Basal Bolus

put bluntly, if you only use short acting insulin at meal times and as correction doses, you will constantly bounce between high and low which long term will destroy your eyes and possibly cause other serious complications (sorry to scare you pal, but you are better off learning how to get good control than not bother now and deal with it later).

Can you maybe speak to your doc about using different mixed insulin which you only need to do once in the morning and once in the evening?? It never worked for me but does for some.

I'm now on a pump and even after just week things have been so much better than 4/5 MDI a day!

Hi shadow

Glad to hear that your blood sugar is coming down!

I personally think that basal bolus is a much better way to do things. It's a bit of a pain having to do more injections, but it gives you much better control, and eventually, when you have been shown how to carb count, you can eat what you want as long as you give yourself the right amount of insulin for the food...so you can eat chocolate again if that is what you want!

As for school, I can see why it might be embarrassing for you to inject. My partner is here and he is a teacher, and he says that at his school there is a special place to go if diabetics want to inject in private - maybe you could ask your form tutor or head of year or school nurse if they could sort something out for you.

Good luck with making your decision!

Claire

Hi Shadow When I was at school they asked me if I would do an injection after my lunch but I said I wouldnt so they was fine with that but they said when I leave school I would have to start doing it and when I left and went to college I started taking my injection at college and I was fine with it as I told the people who I was with and they were very supportive

The mix of quick and slow acting insulin is much more flexible than any other treatment type in that it allows you to have exactly what you want to eat at meals or even skip a meal and therefore not take the quick acting one. If you go on a treatment with only two injections a day you'll have to be much more careful about what you eat. It's much more restrictive and hard to control. A friend of mine who's phobic with needles has that kind of regim and she constantly have ketones and high blood sugar levels.
I can understand that it's hard to cope with injecting in the toilets (like i used to do) but i think it may be the easiest path. I don't believe in restriction, it makes the forbidden things much more attractive!
(You should do the DAFNE course.)
Take care.

Hey Shadow,

I agree, the flexibilty this regime gives me is worth the xtra injections....but it is personal choice of course. My mother in law is a school secretary, and first aider, and she "looks after" the insulin and syringes for all the diabetics in the school, and they do their injections in the medical room. I am sure it is a real pain...but not a public event at least? Worth askinf the first aid people at your school...as there are often a few T1 diabetics in a school, and find out what they do?