Hey folks,
Now, I am LADA. I have tried really really hard to convince my endo that I need a 0.5 unit pen. I'm not getting it, though.
I need 16.5 units of Levemir. 16 is too little. 17 will send me hypo when I move around. Tough sh/t. Now which option do I pick?
I need 0.5 units of NovoRapid per Carb Portion thingymagic - If I do as I normally do and low carb, for most meals, 1 unit is definately too much, especially when it's 25 degrees +, as then I'll have more like 0.25 units per carb and it's almost impossible to make that work and at the same time try to lose weight. I cannot not take insulin with a meal either, my blood glucose will spike and I'll be tired and not have enough energy available.
Correction doses: When it is hot, 1 unit of insulin will drop me 8 mmols. When it's not hot, it's more like 4-5 mmol. If I have a blood glucose of say 7.9 before bedtime, I would be inclined to take 0.5 units of insulin and 5g carb and land at 5 mmol as FBS, but that's an option I currently don't have.
Weather excluded, my insulin needs and predictability of corrections and meal time doses is entirely stable - I can theoretically say 1 unit of insulin + 5g of carb = target, or something like that, and be right, so there's no LADA randomness. Just the hassle of trying to hit a mossie with a nuclear bomb.
Any advice, any ideas - or is it just me making a right fuss about nothing as my endo seems to think?
-M
Now, I am LADA. I have tried really really hard to convince my endo that I need a 0.5 unit pen. I'm not getting it, though.
I need 16.5 units of Levemir. 16 is too little. 17 will send me hypo when I move around. Tough sh/t. Now which option do I pick?
I need 0.5 units of NovoRapid per Carb Portion thingymagic - If I do as I normally do and low carb, for most meals, 1 unit is definately too much, especially when it's 25 degrees +, as then I'll have more like 0.25 units per carb and it's almost impossible to make that work and at the same time try to lose weight. I cannot not take insulin with a meal either, my blood glucose will spike and I'll be tired and not have enough energy available.
Correction doses: When it is hot, 1 unit of insulin will drop me 8 mmols. When it's not hot, it's more like 4-5 mmol. If I have a blood glucose of say 7.9 before bedtime, I would be inclined to take 0.5 units of insulin and 5g carb and land at 5 mmol as FBS, but that's an option I currently don't have.
Weather excluded, my insulin needs and predictability of corrections and meal time doses is entirely stable - I can theoretically say 1 unit of insulin + 5g of carb = target, or something like that, and be right, so there's no LADA randomness. Just the hassle of trying to hit a mossie with a nuclear bomb.
Any advice, any ideas - or is it just me making a right fuss about nothing as my endo seems to think?
-M