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Diabetes Discussion
Type 1.5/LADA Diabetes
Finding more difficult to control
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<blockquote data-quote="DaftThoughts" data-source="post: 1386339" data-attributes="member: 317436"><p>Those values look pretty good to me. Some people consider 9.0 on the high side, but this is also a very individual thing. 9 for me is my preferred max, as I used to go up to 13 after meals even with gliclazide, metformin and basal insulin.</p><p></p><p>Do you feel okay when your value is around 9? Some people feel horrible when they're 'that high' while others feel perfectly fine. Use how you feel as your main guideline for this, especially considering you're so frequently around lower values.</p><p></p><p>Worrying will also mess with your levels. Remember that DKA only happens when your body doesn't produce enough insulin anymore, something that isn't the case for you at this time. You will notice an increase of thirst, urinating and persistent high levels (typically 15+, sometimes up in the 20's for prolonged periods of time). Then you'll feel tired, nauseated and struggle to focus. Considering how diligent you appear to be about your health, I'm assuming you'll catch the early onset of these symptoms very easily and can take action immediately without any damage to yourself. Hospitalization generally only happens when symptoms are ignored and people refuse to see a doctor.</p><p></p><p>I recommend you keep testing frequently, maybe even get a ketone testing kit to test once a week, and if you notice a gradual increase in your values and symptoms, ask to be put on insulin immediately. If your GP refuses, get a second opinion from a specialist. I honestly wouldn't worry if you're taking these steps!</p><p></p><p>Not sure what your GP meant with that comment, but if we pay attention we catch things way before they do. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="DaftThoughts, post: 1386339, member: 317436"] Those values look pretty good to me. Some people consider 9.0 on the high side, but this is also a very individual thing. 9 for me is my preferred max, as I used to go up to 13 after meals even with gliclazide, metformin and basal insulin. Do you feel okay when your value is around 9? Some people feel horrible when they're 'that high' while others feel perfectly fine. Use how you feel as your main guideline for this, especially considering you're so frequently around lower values. Worrying will also mess with your levels. Remember that DKA only happens when your body doesn't produce enough insulin anymore, something that isn't the case for you at this time. You will notice an increase of thirst, urinating and persistent high levels (typically 15+, sometimes up in the 20's for prolonged periods of time). Then you'll feel tired, nauseated and struggle to focus. Considering how diligent you appear to be about your health, I'm assuming you'll catch the early onset of these symptoms very easily and can take action immediately without any damage to yourself. Hospitalization generally only happens when symptoms are ignored and people refuse to see a doctor. I recommend you keep testing frequently, maybe even get a ketone testing kit to test once a week, and if you notice a gradual increase in your values and symptoms, ask to be put on insulin immediately. If your GP refuses, get a second opinion from a specialist. I honestly wouldn't worry if you're taking these steps! Not sure what your GP meant with that comment, but if we pay attention we catch things way before they do. :) [/QUOTE]
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