- Messages
- 537
- Type of diabetes
- Type 1
- Treatment type
- Pump
- Dislikes
- Commuting, overcrowded spaces, especially after the arrival of covid-19...
I was diagnosed with Type 1 at age 51 while living in Singapore and almost immediately started on MDI. HbAc1 on diagnosis was 13.7% (126 mmol/mol) initially down to 7.0-7.5% (53-59) but with lots of hypos, spent next 10 years around 8.0-9.0% (64-75) during a too active crisis management career. Returned to UK end of 2017 and decided time to get serious on BG control. So after discussion with endo switched to Tresiba with some trepidation, but now managed to significantly reduce dose. Still using Novorapid for bolus.
But by far biggest game changer was self funding from last August the latest Dexcom CGM - the G6 - reliable, easy to insert, pushes data to iPhone, good analytic software, very proactive support and doesn't need constant calibration. Cost as of now just under £2,000 p.a.
This has given me massive new insights into the impact of food, exercise, stress, etc on my insulin intake. While I know response is very individual and quite controversial for Type 1, I have aimed for a low carb approach but did fall off the wagon over December-January. Even so reduced my HbAc1 from 8.2% (66) to 7.0% (53) from July to October and latest to 6.8% (51) in mid March (after carby winter!). Now almost zero carb to lower inflammation/infection risk (I do inject bolus for protein) - G6 is predicting HbAc1 down to 5.2% (33) with almost no hypos if I can maintain current food/exercise discipline. No way could I have achieved this even on 10+ daily finger pricks. I am still hypo aware, so for now would not qualify for a NHS funded Libre.
Would love to hear others' experiences.
But by far biggest game changer was self funding from last August the latest Dexcom CGM - the G6 - reliable, easy to insert, pushes data to iPhone, good analytic software, very proactive support and doesn't need constant calibration. Cost as of now just under £2,000 p.a.
This has given me massive new insights into the impact of food, exercise, stress, etc on my insulin intake. While I know response is very individual and quite controversial for Type 1, I have aimed for a low carb approach but did fall off the wagon over December-January. Even so reduced my HbAc1 from 8.2% (66) to 7.0% (53) from July to October and latest to 6.8% (51) in mid March (after carby winter!). Now almost zero carb to lower inflammation/infection risk (I do inject bolus for protein) - G6 is predicting HbAc1 down to 5.2% (33) with almost no hypos if I can maintain current food/exercise discipline. No way could I have achieved this even on 10+ daily finger pricks. I am still hypo aware, so for now would not qualify for a NHS funded Libre.
Would love to hear others' experiences.