Comments on: Glycemic Variability and A1C http://dathlete.com/2010/03/glycemic-variability-and-a1c/ dAthlete.com - talking about the needs of athletes with diabetes mellitus type 1 Wed, 01 Sep 2010 20:45:11 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: cary http://dathlete.com/2010/03/glycemic-variability-and-a1c/comment-page-1/#comment-15 cary Wed, 10 Mar 2010 03:56:18 +0000 http://dathlete.com/?p=58#comment-15 Same idea as insulin on board -- except that it changes depending upon what you eat (combos of carbs, sugar, fat, etc) will have different lengths of time working in your system. Some foods work in a straight line, some foods have a long tail (pizza, is 85% carbs upfront, then the remaining over the next few hours), others like a buttery corn muffin will act like a mild bump in carbs for a while, then having about 50% of the carbs hit you like a brick over the course of the next 3-4 hours. Basically, I liked the idea of Insulin on Board, it made sense to me -- since it was easily quantifiable. So I took it a step further and figured out how long certain foods I eat regularly stay in my system -- basically it mean that I created a system so I have no need to correct an out of range BG if I have IOB and COB that cancel out each other to get to my target (115), regardless if I am high or low. Same idea as insulin on board — except that it changes depending upon what you eat (combos of carbs, sugar, fat, etc) will have different lengths of time working in your system. Some foods work in a straight line, some foods have a long tail (pizza, is 85% carbs upfront, then the remaining over the next few hours), others like a buttery corn muffin will act like a mild bump in carbs for a while, then having about 50% of the carbs hit you like a brick over the course of the next 3-4 hours.

Basically, I liked the idea of Insulin on Board, it made sense to me — since it was easily quantifiable. So I took it a step further and figured out how long certain foods I eat regularly stay in my system — basically it mean that I created a system so I have no need to correct an out of range BG if I have IOB and COB that cancel out each other to get to my target (115), regardless if I am high or low.

]]> By: Dennis Burton http://dathlete.com/2010/03/glycemic-variability-and-a1c/comment-page-1/#comment-14 Dennis Burton Tue, 09 Mar 2010 23:11:36 +0000 http://dathlete.com/?p=58#comment-14 How are you determining / tracking Carbs on Board? I have not heard of that before. How are you determining / tracking Carbs on Board? I have not heard of that before.

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