This "variance reduction" strategy is also an approach by Dr. Richard Bernstein. Basically smaller doses means smaller mistakes. It's a great approach in my opinion. Obviously the key is sticking to a low-carb diet for that to work, along with tweaking your basal insulin dosage.
For me, this approach worked when I switched from Novolog to Novolin R, which has a slower effect rate. I use shots so it helps match the blood sugar profile of eating higher protein and fat meals. If you use a pump, you can adjust your bolus to give a % upfront and a % over a period of 2-3 hours so that you can match the slower glucose production from protein. In Bernstein's book, he had some typical ratios for grams of protein to insulin that turned out to be pretty close for me.
It obviously doesn't solve everything but I certainly feel better when I'm at 60 and have 1.5 units on board compared to if I had 7. The Novolin R makes me feel even better because I also know my blood sugar can't drop too fast, where Novolog I could be dropping 6-7 mg/dl per minute. So I have time to react and let my body absorb some simple sugars before it's too late.
Just a personal anecdote, maybe someone will find this useful!
Thanks for this! Bernstein's book is the source of my "variance reduction" strategy too! The one thing I haven't adopted is the slower acting insulin. It's one of those things that I know I should try but just haven't gotten around to yet, so thanks for the extra incentive to try it.
For me, this approach worked when I switched from Novolog to Novolin R, which has a slower effect rate. I use shots so it helps match the blood sugar profile of eating higher protein and fat meals. If you use a pump, you can adjust your bolus to give a % upfront and a % over a period of 2-3 hours so that you can match the slower glucose production from protein. In Bernstein's book, he had some typical ratios for grams of protein to insulin that turned out to be pretty close for me.
It obviously doesn't solve everything but I certainly feel better when I'm at 60 and have 1.5 units on board compared to if I had 7. The Novolin R makes me feel even better because I also know my blood sugar can't drop too fast, where Novolog I could be dropping 6-7 mg/dl per minute. So I have time to react and let my body absorb some simple sugars before it's too late.
Just a personal anecdote, maybe someone will find this useful!