Chalk Talk 3: Adjusting Insulin Doses, Carb Ratio, Insulin Sensitivity Factor

[@irfand4]

@22:20 : Insulin Carb ratio and Insulin sensitivity factor. (Aka Correction factor) I:C ratio tells us how many grams of carbohydrate will be covered by 1 unit of insulin. ISF : is how many blood sugar points will 1 unit of insulin bring down

[@katherineperkinsschaller357]

One or two times? I have had to listen to these lectures over and over again.

[@sayanibasu9979]

thank you so much sir..i am a type 1 diabetic..your video helped me a lot

[@DrJonnyWhite]

Thanks Sayani. Joe and I have type 1 too. I’m glad it helped.

[@sanjaysawriya1694]

I m also type 1 diabetes I have issu my fasting suger is always comes high how will I do normal do u have some tips dn suggest me plzz

[@andreiyussupov3949]

i had called the pump manufacturer's help line. i asked what the equations were to set my pump (to do the calculations for carb ratios and sensitivity). "Talk with your Dr," came the response, as if I had asked something personal. I explained that I had lost weight and that the current numbers were no longer valid, which had led me to crash multiple times. I got no where. Then, I called their troubleshooter line, same story: no info. I replied, I would go online to find them since i needed the information, to which I got another "talk to your Dr" reply, to which I countered, "he doesn't know." After digging through about an hour of precocious lack of information, and change of search words, I got here, and found the two equations that I needed. Now, I am closer to things being corrected, and, hopefully, MUCH fewer crashes. Thanks Joe.

[@joannegalvin3939]

Excellent presentation. Took the mystery out of insulin history, insulin sensitivity factor and insulin to carb ratio.

[@craftclutter]

This was so helpful, I'm a type 1 and have been for 23yrs but giving myself a refresh for better management, this advice and the series so far has been invaluable. Thank you so much for sharing :)

[@welcometotype1]

sherie taylor Thank you kindly for writing to say so, Sherie. If you can think of anything else that would be really useful to you - a question you'd like answered - we do take requests.

[@sanjaysawriya1694]

Can we always take 1500 calories

[@nancyhershey252]

I am so thankful for this video! You are so clear in the presentation. I really needed it. Thank you.

[@Hootmon1000]

Fantastic video and he makes it so understandable! I love that he does all the calculations in both Mg/dl and mml.

[@beccasteele6874]

This is an excellent and accurate presentation. Very well done.

[@user-ix9wx6ms9v]

Thanks Joe, you explained so well.

[@sandracastrejon2925]

This is an amazing video. It has given me so much knowledge on how to maintain my blood sugars in a better range. Thank you very much and God Bless you.

[@paescribano]

Thank yo so much for all of your videos. They have been so helpful with the process of managing my son.

[@Psychiatrist78]

Excellent! Pedagogy at its best!!

[@alliebart3300]

For monitoring diabetes, I use Freestyle Libre sensor with BluCon NightRider and able to get glucose values on my watch without the phone and without scanning the sensor.

[@venkateshdj]

Great stuff, exactly what i was looking for :)

[@miad1803]

Im a doctor and I really benefit from it thank you so much

[@MrPokerblot]

Very interesting and helpful video, ive been T1 for just over 11 yrs and my Alc has been consistently high, was on the 70/30 twice day but because my life schedule including eating patterns changes from day to day the mix just doesn't work for me and i only just started with levemir/rapid last week i just cannot describe how much beter it is to have the room for maneuver, i wish i changed insulin 5 years ago when they told me about it but for some silly reason stayed on the 70/30 until now and have better control of bg already but i have to say that this video was really good to watch and i took it all on board, thanks a great deal..

[@nadiralzadjali4691]

I m using 30/70 same issue with my alc is high

[@MrPokerblot]

@@nadiralzadjali4691 are still having an issue with it

[@observeyourself1st]

very effective video on ICR & ISF...i just attended a presentation 5 days ago in hospital and you still managed tofeed some new beneficial i information...thank you v much.. i did not agree with you when you said (it was like sitting infront of your creator when attending professor Best) just to remind ourselves us the diabeties, we dont exist now because of great doctors such as Benting and Best but also because other organic and biological system are functioning soundly. control of diabeties is just a small fraction of what are bodies are capable of...thanks to God for giving us many things and taking away a little. thanks for the scientists for discovering a way to replace natural insulin to cover a deficiency in the betta cells. gratitude to scientists that are working hard to keep life going as they are executing a command for God..and not contradicting one another like many people perceive. any comments welcome

[@FinalFantasyFan14]

Thanks for including mmol/L. Excellent explanation!

[@mogouk]

Great Advice, Most Helpful, Thanks for all your efforts!

[@Surfeurfou974]

what you do is very helpful and valuable, thank a lot, ils so clear, logical, well explained

[@Vancity-2000]

Great video and helpful information, but i think for I/C ratio and ISF, best way is to trial and error in a few days by eating certain carbs and check BG before and after......

[@danielmtz5429]

Great vídeo !

[@theventraaramakrishnan7631]

Excellent video sir. Thanks a lot

[@Steelfan2500]

Great video! Thank you so much for the information.

[@jorgecarrejo]

How do you calculate all of this if you only eat meat.. No carbs

[@ahmedalqnatri2189]

thank you alot this was so helpful - you answered all my questions.

[@katherineperkinsschaller357]

How does that work, injecting when you want, without timing?

[@jdrsims]

Learning this because my 6 year old daughter was just diagnosed with Type 1 🙏🥹

[@DrJonnyWhite]

Hi Rameek. So sorry to hear about the diagnosis. I've had it 28 years now and I used to get up on stage and tell stories about athletic things I've done so that kids and parents would understand that T1 is not a limitation, but that it does take extra care. Hopefully you're getting that message from these vids, and I will say that the tech is getting better and better so hoepfully whatever level thriving was possible for us old folks will be x100 possible for your kiddo.

[@jessicafranklin9740]

Thank you kindly for the information.

[@Wake-up1776]

How exact is this? I'm on a dexcom and my correction factor was set at 80 from the endo. Based on this video it should be 22. Seems like a huge difference my endo should've caught if it's accurate. It feels like it's way too much too

[@no0ona199]

the TDD includes both of the lantus and fast acting or just the lantus ?

[@balajijeevan5807]

All the insulin you take during. 24 hrs.

[@tylerlegare2668]

I heard Dr. Richard Bernstein say that at one time people were taking a super dose of basal insulin to last 24 hours and even cover food but they were forced to eat a lot of carbs

[@dianneweie1484]

Why isn’t this info automatically taught when a diabetic starts on pump therapy? I have a fabulous doctor, and have been on pump therapy for about 20 years, diabetic for 48 years. Have never received this specific of Teaching. How sad! Thank you! Thank you!

[@katherineperkinsschaller357]

My fast acting novelog- I was told do not inject closer than 5 hours.?

[@syedsana520]

Very informative- One question please _ TDD = basal + bolus Or TDD = ONLY BASAL ?

[@tahir10833]

Super Sir

[@oldmate8626]

Great vid. I wonder if our body becomes resistant to any insulin which is not natural. I was on 50 units of lantis, then switched to humalog on pump down to 20 units basal. This lasted good for 3 weeks, then started to go up. I was told I still would have had lantis in my body, but that's a long time. I'm now levelled out at about 30 humalog on the pump.

[@741980abhi]

Excellent Sir

[@conniecarroll9398]

Very helpful ty

[@ramanakumar2082]

most confusing factor for me is what are the numbers 500 and 1800 ? End result of the formula should derive how much fast acting insulin is we suppose to give , but here we include that already in Total dosage. Super confusing. No doctor explain these to the patients. On other note Thanks for sharing your experience and knowledge.

[@es2709]

Bravo!

[@gelilazewdu8766]

So helpful thanknu

[@salehss.2006]

very good lecture

[@katherineperkinsschaller357]

20 years of taking insulin and I am beginning to understand.🙄

[@teddysmith457]

To bad you don't fix your volume issues

[@rajkumar8927]

Medtronic is greatest insulin pump

[@egyptiandoctor7073]

Is there a book I can read to understand it more deep .... I am a doctor

[@katherineperkinsschaller357]

This is one difference between a Diabetic 1 and 2. The diabetic 1 doesn't want to eat, the 2 does. A 2 has to train themselves to not eat.

[@twn5858]

This is all nice in theory, but in reality this doesn't work if you have a high carb diet even if you have a continuous blood glucose monitor. That's why you always see type 1 diabetics withe the roller coaster blood sugars. One hour their blood sugar is 300 the next hour their blood sugar has drop to 50. You should try to minimize the amount of carbs you eat if you are a type 1 diabetic.

[@JWB671]

I agree.

[@waldenschmidt5692]

cant hear u, too soft

[@syedsana520]

Very informative- One question please _ TDD = basal + bolus Or TDD = ONLY BASAL ?