Bariatric Surgery and T1D

[Lynnzhealth]

Good morning all. I had bariatric surgery (stomach stapling) 41 years ago and most of the complications weren't known then, or else I forgot them. There are lots as in malabsorption of nutrients, etc. I was misdiagnosed as T2 back in 2017 at 69. Then after a very serious DKA episode in 2019, the specialists determined through blood tests that I am actually T1.

I am wondering if anyone else has difficulty regulating their insulin doses for meals. I have been on low carb since 2017 (except for my 4 days in the ER and 9 months after that). I usually eat the same breakfast. If my fasting BG is higher before breakfast I try to dose for that. This morning it was 8.7 mmol/dl, fasting, so I dosed 7 units. I ate the same breakfast as yesterday. Two hrs later it was 5.6, now it's 3.7.

On Sept. 29/30, fasting was 5.6. Dosed 4 units both days. The first day after two hours it was 5.9 mmol/dl and the next it was 10.0. Same breakfast both days.

Each day it seems to be a guessing game. I never know if it's going to go up or down. It's very confusing and frustrating. And, probably adds to my fatigue. The weather plays a major role, too.

Thanks and stay safe.

Lynn

 

[Rokaab]

On Sept. 29/30, fasting was 5.6. Dosed 4 units both days. The first day after two hours it was 5.9 mmol/dl and the next it was 10.0. Same breakfast both days.

This unfortunately can just be what happens for many T1's no matter what things they had done or other conditions they have - basically it can just be entirely unpredictable

Heck my BS shot to 15 this morning for no apparent reason whereas yesterday it got to 8 ...... with exactly the same breakfast .....
It did eventually come down - just took its fine stupid time

 

[Circuspony]

I've been running low all day today. No reason why that I'm aware of - but I had a day last week where I might as well have injected water instead of insulin for all the good it did. I thought when my BG hit 17 I must be coming down with something but apparently not.

Annoyingly I think it's just something we have to live with. You're not alone.

 

[Deleted member 527103]

I recommend reviewing and considering the 42 factors that affect blood sugars.
Food is only one of the many things which can cause highs and lows.
Understanding these usually explains the “unexplained” unecpected results.
Sadly, we have little control over many of these factors.