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A couple of current problems. First my pharmacy cannot currently get hold of any Libre 2 Plus sensors but can get Libre 2. Has anyone else hit this problem? Secondly a few months back a few Novorapid cartridges cracked in use in the NovoPen 6. I reported this to the pharmacist and after bit of...

Hi. Having the typical MDI insulin mix i.e. Basal & Bolus gives the most flexibility and good BS control once you learn dosage etc. Not going low carb in case you go hypo with the Dapa is the wrong way round. The usual advice is to have the right diet to suit your weight and BS and to take meds...

Did your husband have any steroids while in hospital? Note that hospital food is cheap and unhealthy. It will have been high in carbs. Did he gain weight whilst in hospital as this can cause an increase in insulin resistance and hence blood sugar.

Hi. Try 85% Dark chocolate. It's much lower in Carbs and you do get used to it.. Have enough fat and protein in your diet as these keep you feeling full and reduce the desire for carbs. Be a little careful about the diet advice from the dietician as, sadly, many haven't a clue.

Hi. Yes I have the same problem and assume that some things trigger the pancreas to behave in different ways day to day. None of the usual 'rules' explain my variations so I've learned to live with it. If I underestimate the carbs I'm eating and hence my BS goes high into the high teens no...

As a general rule have enough proteins and fats to keep you feeling full and keep the carbs down. A daily total of 150gm carbs is a good target to start with and this can be reduced if you still have excess weight or poor BS control.

Most meter manufacturers will send you a free meter as they want you to buy their strips. Ask your surgery what their preferred meter is as they may then prescribe the strips for it as my surgery. You don't need to use the hospital meter unless there is something pecial about it

Hi and welcome. I expect you will receive many replies. Normally short-acting insulins such as Novorapid are given before the meal to allow time for it to work ready for the food. There is no fixed rule but I will inject perhaps 15 minutes before the meal. It is likely after a while that your...

Hi. Are you currently having a low-carb diet and seriously restricting the carbs until you've been able to see a medic?

Standard Metformin is well-known for bowel upset but the Extended Release version is normally OK so you are unlucky. Most problems will clear up after 2-3 weeks but for a few they may have to stop taking it

If your background insulin is Levemir, many of us split it into two for morning and evening injection. It provides more flexibility and trial and error will guide you on the split. It seems like your nurse is being too careful. I suggest being a tad more assertive and saying you really don't...

Hi. If you research on Google the 'fact's' behind Sat Fat causing arterial blockage you will find that the original research data was manipulated and when it was looked at again by others it did not show any issue. You will find little to support what the NHS and others say about fat. Health...

Hi. It sounds like she should be on the Basal/Bolus insulin regime with two different insulins. As a minimum it could be twice-a-day mixed insulin. Having lots of carbs to increase weight is usually the wrong approach as there may not be enough insulin to deal with those carbs with resulting...

Hi. First if you do have baked beans have the reduced sugar variety. If you continue to lose weight despite eating well i.e. proteins, fats etc rather than carbs then it's always possible you could be Late onset T1 (LADA). If so your meds would need to changed. See how you go.

Hi Never take more carbs to match the Gliclazide or whatever. Always match the meds to the carb level you choose to eat and not vice versa. If you don't you will be taking more medication than you really need and you may gain weight from the carbs. If you wish to gain weight go for more proteins...

Hi. I've travelled abroad a lot with my Libre, insulin etc. I've not found any climate effect but as you suggest you may well eat and drink more. Try to focus on proteins & fats rather than the carbs. I find my Libre sticks like glue so have not found any tendency to fall off due to swimming...

Don't under-estimate the influence of the food industry lobby which was the main cause of the Eat Well Plate nonsense. The research done for that was funded mainly by the food industry who make most of their profits from Carbs. You will see carbs rarely mentioned by the NHS or the Celebrities...

Mis-diagnosis is a problem and the definition of T1 is even more of a problem. The assumption that 'T1' (i.e. lack of insulin) is only caused by auto-immunity is wrong as the beta cells can be attacked by viruses and that's not 'auto-immunity'. This confusion causes the Drs/Nurses to place you...

Were the problems with plain Metformin rather than Metformin SR (Slow Release) which is much kinder?

Hi. I would challenge the medics when they say you need to eat carbs with every meal to make the insulin work; it sounds like dated advice. Insulin doesn't need carbs to work but the insulin dose needs to be matched as far as possible to the carbs you take. If you are on twice a day mixed...