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    Lipohypertrophy vs Lipodystrophy

    Hi. Traditionally I have used both stomach and outer thighs but have found in recent months that the absorption rate thru those areas has become slower due to the change in the flesh profile. I've recently added upper arms and that has helped more reliable absorption. I'm also extending the area...
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    Slow acting insulin once a day

    Insulin should really only be used either after testing for your insulin production levels or when various tablets have been tried and have not brought BS down. If you have any excess weight then reducing that thru a low-carb diet should always be the first approach.
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    T1 on insulin

    Hi again. My nurse started me on just the Basal but when I gave her my recorded BS readings she added the Bolus within a month as she could see my BS control was not good without the Bolus so see what your readings are like and discuss with her. I have to disagree to some extent with the...
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    Don't take your metformin when not well.

    I think your Dr is wrong but who am I as an amateur to criticise an 'expert' :)
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    Have I messed up here? (Going too fast?)

    Hi. You do need some carbs so that you have enough fibre in the diet. Choose fibrous ones. Your BS doesn't indicate a risk of DKA but something isn't right so get it checked
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    T1 on insulin

    Hi. Are you on two insulins? Once your T1 is verified or even if not you should probably be on the Basal/Bolus regime. One, the Basal, will be one or two shots per day and the Bolus is for each mealtime. Over time your Basal will need to be tweaked to balance it and you will be taught...
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    diabetes type 1 or 2

    Well, I'm one of those except I have yet to be formally diagnosed a LADA although my insulin production is low. Yes, my GP just assumed I was T2 at Age 60 despite all the LADA symptoms. I would say that anyone who is labelled T2 but is slim and/or has lost weight recently should be suspicious...
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    metformin

    This is the liquid form only and some of it is contaminated. The tablet form is fine.
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    Interpreting urine cpeptide/creatinine ratio

    Hi. Thankyou. I will have a look at the HOMA information. Life is difficult when diagnosed as T2 and with a negative GAD. My brief referral to the county diabetes team and consultant was fruitless as they are obsessed with GAD results and mine is negative. In my case I believe I suffered a...
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    Weight Loss

    Hi. None of those three meds will normally cause weight loss. You need to suspect you may be late onset T1 (LADA). Ask the GP for the two tests C-Peptide and GAD. The weight loss is likely to be due to the body burning it's fat as it doesn't have enough insulin to metabolise carbs. I was on...
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    Freestyle libre sensors falling off

    I'm glad my sensors don't fall off as I'm highly allergic to Tegaderm adhesive so be careful if you've never used Tegaderm.
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    NHS Low Calorie Diet Programme

    My advice would be to avoid anything based around 'Calories' as it's a pretty meaningless term and based on weak science when it comes to what you eat. You need to focus on the three main food groups and the best mix bearing in mind that carbs are the biggest contributor to weight and blood...
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    Interpreting urine cpeptide/creatinine ratio

    Hi. Yes I've read all the blurb and papers about using the urine ratio and I believe it's highly suspect. I had a private blood serum C-Peptide done a couple of years back and it showed me just above the T1 level which doesn't compare with the NHS Urine ratio test result. I'm slim (BMI 22), my...
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    Type 2 Liquid Metformin

    I'm not an expert but I suspect plain non-SR metformin can be split. The SR version possibly not.
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    Quick sugar foods

    Why use anything other than Dextrose tablets? Low-cost glucose, neatly wrapped, choice of flavours and dissolve quickly.
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    Freestyle libre sensors falling off

    How strange. My Libre 2 sensors stick 'like glue' and I have to lever them off. It must be different skin types. I assume you use an alcohol wipe and shave any hair where the sensor goes?
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    Hi all

    Hi. Yes, the right diet should avoid you needing the meds as your HBa1C is quite good. The important thing about 'annual' diabetes tests is not wait to be called but to ask the surgery for blood test forms at least every 12 months. Get the bloods taken at the surgery or hospital and arrange with...
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    Interpreting urine cpeptide/creatinine ratio

    Hi. I also had my Urine C-Peptide tested this year by Exeter. Results were: Urine C-Pep/CR Ratio 0.79 nmol/mmol Random Urine C-Peptide 3.55 nmol/L Urine Creatinine level 4.5 mmol/L My C-Peptide is just above T1 level. As yours is a lot higher it seems to imply you are T2. The urine tests as...
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    Gonna stop metformin.

    Do ask the GP for the Slow Release (SR) version.
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    diet issues

    Hi. Meat is fine so are fats and other proteins. You can have some carbs but keep them down.
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