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Type 1.5/LADA Diabetes
Questions about insulin
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<blockquote data-quote="Antje77" data-source="post: 2689498" data-attributes="member: 372207"><p>Hi [USER=520676]@rosemaree[/USER] , sorry to hear you're struggling at the moment.</p><p></p><p>I'll start with a question before trying to answer yours: How long have you been diagnosed, and how long have you been on insulin?</p><p></p><p>I've never used syringes, but pens seem to give me mostly predictable results so I trust they work fine.</p><p>From the rest of your post, it doesn't really sound like things are unstable, but more like you haven't found the right dose yet.</p><p></p><p>I haven't found a difference in the effect of insulin (I tried everything between 4 and 8 mm), but for the more stinging insulins (Lantys and Lyumjev) I prefer 5 or 6 mm because the sting seems less than with shorter needles. For the other insulins I tried I really don't care which needle length I use.</p><p></p><p>I'm assuming you're still in the honeymoon phase, where your insulin production is dwindling.</p><p>It's very common that this reduction of insulin production is not a steady thing. Instead, it's an up and down thing: insulin needs can increase very quickly suddenly, or they can stay stable for a bit until things change again.</p><p>If your needs increase quickly, it's hard to keep up, leading to increasing blood glucose despite increasing your insulin.</p><p>Finding the right dose again and again takes time.</p><p></p><p>Being high all the time is very exhausting!</p><p>What short acting insulin do you use, and are you comfortable with using correction doses as well as increasing your basal?</p><p></p><p>What makes you feel you have very severe insulin resistance, and not simply a lowering insulin production?</p><p>The amount of insulin we need is very different between people. Some only need 10 units a day, others need 300. It doesn't matter, the right dose is the dose that works for you.</p><p></p><p>What country are you in?</p><p>In both the UK and my own country, T1's are usually referred to an endocrinologist and not treated by a general practitioner. Especially not if they don't know much about diabetes.</p><p>Can you get a referral to a specialist?</p><p></p><p>I'm not sure how another C-peptide test would help you.</p><p>You've already been diagnosed with T1, for which the treatment is insulin.</p><p>The amount of insulin you need to inject is not based on C-peptide but on blood glucose levels, so knowing how much (if any) you still produce wouldn't make a difference in your treatment.</p><p></p><p>I hope this helps, good luck, and let us know how you get on!</p></blockquote><p></p>
[QUOTE="Antje77, post: 2689498, member: 372207"] Hi [USER=520676]@rosemaree[/USER] , sorry to hear you're struggling at the moment. I'll start with a question before trying to answer yours: How long have you been diagnosed, and how long have you been on insulin? I've never used syringes, but pens seem to give me mostly predictable results so I trust they work fine. From the rest of your post, it doesn't really sound like things are unstable, but more like you haven't found the right dose yet. I haven't found a difference in the effect of insulin (I tried everything between 4 and 8 mm), but for the more stinging insulins (Lantys and Lyumjev) I prefer 5 or 6 mm because the sting seems less than with shorter needles. For the other insulins I tried I really don't care which needle length I use. I'm assuming you're still in the honeymoon phase, where your insulin production is dwindling. It's very common that this reduction of insulin production is not a steady thing. Instead, it's an up and down thing: insulin needs can increase very quickly suddenly, or they can stay stable for a bit until things change again. If your needs increase quickly, it's hard to keep up, leading to increasing blood glucose despite increasing your insulin. Finding the right dose again and again takes time. Being high all the time is very exhausting! What short acting insulin do you use, and are you comfortable with using correction doses as well as increasing your basal? What makes you feel you have very severe insulin resistance, and not simply a lowering insulin production? The amount of insulin we need is very different between people. Some only need 10 units a day, others need 300. It doesn't matter, the right dose is the dose that works for you. What country are you in? In both the UK and my own country, T1's are usually referred to an endocrinologist and not treated by a general practitioner. Especially not if they don't know much about diabetes. Can you get a referral to a specialist? I'm not sure how another C-peptide test would help you. You've already been diagnosed with T1, for which the treatment is insulin. The amount of insulin you need to inject is not based on C-peptide but on blood glucose levels, so knowing how much (if any) you still produce wouldn't make a difference in your treatment. I hope this helps, good luck, and let us know how you get on! [/QUOTE]
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