RE: Insulin needs for Type1 diabetic
Posted Friday, January 18, 2013 at 2:03 PM
his meter is his friend - track the bs, the dosage, and how much of what he had (lots of rice, not much rice, lots of beans, etc) so that you can determine what works for him. There are SO many variables - each person reacts differently to different foods/combinations. For instance, there are t1 and t2 diabetics here that just have to have their coffee in the morning (black or with a bit of plant milk/creamer). I know (by testing) that caffeine in that high a dose (coffee/black tea/green tea) will cause my glucose readings to spike and drop kind of randomly - and something like an espresso will definitely cause a spike (my best unscientific guess is that the caffeine causes a bit of adrenalin rush which causes the liver to release glucose to deal with the perceived fight/flight needs related the adrenalin signal). Smaller amounts (like a square of dark chocolate) don't have the same effect. Go figure.
Also keep in mind that if his glucose readings have been all out of whack for a while, it'll take some time and care to get them back into a better range. For example, I know that if I do have a cup of coffee, odds are good that I'll be getting 'off' readings for 2 to 3 days before things settle back down. And that's just a short term thing. If they've been unstable for weeks/months/years it's going to take time to get things sorted, even with a plant based eating plan.