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Type 1 Diabetes
Any such thing as too much insulin ?
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<blockquote data-quote="NicoleC1971" data-source="post: 2278484" data-attributes="member: 365308"><p>Sounds deeply sensible to me and hope Dafne gives you some further ideas (be sceptical when listening to the dietician though).</p><p>I've had this for 40 years and have seen the fashion for diabetes treatment go from:</p><p>Count everything and rigidly stick to timings for snacks and meals through to a very liberal approach eat anything you like but easy on the fats and work hard on dosage calculation ratios for your bolus. Enabled by bolus calculators on gluccometers and pumps.</p><p>Now we have an awareness of double diabetes wherein type 1s gain weight because they are getting liberal with their carbs (and hence insulin) and then need increasing amounts over time. </p><p>The availability of freestyle libre now gives another way to know how good your real time control is e.g. how much time are you spending in target range and what foods/insulin /insulin timing combos take you out of that range?</p><p>I am not sure all the clinicians and dieticians understand the contradiction for some of advocating the low fat high carb diet in which blood sugars can spike thus putting the diabetic at greater risk of the complications we want to avoid.</p><p>IN your case though there is loads of time to work these things out and find a way forward that you can live with.</p></blockquote><p></p>
[QUOTE="NicoleC1971, post: 2278484, member: 365308"] Sounds deeply sensible to me and hope Dafne gives you some further ideas (be sceptical when listening to the dietician though). I've had this for 40 years and have seen the fashion for diabetes treatment go from: Count everything and rigidly stick to timings for snacks and meals through to a very liberal approach eat anything you like but easy on the fats and work hard on dosage calculation ratios for your bolus. Enabled by bolus calculators on gluccometers and pumps. Now we have an awareness of double diabetes wherein type 1s gain weight because they are getting liberal with their carbs (and hence insulin) and then need increasing amounts over time. The availability of freestyle libre now gives another way to know how good your real time control is e.g. how much time are you spending in target range and what foods/insulin /insulin timing combos take you out of that range? I am not sure all the clinicians and dieticians understand the contradiction for some of advocating the low fat high carb diet in which blood sugars can spike thus putting the diabetic at greater risk of the complications we want to avoid. IN your case though there is loads of time to work these things out and find a way forward that you can live with. [/QUOTE]
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Any such thing as too much insulin ?
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