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Type 1 Caring for a type one diabetic

Llaurenn

Newbie
Messages
1
Type of diabetes
Type 1
Treatment type
Insulin
For my partner who was diagnosed with type one Friday morning after being on the resuscitation ward in critical condition, they wouldn’t let me in the ward with him while the diabetic nurse came and he couldn’t take it all in properly, Need to know how often to use fast acting insulin and background, can they be took together? (2 pens) how much units does he need before meals? When’s best to take the background? Is it okay before bed? Does the units on the fast acting just depend on the carbs he’s eating? Does he need to eat for the background insulin? Sorry for all the questions but just need to understand a lot more for his sake
 
Hopefully they wrote down what he needs to take because we can't predict amounts here. :)

Normally the long acting background is taken once daily - either morning or night (before bed is quite common).
The fast acting is a combination of how much he's eating that meal and a correction dose (if he's high before the meal). You typically have it 3 times a day, once before each meal.
They'll probably start him on a low dose and gradually increase it to get his blood sugars down.
If the background insulin is correct, he won't need to eat for it.
If he's a new T1, his body may well go through a honeymoon phase, where it produces some insulin, so blood sugars can be unpredictable. They should give him a meter so he can test them.

As a T1, my partner does not help me with calculating insulin or guessing the carbohydrate in food, but he has helped me many times with hypos.
Hypos happen when your blood sugar is too low (too much insulin in your body). Your brain is short on sugar and becomes confused - you could potentially even go into a coma. (Though this is very rare and they'll be starting him on low doses of insulin rather than too high). Keep sugar readily available (glucose tablets are good but some people prefer things like jelly babies) so that you can give them to your partner if he is too confused to eat (eg at night).
http://hypoglycemia.uk/#/
Having said that, I suspect his blood sugars will remain quite high for the first few weeks, so hypos won't be an issue for a long while.
 
Is he still in hospital? If so they will likely go through it all again with him and on discharge he'll have lots of follow ups.
 
It's lovely that you care for your partner and want to help him out.
As others have said, we cannot tell you the insulin dose as this is very personal.

I would emphasise the point @EllieM made about hypos. This is the part he his most likely to need your assistance. They should be very rare at this stage but I recommend asking about managing them when you get a chance to talk to his diabetes team.
 
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