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High Blood Sugars

To get some ideal of how food is effecting you and what youc can eat watch this. There are some very nice CGM plots that shows the effect of different asian foods (including the flat breads) on BG levels. Hence this is useful for people with Type1 as well as Type2.

https://www.diabetes.co.uk/in-depth/kesar-sadhra-type-2-diabetes-south-asians-diet/

As to what I eat, lots of eggs, meat, bacon, olives, olive oil, green veg, avocados, coconut milk etc. I no longer eat any rice or bread or anything that contains suger.
 
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Darshan1504 said:
We have thought about insulin pumps but we don't want to jump to it at the moment. If it doesn't work out then it might make my routine even worse
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I've used both a pump and injections and they both have their pros and cons. I think there was more of a difference before moderns basal insulins like Tresiba, Lantus and Levemir came along. I think they can be enormously useful if you are having a specific problem that injections can't address, but first you need to figure out what those problems are if they exist. Are you able to get access to a continuous glucose monitor such as the Dexcom or Freestyle Libre? You really can't tell what's going on with just fingerpricks, these devices will give you a much better idea.
 
ringi said:
I think you, may have both Type1 and Type2 (otherwise call inslin resistance).
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Well this is rather a stretch. What he has is puberty and exam stress. Simple.

@Darshan1504 why are you taking both actrapid and Novorapid? Are you rotating your injection sites? Do you have any lipohypertrophy? How many units do you inject in one injection?
 
scotteric said:
Just to add to what I said, eating is more important than exercise as a type 1, unless you are getting so much exercise that you can basically eat whatever you want without going high. Rice and bread are probably 2 of the hardest meals to eat as a diabetic, no matter how well-controlled you are; it is even harder when stressed. Insulin really doesn't work fast enough to match the digestion profile of these foods, and it's hard not to end up with high blood sugars after eating them. Noodles are hard too as they digest for hours after eating them. Milk has lots of sugar and will raise your blood sugar, so if you are drinking it before bed you will wake up with high blood sugar.
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Wow..this is very interesting read for my MODY too.
 
catapillar said:
Well this is rather a stretch. What he has is puberty and exam stress. Simple.

@Darshan1504 why are you taking both actrapid and Novorapid? Are you rotating your injection sites? Do you have any lipohypertrophy? How many units do you inject in one injection?
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I am also wondering if she rotate the injection side and stress is a big killer for us diabetic.
 
catapillar said:
Well this is rather a stretch. What he has is puberty and exam stress. Simple.
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His doctor has given him Forxiga and unless I have misunderstood his inslin doses are when he is taking Forxiga. As far as I know no senible doctor would consider Forxiga for type1 unless there is a high level of inslin resistance.

(I don't like the risk profile of Forxiga for Type1 but that is not the subject of this thread.)
 
Gabrielle_Tai said:
I think it also work for type 1.
https://www.diabetes.co.uk/news/201...ucose-levels-in-type-1-diabetes-90850974.html.
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It does work as it removes suger from the body, but you can get mostly the same result by not eating the suger/carbs. It also can result in DKA being missed until it is too late, as DKA can happen as much lower BG when someone is taking a SGLT2 inhibitor. (DKA is due to very low inslin, not high BG, but normlay (without a SGLT2 inhibitor) BG will be very high before DKA becomes a risk.) Unless I have missed the news SGLT2 inhibitors are still not licensed for use in Type1.
 
ringi said:
It does work as it removes suger from the body, but you can get mostly the same result by not eating the suger/carbs. It also can result in DKA being missed until it is too late, as DKA can happen as much lower BG when someone is taking a SGLT2 inhibitor. (DKA is due to very low inslin, not high BG, but normlay (without a SGLT2 inhibitor) BG will be very high before DKA becomes a risk.) Unless I have missed the news SGLT2 inhibitors are still not licensed for use in Type1.
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So basically it not a safe drug for us type 1.Have to keep it in mind in case my gp decided to is it on me.
 
Gabrielle_Tai said:
So basically it not a safe drug for us type 1.Have to keep it in mind in case my gp decided to is it on me.
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Nothing is safe, it is not safe to cross the road when you go and see your GP! It all comes down to what the risks are and what the benefits are. Any reasonable doctor would only give a SGLT2 inhibitor to someone with Type1 if the doctor thinks that good BG control cannot be achieved with the use of insulin on its own. In the UK is it uncommon for GPs to use drugs “off label” but consultants often do so, as for example most drugs have never had formal clinical trials on children so there can be no “on label” drugs that work.
 
catapillar said:
Well this is rather a stretch. What he has is puberty and exam stress. Simple.

@Darshan1504 why are you taking both actrapid and Novorapid? Are you rotating your injection sites? Do you have any lipohypertrophy? How many units do you inject in one injection?
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I have mentioned it in the first post itself.
Lantus-60
Actrapid- 20----------20
Novorapid- -----20-----
I'm taking actrapid and novorapid both because I can't get enough wait time before my lunch so I use novorapid.
I do have lipohypertrophy
 
ringi said:
His doctor has given him Forxiga and unless I have misunderstood his inslin doses are when he is taking Forxiga. As far as I know no senible doctor would consider Forxiga for type1 unless there is a high level of inslin resistance.

(I don't like the risk profile of Forxiga for Type1 but that is not the subject of this thread.)
Click to expand...
The doses that I have mentioned are after I discontinued forxiga and yes I had a lot of problem with forxiga. Do not recommend!
 
scotteric said:
I've used both a pump and injections and they both have their pros and cons. I think there was more of a difference before moderns basal insulins like Tresiba, Lantus and Levemir came along. I think they can be enormously useful if you are having a specific problem that injections can't address, but first you need to figure out what those problems are if they exist. Are you able to get access to a continuous glucose monitor such as the Dexcom or Freestyle Libre? You really can't tell what's going on with just fingerpricks, these devices will give you a much better idea.
Click to expand...
Thanks! I'll have to see if I can get access to those
 
Darshan1504 said:
I have mentioned it in the first post itself.
Lantus-60
Actrapid- 20----------20
Novorapid- -----20-----
I'm taking actrapid and novorapid both because I can't get enough wait time before my lunch so I use novorapid.
I do have lipohypertrophy
Click to expand...

Sorry, I don't see where the first post answers any of those questions. That's why I asked them. So you do have lipohypertrophy and you're injecting 60 units of lantus all in one shot? When I asked how many units do you inject in one injection I wasn't trying to find out how many units you take, because as you say you had mentioned that in your first post, I was trying to find out whether when you take your mealtime bolus of 20u you split that up in to different injection sites. That's a large number of units, it's not ideal for good absorption of insulin to inject 20 or 60u all in one place. Whether your insulin is being absorbed is more of a concern if you have lumps and bumps from lipo. You've talked about your body swelling and not being sure the insulin goes in. You may need to think about your injection technique, whether you are using the right length needle, whether you are avoiding sites compromised by lipo. You might need to think of splitting your bolus doses into 2 or three (so do 7u left leg, 7u right leg, 6u belly) to help a bit with absorption issues.

A pump can be helpful if you are stuggling with absorption problems and certainly something to try before considering diaport..
 
catapillar said:
Sorry, I don't see where the first post answers any of those questions. That's why I asked them. So you do have lipohypertrophy and you're injecting 60 units of lantus all in one shot? When I asked how many units do you inject in one injection I wasn't trying to find out how many units you take, because as you say you had mentioned that in your first post, I was trying to find out whether when you take your mealtime bolus of 20u you split that up in to different injection sites. That's a large number of units, it's not ideal for good absorption of insulin to inject 20 or 60u all in one place. Whether your insulin is being absorbed is more of a concern if you have lumps and bumps from lipo. You've talked about your body swelling and not being sure the insulin goes in. You may need to think about your injection technique, whether you are using the right length needle, whether you are avoiding sites compromised by lipo. You might need to think of splitting your bolus doses into 2 or three (so do 7u left leg, 7u right leg, 6u belly) to help a bit with absorption issues.

A pump can be helpful if you are stuggling with absorption problems and certainly something to try before considering diaport..
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I actually can't find a place without the lumps. That's what the main problem is. After these high doses and almost 5 injections a day, there isn't really any area left untouched. I'm just leaning towards dietary changes now because I feel that that's the only thing that'll help me in the long run. I will try the pump but my doctor says that I should probably wait for a while and not rush to anything until my exams are done. Also here in India, the pumps are super expensive and even our insurance policies don't help us so I'll need to be 100% sure that my body adapts to it before I rush to buy it.
 
Hi @Darshan1504 ,

This is more a focus on injection technique. Do you use a "pen" with cartridges & something like a microfine 4 or 6 millimetre needle?
Or are you "drawing up" using a syringe??

Sorry, more questions... :)
 
Jaylee said:
Hi @Darshan1504 ,

This is more a focus on injection technique. Do you use a "pen" with cartridges & something like a microfine 4 or 6 millimetre needle?
Or are you "drawing up" using a syringe??

Sorry, more questions... :)
Click to expand...
I use a pen with 4mm needles. I feel that 4mm needles are the best for me. I sometimes use 6mm syringes and I follow the way that my doctor has suggested. I change the needles every second time.
 
It just feels bad to know that you can't cure lipohypertrophy cause then you just have to live with those bulging fat arms and legs.
I guess the only thing that I can do is switch to more fruits instead of the wraps and instant noodles. I'll work on that. If there's anything else that I can do to prevent further lipohypertrophy please let me know
 
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