6 Month Review

noblehead

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SamJB said:
Ever wondered why people in the honeymoon period, people who do a lot of exercise, people with high insulin sensitivity, low or moderate carbers tend to have good HbA1c results? Because they require smaller doses of insulin, which means smaller mistakes.


Undoubtedly yes lower insulin doses will mean fewer mistakes as I've said many times on the forum before, however insulin sensitivity varies from person to person and what might seem like a low dose to one may not be the case for another, the point I was making is that low-carb doesn't always mean lower insulin usage, if I were to low-carb say 30g below I would still need a similar amount of insulin to what I inject now.

As you know Sam low-carbing in type 1's can present problems in itself, often you will find that those who do low-carb have to inject multiple times over and above those that don't, more insulin doses can mean more hypo's due to the stacking effect of multiple doses, from my own experience I would have to inject 2-3 times to cover a meal due to the slow release of protein and insulin resistance that a high-fat diet can present (Gary Scheiner offers up a good explanation of how this works). As I said earlier low-carbing doesn't always mean lower insulin doses and I know of someone who have followed a Bernstein/Atkins style diet for several years and are so insulin resistant that they require 1 unit of insulin to every 1g of carbs, yes lowering carbs can resolve a lot of problems in type 1's but it can also present a few more, personally I find moderate amounts of carbs in a meal are more manageable when it comes insulin dosing than a meal that contains minimal amounts of carbs and is high in fat or protein.

That said each to their own and what diet someone follows is a personal choice, all things considered Hale is doing remarkably well for someone who is newly diagnosed and I wish I could have managed it so well when diabetes entered my life.
 

hale710

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Messages
2,903
Type of diabetes
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noblehead said:
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That said each to their own and what diet someone follows is a personal choice, all things considered Hale is doing remarkably well for someone who is newly diagnosed and I wish I could have managed it so well when diabetes entered my life.

Thanks :)

everything I've done so far to get things on track has been down to advice on this forum. It's made my life so much easier!
 

pumppimp

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Messages
246
Type of diabetes
Type 1
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Hi Hale,
well done on the good results, Pretty amazing. :thumbup:
I'm guessing we're at the same hospital, could you pm me with who your consultant is? I've been trying to sort my pump funding out but keep getting refused and cause I made a complaint I was discharged from hospital care. :cry: That was nearly 2 years ago maybe now they are coming round that pumps are good, or the extra funding that the government promised is finally trickling down to the place it's supposed to be.
Laura
 

hale710

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Messages
2,903
Type of diabetes
Type 1
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pumppimp said:
Hi Hale,
well done on the good results, Pretty amazing. :thumbup:
I'm guessing we're at the same hospital, could you pm me with who your consultant is? I've been trying to sort my pump funding out but keep getting refused and cause I made a complaint I was discharged from hospital care. :cry: That was nearly 2 years ago maybe now they are coming round that pumps are good, or the extra funding that the government promised is finally trickling down to the place it's supposed to be.
Laura

Erm this is awkward. I would..... But I don't know his name! The guy I saw yesterday is different to the guy I usually see.... Who's name I also don't know

Its ridiculous that they've discharged you. Hospital care has moved from woolmanhill over to ARI in the David Anderson building. I would rock up there and explain you need to be seen, aside from pump funding you deserve the hospitals support. The reception will sort you out. My cousin didnt go for a few years so I basically dragged her there a few months ago and they got her a clinic appointment for a few weeks away :)

Good luck!
 

SamJB

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1,857
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I agree with everything you said, Noblehead. To be fair, you're pretty much spot on with everything you say on here - I just wanted to clarify my earlier point.

I agree with what you've said about Hale, she's done remarkably well for a newly-diagnosed person. I wish I was as well controlled as she when I was newly diagnosed. Just goes to show that in my experience (and this will be echoed by many people on here) that there's no better advice than advice from experienced, well controlled diabetics. Well done again, Hale. :clap:
 

pumppimp

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Messages
246
Type of diabetes
Type 1
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Thanks Hale,
I'm on my second dismissal so don't really want to go back to the same people if they are the same. The main pump consultant is Dr Abraham (Indian guy in his sixties very stuck in his ways) There was also Dr white (also Indian in his thirties but he's just the registrar not the consultant so he doesn't have a say in Funding). Apparently I can't see any other consultants as I'm already on a pump. I'll try getting referred again and see if anything's changed. Me and Dr Abraham really don't get on, so really don't want to see him again. On the plus side if you do end up getting a pump the specialist nurse Hilary is lovely, and has lots of helpful info and somebody you can have a good long chat to. I was hoping that I would have my CGM connected to my pump by now but I just lost my job yesterday so that will be on hold for another little bit. You should be really pleased with your results I wish I could have had one as low as that 6.8% has been my lowest to date and I've been pumping 7 years!!
Laura
 

hale710

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2,903
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Type 1
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Oooooooh definitely met dr Abraham when I was diagnosed. I have seen 3 men to date, one of them was as useful as a chocolate teapot and I haven't seen since my first week of diagnosis.

Dr Abraham tried to persuade me I shouldn't leave it too late to get pregnant the last time I saw him. So yeah, he's not highest on my list of favourite people lol but aside from that we've not disagreed. But then I've not seen him in 4 months haha
 
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hale710 said:
I'm having the best day :D

Hba1c at diagnosis in February was 14.7%..... Early April it was 8.7%

This time around I was aiming for 7.9% or under. Just an Indication that my control was tightening up. Imagine my shock when he told me 6.1% !!! I've tried so hard and couldn't be more pleased.

We've discussed pumps and he says I'm the perfect candidate. I'm hopefully doing DAFNE in November so at my next review in January he will refer me officially.

Having additional test done this time around. One for coeliac even though I said I have no reason to believe I have it! And one for thyroid antibodies. My thyroid function itself was fine but my mother has hypothyroidism so they want to double check I haven't got the antibodies.

He also kindly told me I'm allowed to try for a baby..... I declined the offer haha ask me again in a few years!

All round - a pretty good day!

Congratulations and well done hale, brilliant result :clap: I hope you don't have Coeliac Disease, I was so ill last year, really bad and after a lot of faffing about I then suggesting to my GP possible Coeliac, well I certainly had it.

Keep on doing what you're doing, it's obviously working very well.

RRB :)
 

hale710

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Robinredbreast said:
Congratulations and well done hale, brilliant result :clap: I hope you don't have Coeliac Disease, I was so ill last year, really bad and after a lot of faffing about I then suggesting to my GP possible Coeliac, well I certainly had it.

I have no reason to believe I have it what so ever. He asked me directly if I have any "abdominal trouble" and I said no..... And he ordered the test anyway haha I guess he has his reasons. If I do in not sure I'd actually change anything to be honest.... I've no symptoms so why should I?!? But I won't have it (I remember when I said that about diabetes!!)

Shame that you've got it :( you've not had much luck have you!
 
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hale710 said:
Robinredbreast said:
Congratulations and well done hale, brilliant result :clap: I hope you don't have Coeliac Disease, I was so ill last year, really bad and after a lot of faffing about I then suggesting to my GP possible Coeliac, well I certainly had it.

I have no reason to believe I have it what so ever. He asked me directly if I have any "abdominal trouble" and I said no..... And he ordered the test anyway haha I guess he has his reasons. If I do in not sure I'd actually change anything to be honest.... I've no symptoms so why should I?!? But I won't have it (I remember when I said that about diabetes!!)

Shame that you've got it :( you've not had much luck have you!


Fingers crossed that your Coeliac test will be negative, it comes in two parts, so it may take 2 to 3 weeks.

I was diagnosed with Coeliac in November 2012 and in February 2013 I was then diagnosed with Osteoporosis, so not much luck lately no :roll: but hopefully it will change for the better soon :)

All the best RRB
 

ElyDave

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hale710 said:
ElyDave said:
But not surprising given where you work and your profession, I can imagine you take a pretty studied approach to all this.

You wouldn't believe the spreadsheets I have......

Fingers crossed for your review :)

Side point, did you make offshore Europe this week?

I'd definitely believe it, when I'm next up at your place in Dyce, I'll show you mine if you show me yours :D

Didn't get to offshore Europe, tends to be jammed in the hotels, charging about 5 times the normal price, I imagine people from our Aberdeen office went though
 

hale710

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ElyDave said:
hale710 said:
ElyDave said:
But not surprising given where you work and your profession, I can imagine you take a pretty studied approach to all this.

You wouldn't believe the spreadsheets I have......

Fingers crossed for your review :)

Side point, did you make offshore Europe this week?

I'd definitely believe it, when I'm next up at your place in Dyce, I'll show you mine if you show me yours :D

Didn't get to offshore Europe, tends to be jammed in the hotels, charging about 5 times the normal price, I imagine people from our Aberdeen office went though

My favourite is the standard deviation, I think it's my REAL indication of decent control!

I didnt make it either, think I'm the only person who didnt. Every time I was about to leave my desk something cropped off up. So I got the horrific traffic and overcrowded city but none of the benefits!

We can rent you our spare room for 2015, apparently the going rate is about £800 for the week ;)
 

hale710

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Robinredbreast said:
hale710 said:
Robinredbreast said:
Congratulations and well done hale, brilliant result :clap: I hope you don't have Coeliac Disease, I was so ill last year, really bad and after a lot of faffing about I then suggesting to my GP possible Coeliac, well I certainly had it.

I have no reason to believe I have it what so ever. He asked me directly if I have any "abdominal trouble" and I said no..... And he ordered the test anyway haha I guess he has his reasons. If I do in not sure I'd actually change anything to be honest.... I've no symptoms so why should I?!? But I won't have it (I remember when I said that about diabetes!!)

Shame that you've got it :( you've not had much luck have you!


Fingers crossed that your Coeliac test will be negative, it comes in two parts, so it may take 2 to 3 weeks.

I was diagnosed with Coeliac in November 2012 and in February 2013 I was then diagnosed with Osteoporosis, so not much luck lately no :roll: but hopefully it will change for the better soon :)

All the best RRB

I've not even been told to contact them about the results or anything, I just figure if its anything important they'll contact me

You must be due for some good news soon!
 

Riesenburg

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Congratulations on your fantastic results! It's a great acheivement :) Keep up the good work and best of luck!