Allison Nimlos, a very well known and respected blogger, (though she’s Known for way more than just blogging) that I came to find through the diabetes online community wrote a wonderful piece titled Seven things for an under 7% A1c.
In there she commented about something I have known about and participated in myself. Carb denial. Check out her post, if you haven’t already, but I am sure you can come up with what this means. Basically eating a certain amount of carbs but not calculating the right amount of insulin for it. Eating 70g of carbs but pretending like you only had about half of that. Which inevitably means that you may not be getting the right amount of insulin needed.
That got me thinking, what else am I in denial about..
Eating the carbs and taking the right amount of insulin but not being honest with others/myself with how much insulin I am actually taking in a day. Does that make sense? I eat 50g of carbs, which let’s say equals about 4-5 units of insulin. Cool. Taken. Done. Moving on.
But when I am asked how much insulin I ACTUALLY use in a day I might only admit to about half.
There is this weird question of, “How much is too much insulin?”
Some say there is no such thing as too much, just not enough. While others try to keep their daily dosage down in the teens. Which way is right and which way is wrong? Or maybe it isn’t so black and white? Maybe it’s just what your body needs. So I have decided to keep an insulin log from now, started on the 2nd actually, until my pump training begins so that I can give the proper information needed. And answer the age old question, “How much insulin do you use?”
I’ve found that it really varies but I personally take anywhere between 20-40 units of “fast acting” insulin along with my 40 units of “long acting” insulin (split into two shots) a day. I read some where that with your body mass and then calculating yadda-yadda-yadda you’re supposed to be taking x amount of insulin.
I think mine came up to 80 units a day. Usually I am under that by about 10ish.
Now, I may be wrong. Or I may even be over thinking some of this but I thought I would keep a log just in case my doctor/OmniPod training rep asks for such information. No more carb denial and no more insulin denial.
Do you worry about how much insulin you’re taking in a day?
Is this something that shouldn’t really be a concern? Let me know your thoughts.