Intensive conventional therapy: Timing of meals and apportionment of carbohydrates
When someone with diabetes is using intensive conventional therapy they can adjust the insulin action to fit in with their food intake.
This gives them much more freedom to plan their food intake.
You can choose when you want to eat,
e.g., lunch can be at 12 noon or 1 p.m. or 2 p.m.
You can choose how much you want to eat,
e.g., for lunch you can have 24 or 36 or even 48 grams of carbohydrate.
Because one of the features of intensive conventional therapy
is that the insulin which is injected is mainly regular insulin
with a rapid onset of action and a shorter-lasting duration of action.
As you know, you need roughly 2 units of regular insulin for 12 grams of carbohydrate.
Very roughly - more or less.
Like people who do not have diabetes, you have three main meals - in the morning, at midday and in the evening:
Intermediate meals dwindle to mere snacks or are left out altogether.
Evening meal (Dinner / Supper).
In such circumstances the distribution or apportionment of carbohydrates might look like this:
48 g | 12 g | | 48 g | 12 g | 48 g | 12 g
36 g | | 12 g | 48 g | 12 g | 36 g
There are lots of possible variations!! You are absolutely free to arrange your carbohydrate intake as you wish!
Diabetes Insulin Tutorial
The material in this on-line Diabetes / Insulin Tutorial has been drawn from a number of different sources.
However the original Web-based version can be found at the AIDA Website at: http://www.2aida.org/tutorial.