be a good idea though, if you had a low at the time you were going to take your injection. Under those circumstances you should inject and then start eating. If I have a low below 70 at meal time, and I start to use my pump for a bolus,, my pump displays a message. It says to wait for my BG to return to normal before using insulin. I have eaten half my meal before injecting at those times.
I'm really shocked the doctors haven't informed you about insulin to carb ratio yet. They wouldn't let my son out of the hospital until we understood it. In fact we had to watch videos and fly alone without the help of nurses before they would let him leave. Then I had to call in his numbers every day for a week or so.
No wonder a lot of people don't understand. Some doctors don't inform. Just makes me thankful we lucked out with good doctors. Someone was looking over my son.
I appreciate your making that post. I am a member of many parents groups on Facebook. There are parents there whose doctors told them to take a particular number of units before each meal. The number of carbs involved does not matter. I actually believe the doctors do not understand either. Some parents take their T1 children to a GP and don't know there are diabetes specialists until they join an online support group. Learning about insulin:carb ratios, insulin sensitivity levels, and endocrinologists makes a big difference in their children's control.