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Are you using basal insulin? If you only recently started insulin and haven't started using basal yet, that could be the problem. Basal insulin keeps blood glucose down overnight.

Injecting insulin has made the ketones go away and brought blood glucose down too. The worst is over. and the numbers are going in the right direction. Keep up the good work.

I am surprised by this advice from a professional. Telling a new T1 they can eat anything and bolus for it is pretty much setting them up for having a hard time over what can be a very long period of time. As the honeymoon wears off, increasing amounts of insulin are required and eating lots of...

Disturbed sleep usually increases blood glucose in the morning, so it probably isn't the issue. Try shifting some of that evening dose to the morning and see what happens. You just have to test-and-measure. Make a small change and test to see what the effect is. Change only one thing at a time...

I stopped worrying about cholesterol a while ago. My cholesterol is made in my liver for very good reasons, including maintenance and repair of muscle. Yes, doctors keep offering statins but I won't take them because I don't want to second-guess my liver. My cholesterol is what it needs to be...

It goes almost without saying that how well a bolus covers a glucose load depends partly on how well basal insulin requirements are covered. The bigger the basal action shortfall, the more bolus dosing needs to be loaded to achieve desired blood glucose levels. Yet diabetes educators often don't...

Before making any decisions about changing bolus insulin, check that you are getting the basal coverage you need. If there is a basal insulin action gap, it can look like bolus insulin is taking longer or not working.

If you are young and without vascular complications, having T1 diabetes shouldn't affect your decision.

Novorapid usually takes an hour to peak, but blood glucose may start dropping before then. It depends partly on how well your basal needs are being covered by basal insulin action at that time of day. So have you tested your basal in the morning?

It sounds like you could be LADA, or maturity onset T1. If you are, only insulin will give the control you want in the long term. As for the full antibody panel of tests to be done. If one or more are positive, it is T1. Either way, you will be able to take more focused and informed action to...

The short answer IMHO is, those cholesterol levels look fine and no, drugs are not required. Cholesterol is made in the liver, and I like to think my liver knows how much cholesterol it needs to make. Why doctors think they have to second-guess the liver of patients has always been a mystery to...

You can get a Frio if you like, but you really don't need it. I don't use anything to keep insulin cool and I have never had a problem. Just don't leave it in direct sunlight and it will be fine. You also have much longer than one month after taking it out of the fridge. Test it and see what...

Tresiba in the morning, with action overlap from the previous day's dose in the morning, could work for me. But it is not funded here (New Zealand). Lantus and NPH are the only basal insulin options. Filling the gap with Actrapid, which is funded, works well enough. But I suspect there are a lot...

Is this in fact so? Increasing fat, most of it saturated, in my diet has had no noticeable effect on my LDL

If you have just been diagnosed, you are probably still making a fair amount of insulin and this will continue for some time. All you can be sure of is that you don't have enough beta cells left to make the insulin required to keep blood glucose at normal levels. Bear in mind that when blood...

Pramlintide, which is analogue Amylin, became popular a while back. The idea is that it helps reduce glucagon after meals and also slows stomach emptying. Studies didn't show much benefit, though. One showed a 0.3% reduction in HBA1c and another showed no benefit. As T1s we don't make Amylin and...

The issue with alpha cells in T1s is that they don't get the right signals. The Alpha cells secrete Glucagon, which increases blood glucose. They stop doing this when they see insulin. But T1s inject/infuse insulin under the skin, which is a long way from the Alpha cells. So Alpha cells continue...

The problem with going below 4 is that hypo awareness is eroded. If it happens often enough, we become hypo unaware, or unable to sense low blood glucose. It is not good because hypo unawareness can mean we allow blood glucose to drop to the level we pass out or lose control. Dangerous if...

The one ting you can be sure of is that your honeymoon will fade out and end. As the pancreas makes less insulin, more injected insulin is required. So expect dosage requirements to increase. The timeframe can be years, or even decades for people diagnosed as adults. It also depends on your...

Keeping things sterile until use is important in hospitals, where there is risk of contamination from other patients. But on a camping trip I wouldn't be too worried. Zip lock bags are a good idea. I always used Chinese infusion sets (very cheap) when teaching overseas. They came in little...