|


Nutrition
Top
10 Reasons Why Your Blood Glucose (BG) May Not Be As Well-Controlled As
You Would Like: Advanced BG Pattern Management With Carb Counting
-
Incorrectly estimating or measuring carbs (including eating out, recipes).
-
Eating high fat foods affecting the digestion of carbs or the action of
insulin.
-
Not eating a “balance” of foods at meals (protein, starch, vegetable).
-
Eating certain “trigger” foods that elevate YOUR BG (usually certain starches,
fruits, or combination foods).
-
Poor timing of meals—eating too often or not often enough.
-
Not counting carb grams in “vegetables” (salads, broccoli, etc).
-
Not considering the effects of stress, sickness, or exercise/lack of exercise
on BG.
-
Not monitoring your BG often enough to identify patterns.
-
Incorrect Food Factor or BG Correction Factor. Your Food Factor may vary
from meal to meal. For example, you may be taking 1 u Novolog or Humalog
per 15 grams of carbs. Incorrect BG Correction Factor (eg, you may be
taking 1 u Novolog or Humalog per every 50 points your BG is elevated
over 150). Either of these factors may need to be changed from time to
time.
-
Incorrectly set basal rates if on the “insulin pump”. The basal rate is
the amount of insulin infused from the pump over a 24 hr period. The average
person may have 2-4 rates a day. Problems with the infusion line or site
could cause erratic BG.
Copyright 2006 Eastern Virginia Medical School/The
Strelitz Diabetes Institutes. All Rights Reserved.
|