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1971. At least the diabetes didn’t arrive at the same time as disco. That would have been too much to handle.:D

Ah, okay, I see, sort of. I recall well the period when my beta cells were dying, before I was diagnosed, but I wouldn’t call it any kind of honeymoon. Even if I had been put on insulin earlier, it wouldn’t have been a honeymoon, a picnic, or anything I’d want to repeat (second honeymoon?)...

I keep running into this term and haven’t got a clue what it is. It sounds like a good thing but I’m thinking I must have missed mine.

Very disturbing to hear this, even worse if it had anything to do with your employer not being willing to accommodate your testing needs. But Type 1 just isn’t very forgiving with certain kinds of jobs. That’s a fact and CGM makes good sense there. Frankly, the artificial pancreas, which is...

I hate to tell you this but you are much too dependent on an “alert system” that’s too complex to be reliable. There are too many ways it can break down: the phone, the sensor, the software, the bluetooth connection. Added to that, CGM is inherently less accurate, slower to detect changes and...

And those are just some of the reasons I don’t use CGM day to day (although I could see utilizing it under some special circumstances). To the OP: What is it you dislike so much about blood sugar testing? It’s quick, easy, virtually painless most of the time and most importantly, it’s way more...

I agree with all of the above comments. I also admire your self-control. If I were in your place, I would’ve found a polite way to tell her to go %#&$ herself. Obviously, she desperately needs to hear this.

Sounds like your biggest problem is that you’re not getting the help you need. With all due respect to nurses, they are not doctors and generally don’t have the training and experience necessary to problem solve a case like yours. Find yourself a good endocrinologist, even if it means paying out...

Is this the case for all type 1s in the UK, annual reviews and/or renewals? If so, why? Don’t they trust you?

So, the U.S. version of the exchange system and the UK version seem similar, although the U.S. one might have been a bit simpler than calculating meals based on black and red. In any case, what strikes me is that when MDI became standard in order to achieve good control, the exchange system was...

I really don’t think the powers that be considered this at all before they made the move to carb counts and calculating/re-calculating every dose of insulin. If I had to live like this, I’d have been mentally exhausted or worse long ago.

Yes, whatever works well and whatever you can adjust to while minimizing the downsides is a good solution. Personally, I feel that some of the newer technology and methods are more about making different trade-offs than actual progress. You have to look at the results you’re getting but you...

Before carb counting, the exchange diet was the norm in the U.S. It was based on daily caloric intake, divided into nutritionally balanced meals of protein, carbs, fruit, A and B vegetables, fat and “free” foods with little or no caloric value. Minimum for adults was 1800 calories per day but...

These are all very useful responses to my question. Much appreciated. Speaking from across the pond, I would say that Type 1s in the UK are fortunate to at least be able to have a conversation with hospital personnel about self-management. I can see that your system still has plenty of bugs but...

And why? This question would likely apply to long-time Type 1s who started out with exchange lists for diet. Switching from MDI to a pump might be one reason but other than that, why do it? Carb counting and calculating doses accordingly seems like a lot more work for MDI than the previous...

“you can articulate what it is about a pump that would make your diabetes management better. What would you do differently with a pump that you cannot do with MDI?” This bit here is extremely important, for you even more than them. Mind you, I’m in the US. and am unfamiliar with your process in...

Twice, maybe three times as I recall. Only one time was memorable because that involved a much higher than normal dose of Humalog. I was fighting that low for hours but managed without needing glucagon. It is actually hard to mix these insulins up since they’re color-coded and clearly labeled...

Before pumps, there was a way to maximize flexibility in limiting highs and lows with the added benefit of minimizing fuss and bother in day-to-day, hour-to-hour management. As far as I know, it’s no longer being recommended or even talked about, especially in the case of newer Type 1 diabetics...

No, not overly cynical at all. Right on the money, in fact (pun intended). Hospitals in the U.S. are mainly privately owned by large corporations that are heavily motivated to increase profit and decrease risk. They see a Type 1 diabetic as a big risk, though much more so because of hypoglycemia...

You’re darn right, it still happens — unless there have been some major changes in the NYC area in the last four years. I highly doubt that since I would’ve heard something. New York is supposedly in the top tier for medical care but not for qualified Type 1s who want to, or more importantly...