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Loosing Control and anxiety
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<blockquote data-quote="alaska" data-source="post: 636358" data-attributes="member: 14213"><p>First up, congrats on the 4/5 stone weight loss.</p><p></p><p>Losing this much weight will have had at least a modest effect on your insulin sensitivity, so just as your meal time ratios have changed, I suspect there'll also be some change needed to your basal insulin (albeit perhaps not to quite the same extent). If you've not had a review of your basal insulin recently, now would be a good time.</p><p></p><p>You may also benefit from having a trial on a continuous glucose monitor, particularly given the anxiety you're feeling. It's possible that a continuous glucose monitor may not be available but there's no loss in asking.</p><p></p><p>In terms of sudden, hard to correct hypos, the times I've experienced these are following intense exercise (eg lifting or prolonged digging, sawing etc). A period of strenuous exercise can dramatically increase insulin sensitivity for up to 48 hours. Could this explain some of the stronger hypos you've had?</p><p></p><p>I find holidays to be tough to manage as the diet as is usually substantially different, so often is the climate (usually much warmer) and then there's any alcohol to take into account. I personally try not to get to hung up on achieving such great control when on holiday. As long as my control is better on the other weeks of the year, a short blip shouldn't hurt things too much.</p><p></p><p>Ed</p></blockquote><p></p>
[QUOTE="alaska, post: 636358, member: 14213"] First up, congrats on the 4/5 stone weight loss. Losing this much weight will have had at least a modest effect on your insulin sensitivity, so just as your meal time ratios have changed, I suspect there'll also be some change needed to your basal insulin (albeit perhaps not to quite the same extent). If you've not had a review of your basal insulin recently, now would be a good time. You may also benefit from having a trial on a continuous glucose monitor, particularly given the anxiety you're feeling. It's possible that a continuous glucose monitor may not be available but there's no loss in asking. In terms of sudden, hard to correct hypos, the times I've experienced these are following intense exercise (eg lifting or prolonged digging, sawing etc). A period of strenuous exercise can dramatically increase insulin sensitivity for up to 48 hours. Could this explain some of the stronger hypos you've had? I find holidays to be tough to manage as the diet as is usually substantially different, so often is the climate (usually much warmer) and then there's any alcohol to take into account. I personally try not to get to hung up on achieving such great control when on holiday. As long as my control is better on the other weeks of the year, a short blip shouldn't hurt things too much. Ed [/QUOTE]
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