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Type 1 Diabetes
Confusion over tiredness
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<blockquote data-quote="faujidoc1" data-source="post: 1509249" data-attributes="member: 419625"><p>Thank you so much for your good wishes [USER=266049]@Lynz84[/USER]!</p><p>My daughter was discharged today morning.... recovering well, with God's grace.</p><p>I guess my post shows you all just how little we 'experts' know.... Being unable to answer questions like this one, we tend to dismiss/ avoid discussion.</p><p>This really hits home when disease affects the doctor personally!</p><p>But back to my theory... Please keep in mind that it is just a stab in the dark and not in any sense true! </p><p></p><p>See, insulin is required for the T1 diabetics body cells to actually use glucose, else the body is in starvation mode even though there is excess glucose in the bloodstream.</p><p>For want of any suitable term, I am calling these carbs which are actually getting through into the cells as 'Actionable carbs'. The quantity of these will depend on the amount of insulin available to the cells, irrespective of blood sugar.</p><p>If the T1 keeps the total insulin dose too low, the number of Actionable carbs will be restricted. If at the same time the diet is also restricted, blood glucose may fall into normal range, even though the actual amount of glucose(energy) available to the body is less than optimal-- ergo, tiredness!</p><p>Perhaps it may be overcome by allowing more carbs in the diet while simultaneously increasing insulin to keep the BS in range???</p><p>We calculate the basal insulin depending on the patients body weight and estimating their requirement but perhaps we are not adequately accounting for individual variation in drug response?</p><p></p><p>BTW, I tried discussing this theory with my endo colleague but got the brush off! [emoji33] [emoji13]</p></blockquote><p></p>
[QUOTE="faujidoc1, post: 1509249, member: 419625"] Thank you so much for your good wishes [USER=266049]@Lynz84[/USER]! My daughter was discharged today morning.... recovering well, with God's grace. I guess my post shows you all just how little we 'experts' know.... Being unable to answer questions like this one, we tend to dismiss/ avoid discussion. This really hits home when disease affects the doctor personally! But back to my theory... Please keep in mind that it is just a stab in the dark and not in any sense true! See, insulin is required for the T1 diabetics body cells to actually use glucose, else the body is in starvation mode even though there is excess glucose in the bloodstream. For want of any suitable term, I am calling these carbs which are actually getting through into the cells as 'Actionable carbs'. The quantity of these will depend on the amount of insulin available to the cells, irrespective of blood sugar. If the T1 keeps the total insulin dose too low, the number of Actionable carbs will be restricted. If at the same time the diet is also restricted, blood glucose may fall into normal range, even though the actual amount of glucose(energy) available to the body is less than optimal-- ergo, tiredness! Perhaps it may be overcome by allowing more carbs in the diet while simultaneously increasing insulin to keep the BS in range??? We calculate the basal insulin depending on the patients body weight and estimating their requirement but perhaps we are not adequately accounting for individual variation in drug response? BTW, I tried discussing this theory with my endo colleague but got the brush off! [emoji33] [emoji13] [/QUOTE]
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