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Diabetes Discussion
Type 1.5/LADA Diabetes
Is LADA hereditary?
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<blockquote data-quote="Bluemarine Josephine" data-source="post: 964720" data-attributes="member: 213188"><p>Hello Viv and thank you for your reply.</p><p></p><p>Actually, when I was initially diagnosed, 2 metformin pills were enough to keep my blood sugar levels balanced. At some point, metformin alone could not do the job so, we had to incorporate basal insulin, I was taking only 2 units and this was enough. Gradually, the 2 units became 6, but, in time, I started to demonstrate higher blood glucose readings. After 3 months, for the same reason, I had to raise my basal insulin intake to 8 units and, in 3 months time to 10 units.</p><p></p><p>10 units of basal insulin served me well for 6 months but, suddenly I started having higher blood sugar so, 10 units became 13. After 6 months, 13 units became 15 and, throughout the years, since my initial diagnosis, I am now at 18 units.</p><p></p><p>What I mean by this is that, the ability that my pancreas has to produce insulin is fading with the passing of time. I guess the same must apply for other diabetics as well. I didn’t start with 18 units of basal insulin and, likewise, I may need more in the future.</p><p></p><p>In fact, my endo has told me that 18 units is still a low number…</p><p></p><p>As for your bolus question, as you know the pancreas is producing insulin in 2 rates: The first is the basal insulin which is distributed throughout the 24 hours. The second is the bolus insulin to cover meals. When the pancreas begin to lose its ability to produce insulin, usually in the beginning it loses the ability to produce the background insulin (but can still cover from its own production low carbohydrate meals.) Hence, the injected basal insulin corresponds to the amount that the pancreas cannot produce on its own anymore (but, can still produce some bolus on its own to cover for the meals.)</p><p></p><p>Regards</p><p>Josephine.</p></blockquote><p></p>
[QUOTE="Bluemarine Josephine, post: 964720, member: 213188"] Hello Viv and thank you for your reply. Actually, when I was initially diagnosed, 2 metformin pills were enough to keep my blood sugar levels balanced. At some point, metformin alone could not do the job so, we had to incorporate basal insulin, I was taking only 2 units and this was enough. Gradually, the 2 units became 6, but, in time, I started to demonstrate higher blood glucose readings. After 3 months, for the same reason, I had to raise my basal insulin intake to 8 units and, in 3 months time to 10 units. 10 units of basal insulin served me well for 6 months but, suddenly I started having higher blood sugar so, 10 units became 13. After 6 months, 13 units became 15 and, throughout the years, since my initial diagnosis, I am now at 18 units. What I mean by this is that, the ability that my pancreas has to produce insulin is fading with the passing of time. I guess the same must apply for other diabetics as well. I didn’t start with 18 units of basal insulin and, likewise, I may need more in the future. In fact, my endo has told me that 18 units is still a low number… As for your bolus question, as you know the pancreas is producing insulin in 2 rates: The first is the basal insulin which is distributed throughout the 24 hours. The second is the bolus insulin to cover meals. When the pancreas begin to lose its ability to produce insulin, usually in the beginning it loses the ability to produce the background insulin (but can still cover from its own production low carbohydrate meals.) Hence, the injected basal insulin corresponds to the amount that the pancreas cannot produce on its own anymore (but, can still produce some bolus on its own to cover for the meals.) Regards Josephine. [/QUOTE]
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