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  1. Dillinger

    Type 1: A good HbA1C without hypos?

    I'm puzzled too! If you want to reduce the amount of insulin you are using you could take metformin to do that, there are some good studies relating to using metformin as an adjunct to insulin therapy for Type 1's. Speak to a doctor who knows about diabetes. I'm also a bit puzzled by your...
  2. Dillinger

    Type 1: A good HbA1C without hypos?

    Well, ok knowledge is the key and I completely agree that the training of diabetics in the management of their condition is appalling. However, knowledge or no, the fact is most Type 1's are not getting in range and the simplest way to address that is look to the carbs. How many carbs and eating...
  3. Dillinger

    Type 1: A good HbA1C without hypos?

    Well, there are couple of problems with that; we know from the annual National Diabetes Audits that the vast majority of Type 1's fail to get below the NICE recommended HbA1c levels; (lower than 58 mmol/ml which is 7.5% in old money; a pretty high level in light of the evidence of complications...
  4. Dillinger

    Type 1: A good HbA1C without hypos?

    Well the problem for diabetics is glucose and all digestible carbohydrate is converted into glucose. As you don't need to eat carbohydrates at all (there are for instance no deficiency diseases associated with carbohydrates) then the more you can remove them from your diet the better it is for...
  5. Dillinger

    Type 1: A good HbA1C without hypos?

    Avoid carbohydrates and the highs and the lows will go (you need to adjust your insulin appropriately).
  6. Dillinger

    Is ketosis safe for a type 1

    Hi Gareth, There's no problem with ketosis; it is merely a normal metabolic state that anyone will go into in the absence of carbohydrate, as has been said above it is a very different state to ketoacidosis which will occur in the absence of insulin. Ketosis and insulin is fine. The standard...
  7. Dillinger

    Burnout, retinopathy and only 5 years in!

    Hello, That's the key realisation and one which some people never grasp. We are not being tested this is our reality. If we fail we fail ourselves and we have to try not to make an enemy of our future. Don't expect perfection with diabetes or with anything as you will be disappointed. Try for...
  8. Dillinger

    Any advice for T1 skiing?

    I haven't been skiing for a while but I would drop your basal a bit and make sure you have pouches of glucose gel (you can get them in any running shop or places like Snow & Rock) the benefit of those are they are very fast acting easy to carry. If you are finding your bloods are low then make...
  9. Dillinger

    Approved Survey: Diabetes Mellitus and carbohydrate restriction

    Done I'd be interested to see if many of us had non-standard total cholesterol levels but good hdl/ldl ratios and good triglycerides.
  10. Dillinger

    1st appointment

    Don't be nervous; you haven't done anything wrong. The consultant is there to help you.
  11. Dillinger

    Type 1: Hubby's levels out of control

    The other thing I thought was what blood glucose meter does he use? I have the Accu-Chek Aviva Expert which once set up gives insulin dosage advice which I find really helpful; it will calculate insulin on board (as long as you tell it when you are taking insulin) and dependent on your ratios...
  12. Dillinger

    Type 1: Hubby's levels out of control

    That's a great question (your husband is very lucky to have you on the case here) - I think one of the absolute hardest things in the wonderful world of Type 1 diabetes is accurate correction of lows/hypos. If you are really feeling a hypo then your whole nervous system is telling you to eat at...
  13. Dillinger

    Type 1: Hubby's levels out of control

    Hi, His basal dose is wrong. He's then correcting it with bolus injections and thereby not correcting it. 'Stacking' of bolus insulin is quite a weird and tricky thing to manage so he should definitely try and avoid doing that. I find my bolus requirements change markedly during the day; in...
  14. Dillinger

    Type 1: Accused of Münchhausen by proxy

    Hi, I'd say split the Levemir too. Who is making the Munchausen accusation? Is is a GP or a consultant? If it is a GP change the GP. I think that that is outrageous. The only time I've had uncontrolled hypos was when I was a teenager; hormonal changes really messed with my diabetes. You've...
  15. Dillinger

    The Hidden Killer. Type 2 Diabetes.

    Yeah, but they are being told to take the wrong drug and then blamed for not getting better. The point is as Type 1's we get the support and a lot of tools to deal with this. Loads of Type 2's are told to 'eat normally' (what does that mean?) and take metformin and not to test their blood...
  16. Dillinger

    The Hidden Killer. Type 2 Diabetes.

    Good question because the orthodoxy is that it is the sins of gluttony and sloth that are punished with diabetes by some bizarre Weight Watchers obsessed Old Testament God. That view has come up in this thread already (not the bit about the Old Testament God...) and is in fact a perennial...
  17. Dillinger

    The Hidden Killer. Type 2 Diabetes.

    The BBC link to this runs with 'One mistake and leg lost'. But it wasn't one mistake it was a series of mistakes most from the NHS and their woeful advice on diet and diabetes. There is no reason whatsoever for that gentleman to have developed neuropathy to such an extent that he lost all...
  18. Dillinger

    Another report of a fudged trial and long term denial

    I'm just expressing my view; I'm not suggesting people for a moment give up on their HCPs. I'm just very bored of listening to doctors who should be experts telling me to avoid saturated fats and how important it is to be on statins. Because here's the thing; the single best dietary intervention...
  19. Dillinger

    Another report of a fudged trial and long term denial

    All professions are, by their nature, monopolies of information and technique. The medical profession seems to be one of the worst in not accepting that their knowledge isn't magical or so refined that normal people couldn't possibly hope to understand it. That pomposity of 'doctor knows...
  20. Dillinger

    New member but diagnosed type 2 since 2009.

    Welcome aboard @Mikii ! Lot's of good stuff on here Best Dillinger
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