Recent Content by mentat

  1. mentat

    Mastering diabetes approach - I don't get it!

    Have you seen the research that suggests the HDL:triglyceride ratio is a much better predictor of cardiac risk than LDL? If you haven't you may want to calculate your ratio and see where that's at. People on low carb diets often have quite a good ratio there. Understandable that keto is very...
  2. mentat

    Mastering diabetes approach - I don't get it!

    Hmm, well you could also try reducing your carbs and trying to get properly into ketosis. Apart from that it seems like you're going to need to find a way to increase the carbs, which at the end of the day may need the help of insulin or meds.
  3. mentat

    Mastering diabetes approach - I don't get it!

    The error here is that humans are heavily biased towards assuming that problems have a single cause, and scientists aren't immune from this bias. (This is why we are so good at scapegoating.) Problems in the body are usually inherently multifactorial with complex interactions between the factors...
  4. mentat

    Mastering diabetes approach - I don't get it!

    Edit: Never mind I misunderstood what you meant by MD
  5. mentat

    Glucose Variability

    I don't think your team deserves any respect whatsoever. You are being given the run around, you are being given irresponsible advice, I don't know whether you are perhaps being discriminated against because of your race, age, or how you come across; or whether the specialists at your clinic are...
  6. mentat

    Type 1 and BG's suddenly dropping immediately after eating

    Reality is a lot messier than the science might have you believe. It is possible for T1s to have a small amount of residual beta cell function that sporadically activates; it is also possible for the dopamine release caused by food to make you more insulin sensitive. Sometimes the actual reason...
  7. mentat

    ADHD/Neurodivergent and diabetes management

    Looping refers to a "closed loop" insulin delivery system, also known as an "artificial pancreas". This requires the use of a continuous glucose monitor (CGM) and an insulin pump that adjusts insulin delivery based on current blood glucose level. Not all insulin pumps have this feature. There...
  8. mentat

    Lots of variability in blood sugar

    Afrezza isn't available in my country either but Mannkind put me in touch with Tanner Pharmaceuticals who organised a supply for me through the appropriate channels in collaboration with my endo. I presume the UK has some equivalent scheme. It's not cheap, but it sure is nice to cut back on needles.
  9. mentat

    Lots of variability in blood sugar

    The usual solutions are to change insulins (Fiasp, Lyumjev and inhaled Afrezza are the fastest-acting), take insulin earlier prior to eating, or use intramuscular injections. These things can increase the risk of hypos—especially if you eat a high fat meal, so you may need to vary your approach...
  10. mentat

    Lots of variability in blood sugar

    It is normal in some situations, for example after eating/drinking rapidly-digested carbs, or when you have an adrenaline rush. If it is happening at other times then it is probably worth investigating further. If these are glucometer readings it is possible your meter is giving false readings...
  11. mentat

    I think I am suffering from low blood sugar

    @BlaxeXD if you have diabetes or reactive hypoglycaemia, rest assured that you will get to the bottom of it; there are objective tests (like glucose and HbA1c tests) that will shed light on this. You may need to do a glucose test under the right conditions but it's only a matter of time...
  12. mentat

    ADHD/Neurodivergent and diabetes management

    Get someone to help you advocate for yourself, or change diabetes teams. There are plenty of things available that could help you (I think looping could be a game-changer for you) but your team does not seem interested in helping you find what works for you. I also struggle with letting...
  13. mentat

    Type 1 Help with high sugars

    My insulin needs change overnight for no discernible reason sometimes. I might suddenly need 2x or even 3x as much insulin, or a lot less. If my body needs more insulin I give it more. Of course to deal with a one-off high, you can use a correction bolus, or go for a walk or run (but test...
  14. mentat

    Advice

    10 min is not enough to get your muscles fully in exercise mode. Sometimes (especially with lots of insulin on board), 10 minutes of exercise can have a big impact on your sugar but other times it may not have much effect at all. Mornings are often the worst in terms of insulin resistance. On...
  15. mentat

    Diabetes therapy

    I find this disgusting. Some people find pumps to be a lifesaver and if what someone's doing isn't working for them, the endo should be encouraging the exploration of other options, not discouraging it. If you want someone to talk to who was in the worst circles of hell for ten years and...