Lol I guess u haven't heard of the "dead in bed" syndrome then Smidge hehehe! Now that scares me!
Pretty sure it won't be basal/bolus thingy as he said he thinks I will only need one or two jabs a day maximum. My levels never go above 20mmol no matter what I eat and so I'm obviously still producing something or I would have went into dka by now probably! I accept I will most likely need to go onto insulin but I'm not ready for basal/bonus where I have to inject 5 times a day or something... Now that does frighten the life outta me!
Basal insulin+LCHF diet=1 injection (2 tops) for me and and some others I know.
Lol I guess u haven't heard of the "dead in bed" syndrome then Smidge hehehe! Now that scares me!
Pretty sure it won't be basal/bolus thingy as he said he thinks I will only need one or two jabs a day maximum. My levels never go above 20mmol no matter what I eat and so I'm obviously still producing something or I would have went into dka by now probably! I accept I will most likely need to go onto insulin but I'm not ready for basal/bonus where I have to inject 5 times a day or something... Now that does frighten the life outta me!
LOL. Yes, I spoke to my consultant at length about 'dead in bed' sydrome, because I was starting to really stress about it because my BG can be really unpredictable overnight. He said that it was extremely unlikely to get into difficulties with the small amounts of insulin I use. He then said that there are a very small number of Type 1s whose bodies do not correct low BGs properly but that these are almost always full Type 1s who have had the condition for many years - not LADAs who are still producing insulin. He went on to say something about research and alpha cells, but TBH I wasn't really paying attention by then as I felt he was talking about possible theories rather than facts by that stage. I should note here that I was trying to get a loan CGM for a week to see what my BG was doing overnight and he was making the case for it not being necessary! In any case, I now try to focus on the positives of hypos i.e. the tin of Heroes, rather than the negatives i.e. the risk of death!
Seriously, I don't have the stats to do any kind of meaningful risk assessment on it - I wish I did. I seem to remember Phoenix finding and posting some stats a while ago to a similar question, but they weren't recent stats and would have probably involved older insulins and limited access to testing facillities.
It does feel scary sometimes, but high BGs causes certain serious damage while insulin is only a potential and unquantifiable (by me) risk. So I go with the risk rather than the certainty.
Maybe you should discuss your fears with your consultant when you see him/her and see what their view is. I think you'll be very safe on basal-only though.
Smidge
Well I have been to see my consultant and, as expected, the insulin has arrived. 18 units of mixed insulin (humulin?) 9 in morning and 9 in evening.... Just concocting my complaint to the DVLA now regarding sulfonylurea users to try and establish some equality up in here!
PS.- I haven't actually got the courage up to inject it yet..... But I'm working on it....