Hey
New member here, but longtime lurker...
I've been a T1 diabetic for the last 18 years, and I've always had reasonable control, but in the last few months things have just gone off the scale for me. I'm not sure whether it's as a result of me noticing more about my readings, or some external factor (stress?) but I'm constantly finding that after meals I get very, very high glucose readings. These are sometimes followed by very low readings.
Take breakfast as an example. I went from 4.6 this morning at 6 am, to 16.3 at 8 am, then by 10 am I was teetering at 4 (and I could feel myself dropping further). Sometimes my levels will go as high as 18!
I don't know if this has always happened, largely because I noticed this change when I started on the Freestyle Libre. However, because that isn't always reliable, I always finger-prick test very high or low readings (and usually find - although not as high - they are still well out of acceptable range).
I should add that I'm carb counting, and I am very sensitive to insulin. I've discussed it with my diabetes clinic (and just done a carb counting course, in fact, so I think I'm doing everything right), and the general consensus seems to be "Well, you HB1AC is ok, so don't worry about it". But I am worried, and it isn't right to be going this high 2-3 times a day...
The issue is how to control this? Even adjusting my insulin by, say, 1 (or 1/2) unit will result in a nasty hypo at the 3-4 hour mark. I've tried using basal/bolus in different combinations, but none of that seems to help.
Would a pump be the answer? I've also been reading about Fiasp insulin, but the comments have all been a bit mixed
New member here, but longtime lurker...
I've been a T1 diabetic for the last 18 years, and I've always had reasonable control, but in the last few months things have just gone off the scale for me. I'm not sure whether it's as a result of me noticing more about my readings, or some external factor (stress?) but I'm constantly finding that after meals I get very, very high glucose readings. These are sometimes followed by very low readings.
Take breakfast as an example. I went from 4.6 this morning at 6 am, to 16.3 at 8 am, then by 10 am I was teetering at 4 (and I could feel myself dropping further). Sometimes my levels will go as high as 18!
I don't know if this has always happened, largely because I noticed this change when I started on the Freestyle Libre. However, because that isn't always reliable, I always finger-prick test very high or low readings (and usually find - although not as high - they are still well out of acceptable range).
I should add that I'm carb counting, and I am very sensitive to insulin. I've discussed it with my diabetes clinic (and just done a carb counting course, in fact, so I think I'm doing everything right), and the general consensus seems to be "Well, you HB1AC is ok, so don't worry about it". But I am worried, and it isn't right to be going this high 2-3 times a day...
The issue is how to control this? Even adjusting my insulin by, say, 1 (or 1/2) unit will result in a nasty hypo at the 3-4 hour mark. I've tried using basal/bolus in different combinations, but none of that seems to help.
Would a pump be the answer? I've also been reading about Fiasp insulin, but the comments have all been a bit mixed