Things are changing over in pancreas land. Up until now, I have been living in a state well known to many as the Honeymoon Period. To those not in the know, it means my poor wheezing pancreas is having one long swan song before it retires permanently. Which everyone keeps telling me is a good thing. I'm sure that they're right. Of course there are pros to not using as much insulin. On the flip side, however, it makes carb-counting virtually impossible.
I've been working on the ratio of 1 unit of NovoRapid to every 35g of carb up until now, with 2u of Lantus. This is where I pause for a moment, whilst there is a strong chance that you just went (mentally or out loud) 'Whoa, those are tiny amounts of insulin!'. Why do I think you probably said that? That would be because, making a rough guess, maybe one in two or three people that I talk to about my doses has that exact reaction. Even when I went on a carb counting skills workshop, my (otherwise wonderful) dietician said pretty much that. Just to rant for a moment, yes, I know those are small amounts of insulin. I'm very much aware of it. I'm always rather surprised when people tell you something that it should be pretty clear that you already know. OK, rant done.
Over the past week or so, that ratio hasn't really been working for me any more. I began scoring lots of double figures, and couldn't get myself below 8mmol/l some days. Further maths means I am currently working with three different ratios. A breakfast one of 1:20, a lunchtime of 1:25, and an evening of 1:35. I've also added an extra unit on my Lantus. So far, this seems to be working without too many errors. Only had the one hypo recently, and again this is good.
But it looks like the Honeymoon could be coming to an end. Or so it seems. But it's been all I've known so far, rocky as it has been. I'd be curious to know how anyone else out there coped with this. Was it gradual or sudden for you? Enquiring minds want to know...