My question here are more around:
(b) social etiquette in terms of injecting myself with insulin while at work or around colleagues in a social setting say at meals
Thank you, this helps. Appreciate your help.can only answer etiquette question part. When i've eaten out prior to going in to sit down for a meal, i've mentioned to staff that need insulin injection and ask if its ok to do. have yet had any say no. If u feel uncomfortable injecting in front of others you could pop into babychange room (if place has one) could also use loo (personally dont like idea of that needs must thou) you could also say for instance ask the waiter for rough time then nip outside 15-20 mins before arrives and do there. I've also injected insulin sitting down beside a chippy (ye i know not the best food...) but hey ho. in busy world buffet place i've moved my jacket to hide it with couple friends/family members either side usually picking a table against the wall which would shield view.
I consulted an online private dietician during covid as my metformin had been raised but the result didnt seem satisfactory. She asked me to make a full inventory of my meals plus carbs and cals. For several weeks with fingerprick results listed. I did the same a few months later. Her conclusion was for me, that the metformin was not coping. She contacted my GP to say it was her opinion that I needed one dose of insulin a day. This has been the case for about 18m. Its improved but i feel i need more help and clarification now.Hey! I was diagnosed with T2 in 2017. Started on the usual metformin, that was ok for 12 months. Then my HBA1c started creeping up so they started adding more tablets into the mix, over the years I’ve been on empaglaflozin, glicazide, linagliptin, semeglutide, tried Mounjaro but had bad side effects from that. The most recent tablet she’s put me on is pioglitazone.
I spoke to a DSN who works on the ward I work on at the hospital and asked her advice what to do, she said Pioglitazone is an old fashioned treatment which is rarely used now only as a last resort. I asked what I should do next and she said to consider insulin. I’ve tried the low carb eating, hasn’t worked wonders. My HBA1c in September was 77. I’m due for a repeat in January
Any advice or opinions on insulin is greatly appreciated
Another side effect of insulin for many who use insulin is a growth hormone.. as such it can cause undesired weight gainNot something you can really decide. That's for the diabetic team.
However, since I have started using long lasting insulin:
HB1aC has stabilised under 50
I inject once a day, as I am type 2 I'm not having to worry about injecting before every meal (as yet, things may change)
Once I informed DVLA, got my license amended, that was it
Insulin is a hormone the body produces, unless you had issues before, you are unlikely to have any future side effects
Downside for me was that I expected to come off all my other drugs, nope, I take it in addition to everything else
I had something similar. I started on Metformin, and Glilazide, added on Dapagliflozin, my Hb1ac started to creep up, I was on maximum Gliclazide, maximum Metformin. The practice nurse referred my do my GP (she had specialised training in diabetes) and after discussing all the options and talking things through with the hospital DSN, between them recommended I drop the glicazide reduce the metformin, and start insulin. The first insulin i tried for a month my BG was all over the place,, so between the practice nurse and the DSN I ended up on Lantus and Novorapid. Over about 6 months i finally got my Hb1ac from 58 down to 52, and ist remained at 52 for about 18 months, my target was actually 53. Recently I have had to adjust my insulin, and although not checked my Hb1Ac the sensor is estimating it at 48-50, possibly due to other factors, and after having a heart attack and being prescribed aspirin and ticagrelor, and high does statin.Hey! I was diagnosed with T2 in 2017. Started on the usual metformin, that was ok for 12 months. Then my HBA1c started creeping up so they started adding more tablets into the mix, over the years I’ve been on empaglaflozin, glicazide, linagliptin, semeglutide, tried Mounjaro but had bad side effects from that. The most recent tablet she’s put me on is pioglitazone.
I spoke to a DSN who works on the ward I work on at the hospital and asked her advice what to do, she said Pioglitazone is an old fashioned treatment which is rarely used now only as a last resort. I asked what I should do next and she said to consider insulin. I’ve tried the low carb eating, hasn’t worked wonders. My HBA1c in September was 77. I’m due for a repeat in January
Any advice or opinions on insulin is greatly appreciated
Did you have to lose your driving license when you started insulin ?I had something similar. I started on Metformin, and Glilazide, added on Dapagliflozin, my Hb1ac started to creep up, I was on maximum Gliclazide, maximum Metformin. The practice nurse referred my do my GP (she had specialised training in diabetes) and after discussing all the options and talking things through with the hospital DSN, between them recommended I drop the glicazide reduce the metformin, and start insulin. The first insulin i tried for a month my BG was all over the place,, so between the practice nurse and the DSN I ended up on Lantus and Novorapid. Over about 6 months i finally got my Hb1ac from 58 down to 52, and ist remained at 52 for about 18 months, my target was actually 53. Recently I have had to adjust my insulin, and although not checked my Hb1Ac the sensor is estimating it at 48-50, possibly due to other factors, and after having a heart attack and being prescribed aspirin and ticagrelor, and high does statin.
You don’t lose your licence, when you are on insulin. You have to answer questions regarding your awareness of hypos and agreeing to check blood sugar before driving. And renew every 2 yearsDid you have to lose your driving license when you started insulin ?
I get a DIAB1 form from DVLA every 3 years in the post. (Or just before the licence expires.)You don’t lose your licence, when you are on insulin. You have to answer questions regarding your awareness of hypos and agreeing to check blood sugar before driving. And renew every 2 years
oh yes, i meant 3 yearsI get a DIAB1 form from DVLA every 3 years in the post. (Or just before the licence expires.)
Which is the maximum on a restricted licence. Once about 10 years ago they got the expiry date wrong & gave me 38 months?
For standard licenses you will NOT loose your licenseDid you have to lose your driving license when you started insulin ?
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