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@hev123 a hba1c of 14% is equivalent to an average blood sugar of 19.6 over the past 3 months. The target is to have a hba1c under 6.5%. Blood sugar targets for dope with type 1 diabetes are: 5.5 - 7.5 before breakfast 4.5 - 7.5 before other meals 6.5 - 8 before bed So, at minimum he should...

Ask for a cpeptide test to see what your insulin production is looking like. A type 2 diabetic will often have hyperinsulimia, ie the production of more insulin than normal because their body is dealing with insulin resistant cells.

@hev123 has your boyfriend been on a DAFNE course? There he will learn that the targets for type 1 diabetics are to have blood sugars: 5.5 - 7.5 before breakfast 4.5 - 7.5 before other meals 6.5 - 8 before bed Has your boyfriend read "think like a pancreas"? It's a great book that teaches the...

If your blood sugar is high then all of your cells are surrounded by crowds of glucose trying to get in to the cells. If you inject when your high it's going to take time before that insulin starts to work, because to work your insulin has to make its way to the cells, that are surrounded by...

@happydaze why are your blood sugars in the 20s? Do you give correction doses when you see blood sugars up there? Do you have ketone testing kit? Your high blood sugars won't be doing anything to help your depression, retinopathy or neuropathy. Your high blood sugars are probably causing the...

So youre on 95units a day? To find the average TDD you time your weight in kg by 0.53 So for you that would be 0.53 x 128.6 = 68. So you are on a much higher than average total daily dose than most type 1s. Your I:C ratio of 1 unit for every 3g of carbs also suggests some insulin resistance...

@benhippers661 about 25% of type1s are antibody negative. Being antibody negative doesn't mean you aren't type 1. It means you have idiopathic type 1 i.e. Your immune system has killed/is killing off your insulin producing beta cells we just haven't found the antibodies that are doing that in...

Waking up with a hypo will mean that after your jelly babies and your breakfast your body is prioritising getting glucose back into the liver after it was released by an alpha cell response to the hypo. If you are bolusing for the carbs you are eating, you might be wise to reduce your I:C ratio...

A hba1c of 104mmol/mol or 11.7% is equivalent to an average blood sugar over the last 3 months of 15.9mmol/l - https://www.diabetes.co.uk/hba1c-units-converter.html

I'm not sure how you took my question: As a demand to identify anyone. I was simply trying to get more context on when/where the mysterious allusions to new ways of managing blood sugar we're referenced. As mentioned in your post that I quoted: I thought a better idea of the context in which...

Are you talking about a headache in your 6mth old type 1 son? How does a 6mth old report a headache (obviously I'm not terribly maternal, but is it not just undefined crying, which could in reality be caused by anything. I've never heard someone talking about a cranky crying baby saying they...

Well I'm not sure how you took my question seeking the NICE guidelines - which I quite openly said I had been unable to find myself, so really I was asking for your help in finding the guidelines you had referenced - as patronising? Or is it the reference to the freestyle libre that you think...

There is also the Medtronic guardian (?) cgm. I think @donnellysdogs uses this, although I'm not sure whether sensor supply means they are able to take on new customers at the moment. Yes of course you can buy a cgm/libre privately, they are a noncontrolled nonprescription medical device...

Really? I can't find a NICE guideline that provides for this. BNF simply states that Piogltazone shouldn't be prescribed to people with hepatic dysfunction and patients should be warned of signs and symptoms of acute liver dysfunction as this is a rare side effect of the drug (the warning will...

Where did you get this from? All patients must have an LFT? Do you mean all patients on Piogltazone or all diabetic patients? There are plenty of drugs that come with a risk of impacting on liver function and are often accompanied with recommendation for LFTs while taking them. There is no NICE...

If he's having seizures when he's euglycaemic (5.5) then they may not be anything to do with blood sugar and an investigation, with a referral to a neurologist, would be warranted. It's not uncommon for type 1 and epilepsy to come together and epilepsy can respond to treatment with medication...

@Zyroman look for apps that are bolus wizards. Your promise to your son is probably ill advised. A dexcom G5 doesn't mean no finger prick testing. While G5 readings have been FDA approved to bolus from there is no such EU approval and you need to bear in mind how confident you are in the...

Whether or not you are eating your liver trickles out its glucose stores through the day and night to keep you going. Without insulin that released trickle of glucose just sits in the blood and can't do anything to keep you going because it can't get into the cells, instead it just slows you...

1) levemir lasts about 12 hours, not 20. That's why levemir is taken am and pm. It's fine to take different doses in the morning and evening. 2) have you done any basal rate testing to see if you are on the right dose of levemir? Here's a guide on how to basal test -...

I got into DKA while wearing a cgm. I ripped my pump off at some point during a Friday night in November 2016, by the Saturday morning I was too hyperglycaemic and confused to realise the pump wasn't attached/test my blood sugar/pay any attention to the cgm alarming. I then didn't move, eat or...