Do you carb count and use insulin based on this?

[EllieM]

it does seem that I need more than the 1 unit to 10g of carb though.

That's just a starting figure, amounts can vary drastically from person to person and even by time of day and amount of exercise for one particular person. But I agree with the others, you don't sound like a typical T2 and it's quite possible you are a misdiagnosed T1/LADA. (This is unfortunately very common as traditional GPs were taught that all T1s were diagnosed young, and all T2s were over 30 and overweight. ) A T1/LADA diagnosis might be useful as you might get "better" more T1 targeted treatment, together with potential access to devices such as the Libre (continuous glucose monitor) which I believe is restricted to T1s though logically insulin dependant T2s would benefit as much. (T2s, please correct me if you've managed to score a libre out of the cash scrapped NHS, I'd be very happy to hear it.)

 

[Member496333]

Every single time, you say the same thing. Do you have it ready somewhere to paste? Do you know how damaging this advice us? If I had not done my research and listened to you, I would have ended up with serious diabetic complications.
I’m now on insulin with BG from 16 after meals to 7 and losing weight with it.
Please reword your statements.

It is my opinion that those who may have hyperinsulinemic resistance should be mindful that eating carbohydrate and covering the burden with more insulin may very likely increase their hyperinsulinemic resistance. Notice also in a subsequent contribution;

I mention it here only because, as a type 2, the insulin required per gram of carbohydrate may quite quickly escalate. But it seems like you're already making sensible measures with carbohydrate reduction. I wouldnt pay too much attention to my comments just now unless you find your requirement creeping upwards.

"Damaging advice"?

You are free to challenge my views if you wish to have a conversation, but no, I will not "reword my statements" simply because you disagree with them. If you feel that any of my posts contravene the rules of forum conduct then you are encouraged to use the report button.

 

[Albee7740]

Might be worth seeing if you can get tested properly... a c-peptide or fasting insulin test.
Any idea what your most recent HbA1c was?

I'm going to ask for the c-peptide test and keeping fingers crossed that they are open to the idea. I had a HbA1c in middle of Aug and that was 55. Pleased that it had come down but still not the magic 42 we're aiming for to try to conceive again, at 41 years old now time is not on our side!

 

[Albee7740]

That's just a starting figure, amounts can vary drastically from person to person and even by time of day and amount of exercise for one particular person. But I agree with the others, you don't sound like a typical T2 and it's quite possible you are a misdiagnosed T1/LADA. (This is unfortunately very common as traditional GPs were taught that all T1s were diagnosed young, and all T2s were over 30 and overweight. ) A T1/LADA diagnosis might be useful as you might get "better" more T1 targeted treatment, together with potential access to devices such as the Libre (continuous glucose monitor) which I believe is restricted to T1s though logically insulin dependant T2s would benefit as much. (T2s, please correct me if you've managed to score a libre out of the cash scrapped NHS, I'd be very happy to hear it.)

This is probably a really stupid question but what is T1/LADA, I've seen it written on the forum and 'think' it means someone who becomes type 1 later in life?

 

[ickihun]

In July I was placed on insulin and told to start to take 2 units of insulin (novorapid) with each meal and 4 units of Levemir at night and to increase this each week by 2 units (both novorapid and Levemir) un til my blood sugar was in the range set for me.

I did this religiously initially but realised that depending on the amount of carbs I had in a meal sometimes I would be out of range and knew that I would be. I read about carb counting and began to take as much insulin as I though I would need and this stoped the hypos and being too high in terms of my blood sugar. Still high in the morning but think this is the dawn effect.

I have my appointment with the diabetes specialist in a couple of weeks and am panicking that he will say that I should have stuck to the regime set by him and using as much insulin as need to cover carbs is only for type 1 diabetics. My 30 day average is now 6.1 which converts to a HbA1c of 36 which if accurate is amazing given that I had a HbA1c in the 90s in April and 81 in June

Does anyone know if it is ok to just use as much insulin as needed to cover carb intake for type 2's?

Are you just type2 or has it developed to insulin dependancy?
Ive never covered my carb intake with insulin. As I need insulin for protein too. I need insulin for illness or stress etc.
Type1s are encouraged to carb count if they don't hv insulin resistance.
Are you confused because you haven't received straight advice with your insulin? When do you see your DN next?

 

[EllieM]

This is probably a really stupid question but what is T1/LADA, I've seen it written on the forum and 'think' it means someone who becomes type 1 later in life?

Basically yes, but it can take a lot longer to develop than traditional "young person" T1, so they often get misdiagnosed as T2.
Latent Autoimmune Diabetes of Adulthood
https://www.diabetes.co.uk/diabetes_lada.html

Some can go several years without insulin, though many doctors will start them on a small dose so as to help their pancreases last as long as possible....

Edited to add, not a stupid question at all

 

[jimmyt2dm]

Thank you! So it sounds as though it's ok for type 2's on insulin to take variable amounts of their fast acting insulin with meals and not have to stick to a fixed amount - phew!

Hello my friend, a type 2 diabetic should watch your lifestyle and severely limit your carbs. How do I know this? I am a type 2 diabetic that has lost 35 lbs and 4 inches off of my waist by eating a low carb high fat diet and fast everyday My carb intake per day is about 30 grams and I do border on ketosis.

You need to find your carb tolerance and it sounds like 100 grams per day is way too much. Start by cutting sugar, starch, and processed foods right out of your diet.

Out of curiousity, what you eat on a daily basis?

Let me know.

thanks.

Jimmy.

 

[Albee7740]

Feeling really pleased with myself. Just got back from seeing the diabetes specialist and HbA1c is now 40!

Doc has given the ok to try to conceive and didn't tell me off for not sticking to the regimented number of units of novorapid / Levemir that has been prescribed and simply smiled when I said that I had significantly reduced my carbohydrate intake - my GP on the other hand was horrified when I said this and told me that I should be having carbs with each meal ...... needless to say I am ignoring my GP!

Only down side has been that I have put on weight which he attributed to the insulin so I am hoping that I can get my use of insulin down - particularly the novorapid and this should help with weight