50,000 injections later..

[EvolveOrConvolve]

3. Yes, my CDE(s) have me calculating a correction dosage

I bolus based on my carb intake and pre-meal BG levels. Each unit of Humalog covers 9 grams of carb and/or drops my BG levels about 30 points. But, since I eat low-carb and my pre-meal numbers are nearly always in my targeted range or better, I haven't done a correction dose in awhile, and don't see myself doing so unless there's something else that spikes my numbers (stress, illness, etc).

The problem with following the CDE's suggestion to eat all the carbs I want is that it gets extremely difficult to get the right bolus dose. I'm either too high or too low (sometimes WAY too high or low). Further complicating matters is the fact that different foods change my BG levels at different rates - for example, a 30 carb banana will spike me 100-150 points, but 30 carbs of strawberries only kick me up about 50 points.

Carbs also affect me differently at different times of the day - I can eat more carbs at night without getting outside my target range, but if I have even 5 carbs for breakfast, my mid-morning BG levels climb above 140. Add to that the fact that even the best BG meters can be up to 20% off from the true BG value, and it doesn't make any sense to eat so many carbs. I'd drive myself crazy trying to figure out exactly what my dose should be, and I'm OCD so it would make me nuts to be out of range that often.