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Diabetes Discussion
Type 1.5/LADA Diabetes
So here's a heart attack for all the good LADAs....
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<blockquote data-quote="smidge" data-source="post: 658388" data-attributes="member: 29301"><p>Hi Elaine!</p><p> </p><p>Sorry you have had to go onto insulin - I know you were hoping to avoid that for a while.</p><p> </p><p>I'm a little surprised that you've gone onto a mixed insulin - I thought they would probably start you on a basal-only regime (either long or intermediate-acting) and see how you got on with that for a while before deciding whether you needed a bolus introducing. Did you choose the mixed to avoid the multiple injections of the basal/bolus regime or was it the one your consultant/DSN recommended?</p><p> </p><p>I can't really help with mixed doses as I've never been on that regime, but overall I take 13.5 units basal and between 7 and 10 units bolus daily depending on what I eat. For me, 5.4 would be a little low to go to bed, but my BG has been really unpredictable overnight so I'm just not confident it won't fall from there.</p><p> </p><p>I was a little concerned with a comment you made about skipping your lunch in an earlier post - I don't think mixed insulin regimes are flexible enough to skip meals - you need to eat the right amount of carbs at the right times to use the insulin you have injected - if your dose is about right and you skip a meal, you will probably hypo. I know you got away with it the other day, but i think that was because your dose wasn't high enough for your needs. If you need to skip meals, you need a more flexible regime - and that means more injections unfortunately.</p><p> </p><p>I hope it's settling down for you.</p><p> </p><p>Smidge</p></blockquote><p></p>
[QUOTE="smidge, post: 658388, member: 29301"] Hi Elaine! Sorry you have had to go onto insulin - I know you were hoping to avoid that for a while. I'm a little surprised that you've gone onto a mixed insulin - I thought they would probably start you on a basal-only regime (either long or intermediate-acting) and see how you got on with that for a while before deciding whether you needed a bolus introducing. Did you choose the mixed to avoid the multiple injections of the basal/bolus regime or was it the one your consultant/DSN recommended? I can't really help with mixed doses as I've never been on that regime, but overall I take 13.5 units basal and between 7 and 10 units bolus daily depending on what I eat. For me, 5.4 would be a little low to go to bed, but my BG has been really unpredictable overnight so I'm just not confident it won't fall from there. I was a little concerned with a comment you made about skipping your lunch in an earlier post - I don't think mixed insulin regimes are flexible enough to skip meals - you need to eat the right amount of carbs at the right times to use the insulin you have injected - if your dose is about right and you skip a meal, you will probably hypo. I know you got away with it the other day, but i think that was because your dose wasn't high enough for your needs. If you need to skip meals, you need a more flexible regime - and that means more injections unfortunately. I hope it's settling down for you. Smidge [/QUOTE]
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So here's a heart attack for all the good LADAs....
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