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Diabetes Discussion
Type 1.5/LADA Diabetes
Insulin Question?
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<blockquote data-quote="smidge" data-source="post: 788336" data-attributes="member: 29301"><p>Hi Susie!</p><p> </p><p>From what I remember, you have other serious health issues to manage as well as diabetes. I also seem to recall that you have difficulties exercising. Obviously, a lack of exercise won't be helping insulin resistance. I wonder if any of your other medication is reacting to stop the insulin being as effective as it should be? That's only conjecture on my part.</p><p> </p><p>So, what to do? Well, I would probably discuss with your diabetes team moving off mixed insulin and onto a basal/bolus regime. This would mean more injections, but would enable you to increase the background insulin independent of the meal time insulin. Once you have a dose of background insulin working, you'd be able to target what you eat with a bolus injection calculated to your needs. The trouble with mixed insulins is that they cannot be finessed for your lifestyle - with your one, you get 70% basal and 30% bolus regardless of what you need. That mix is clearly not suiting you.</p><p> </p><p>Good luck</p><p> </p><p>Smidge</p></blockquote><p></p>
[QUOTE="smidge, post: 788336, member: 29301"] Hi Susie! From what I remember, you have other serious health issues to manage as well as diabetes. I also seem to recall that you have difficulties exercising. Obviously, a lack of exercise won't be helping insulin resistance. I wonder if any of your other medication is reacting to stop the insulin being as effective as it should be? That's only conjecture on my part. So, what to do? Well, I would probably discuss with your diabetes team moving off mixed insulin and onto a basal/bolus regime. This would mean more injections, but would enable you to increase the background insulin independent of the meal time insulin. Once you have a dose of background insulin working, you'd be able to target what you eat with a bolus injection calculated to your needs. The trouble with mixed insulins is that they cannot be finessed for your lifestyle - with your one, you get 70% basal and 30% bolus regardless of what you need. That mix is clearly not suiting you. Good luck Smidge [/QUOTE]
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