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Hi Steve, As a few people have already mentioned, everyone is different and it sounds to me like you need to drastically reduce the carbs even further, at least for a period. The bloods you're getting are so high that they indicate quite severe insulin resistance / hyperinsulinemia. Cutting...

fergus sums it up nicely. However, intensity is as (or more) important than duration, as it's intensity which releases the stress hormones and triggers hepatic glucose release. For example a 20 minute walk probably won't raise BG much if at all (and may slightly lower it); a 20 minute interval...

Absolutely, I'm not suggesting we should be aiming for perfection off the bat! But the current message is basically that A1C's of 6.5% are perfect and under 7 is good; I'd rather the message was that 6.5 is a great initial target but with the knowledge that there's more work to be done. I...

I don't know the answer, but I completely agree with your sentiment. Even as a type 1 I'm aiming for sub-6 for definite and ideally sub-5.5 - this is well below the targets suggested by the NHS, Diabetes UK, ADA etc. but I honestly can't see why. T1's have to be careful not to achieve good...

Hi suziesue, To be honest I'd simply see how it goes. Start off just eating your normal diet (i.e. your new, lower-carb diet) and keep a careful eye on how you feel during and after exercise. If it's totally wiping you out you might need to eat a small amount of extra food during or after the...

Hi Jo, I'm afraid I may not have an answer you want to hear. The reason the oats, toast and sandwich spike your blood so high is because of the carbs, and most if not all high-carb foods will do the same. The best way to prevent these spikes is to reduce the amount of carbs you eat - and in...

Hi suziesue, Exercise nutrition is a massive topic, and a lot depends on what you do and how well-adapted you are to burning fat and what you're doing. At 90g carbs per day you're probably reasonably well-adapted, but it's a very personal thing. The long and short of it is that people can...

Hi Val, Can you ask the nurse for the breakdown of your cholesterol this time and last time? Total cholesterol is a very poor indicator of cardiac risk, and if the rise was caused in a large part by a rise in HDL you might actually have improved your risk profile! I'm not sure if you're...

I absolutely need to inject insulin to cover vegetables. I think the reason many nurses / dietitians only consider potatoes / yams / sweet potatoes etc. is because most people eat a lot of carbs, so the handful of grams of carbs in the vegetables is fairly inconsquential relative to the great...

Aww, you'll make me blush! But you're more than welcome, just hope it's helpful. I don't know why I didn't start contributing to this forum earlier, but there are plenty of helpful people on here and I've learned from reading a lot of the posts - so it seems only fair to try to help out in turn!

Hi GLF, You're more than welcome! It's such a shame you haven't had the advice and support you need, particularly when you're obviously motivated to do well. I'd heard of the London clinic that loans out CGM's (spookily enough it was only 2 days ago that I spoke to Abbott about it!) Sadly I...

Hi GLF, It sounds like the key for you might lie in learning to adjust your humalog doses correctly. You absolutely need to learn the ratio of insulin to carbohydrate that works for you - and be aware that these ratios can be different at different times of the day! It's common for people to...

Hyperinsulinemia (chronically elevated insulin levels) is a commonly-cited causal factor in type 2 diabetes, and is also a percursor to hypertension, hypertriglyceridemia, obesity and an elevated risk profile for CHD. I think there's compelling evidence that it's not T2D itself that raises risk...

I generally use the tops of my thighs for Insulatard rather than the sides (pulling the fat up and injecting at an angle so I don't hit the muscle), and I split the doses so that I don't inject more than 9 units in one place (so my 16 unit morning shot is split into two shots of 8, one in each...

Hi GLF, welcome to the forum! There is certainly a strong link between type 1 diabetes and hypothyroidism (that is; having T1D gives you a much greater chance of developing autoimmune hypothyroidism). I'm afraid I don't know much about prolactinoma, and while I vaguely remember reading about...

If you move to a low carb diet you'll probably need even less insulin, but don't worry about that - it's really not a problem. After all, the ultimate would be to need zero insulin - and I doubt anyone here would complain about that!!! Your levemir should, in theory, be covering the background...

There's an interesting connection with gluten in both diabetes and vitiligo (and many other autoimmune conditions) - and cases of people achieving remission from one or both on a gluten-free diet. If you haven't already tried, I'd try a gluten-free diet for several months and see whether that...

Hi Dave, As you say, it's a bit of a bolt from the blue when you suddenly find you've got type 1 isn't it? Happened to me 11 years ago but I still remember walking out of the doctor's in a daze (and my first thought being "**** - I'll have to switch to Diet Coke now"!!!) I can empathise with...

Hi, Can you give a bit more information on the exercise? What sport are you training for? It sounds like you're doing a lot of training, far more than many elite-level athletes in many sports. The first thing I'd do is question whether this training is actaully getting you closer to your...

Hi jonesy I don't have any direct experience of T1 in children, so you're wise to defer to others with more experience. My comments were based on the fact that 75g or more per meal, assuming 3 meals per day and maybe a small snack or two, will mean something like 300g arbs per day - that's a...