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Type 1 Diabetis

Welcome to the forum. As you are T1, I will leave it to other T1s for advice. Are you on insulin,?
 
What kinds of insulin are you on? There are a number of different regimes and your clinic should have explained to you what to do when your levels are too high?

(eg I'm on a basal/bolus regime and I have a correction factor where I know that a certain number of units of fast acting insulin will reduce my levels by a certain amount).
 
Hi I’m on fiasp , I have still got to learn a lot more , going to the clinic again soon, just started my carbs counting
 
Cat32 said:
Hi I’m on fiasp , I have still got to learn a lot more , going to the clinic again soon, just started my carbs counting
Click to expand...

Fiasp is a fast acting insulin. Are you also on a long acting one (eg lantus, tresiba, levemir)? If not then you are probably still producing some insulin and in the honeymoon period. (Unless you are on a pump, which seems unlikely for a new diabetic). It can be very difficult to calculate doses at this time because your body is still producing some insulin. Honestly, we can't tell you how much insulin to give yourself but it is likely that if you ring/email your clinic they will advise you on whether to increase your dose and if so by how much.

Everyone's body reacts differently to insulin so the best thing you can do is keep good food/blood sugar (and exercise) records, so that your clinic can help you work out your insulin needs in different situations. (I've been T1 for 50 years and still get readings of 14 (or more) on occasion. )

Good luck.
 
EllieM said:
Fiasp is a fast acting insulin. Are you also on a long acting one (eg lantus, tresiba, levemir)? If not then you are probably still producing some insulin and in the honeymoon period. (Unless you are on a pump, which seems unlikely for a new diabetic). It can be very difficult to calculate doses at this time because your body is still producing some insulin. Honestly, we can't tell you how much insulin to give yourself but it is likely that if you ring/email your clinic they will advise you on whether to increase your dose and if so by how much.

Everyone's body reacts differently to insulin so the best thing you can do is keep good food/blood sugar (and exercise) records, so that your clinic can help you work out your insulin needs in different situations. (I've been T1 for 50 years and still get readings of 14 (or more) on occasion. )

Good luck.
Click to expand...

Thanks
 
Start learning to carb count everything. That will open the door to the proper dose needed for different foods you eat. Then it will also be a matter of timing. It will be a little erratic right now anyways as @EllieM has said because of the honeymoon phase,


But learn carb counting as fast as possible so you can start to learn to adjust your insulin needs. Then you can move onto timing adjusting, allowing for high fat meals etc.................it does become mostly old hat after a while as you get used to it!
 
Cat32 said:
Hi I’m new having diabetes only for a 2 months , my reading is 14.2 how do I get it lower
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Hi @Cat32 ,

Welcome to the forum..

How do you get it lower.. That depends on your correction dose ratio..? I'm not going to flood your mind with that or even what mine is..

Are you using a long acting insulin as well as the short acting Fiasp?

You will probably need a list of questions to cover when you go back to the clinic..

By all means ask here. It's still new for you. But you will get there.. :)
 
Hi I just got taken off levemir , was taken it morning and night , just trying to see what works best , haven’t learned about correction doses yet hopefully do that on my next visit to the clinic
 
Hello, after many years and far too many mistakes with my type 1 diabetes, my advice to you would be to take your time. Any changes to your regime should be made slowly after discussion with your diabetes team. Making too many changes too quickly can send your glucoses swinging from low to even higher. It would also be unclear exactly how the changes are effecting you and put you at risk of hypos and DKA. The absolute key to good control is test, test, test. Information is power! Test at different times of day, during the night occasionally, before and after food and take all that information to your diabetes team who will discuss any changes that need to be made. Testing after changes have been made is essential too, you and your team will want to know how the changes are taking effect. Eventually you'll have enough knowledge about your own body, diabetes and insulin sensitivity to make your own adjustments with minimal intervention from your diabetes team, but for now I would suggest you work closely with them to tighten your glucose control. Certainly don't make any changes to your regime based on advice from other diabetics, with the best will in the world we are all different and our bodies react very differently!

Well done for taking responsibility for your glucose control, you are well on your way to everyday health and avoiding long term complications!
 
You can work out a lot with self experimentation. If you are planning on eating carbs then learning how many untis you need to keep your bg in normal range is key. That is the insulin units: 10g carbs. The standard start points is 1u per 10g.
Next ratio is how much does 1u insulin bring down my bg? (correction dose). Again the standard info is that 1u brings bg down by 3 mmol.
However diabetes isn't just maths so there will be incalculable variables like illness, hormones and whether its pizza, peas or pain au chocolat you're eating so you will need to test often and have jelly babies on hand as you are the only person who can work out what works for you.
Basal is probably the most important thing to get right and I've heard that Tresiba is a good one ( I am on a pump so have a slow drip of fast acting insulin every hour).
Anyway don't be panicked by a high reading or take it personally! Keep a log of what you are doing and you may see some patterns (app liek MySugar is good).
Keep asking on here too as we are the ones who live with it and although none of us can ever be perfect at it, we have probably learnt a few tricks plus we get how challenging this can be. A great newbie book I recommend (and its free) is Adam Brown's Bright Spots and Landmines (US type one author):
https://brightspotsandlandmines.org/
 
NicoleC1971 said:
You can work out a lot with self experimentation. If you are planning on eating carbs then learning how many untis you need to keep your bg in normal range is key. That is the insulin units: 10g carbs. The standard start points is 1u per 10g.
Next ratio is how much does 1u insulin bring down my bg? (correction dose). Again the standard info is that 1u brings bg down by 3 mmol.
However diabetes isn't just maths so there will be incalculable variables like illness, hormones and whether its pizza, peas or pain au chocolat you're eating so you will need to test often and have jelly babies on hand as you are the only person who can work out what works for you.
Basal is probably the most important thing to get right and I've heard that Tresiba is a good one ( I am on a pump so have a slow drip of fast acting insulin every hour).
Anyway don't be panicked by a high reading or take it personally! Keep a log of what you are doing and you may see some patterns (app liek MySugar is good).
Keep asking on here too as we are the ones who live with it and although none of us can ever be perfect at it, we have probably learnt a few tricks plus we get how challenging this can be. A great newbie book I recommend (and its free) is Adam Brown's Bright Spots and Landmines (US type one author):
https://brightspotsandlandmines.org/
Click to expand...

Thanks
 
Cat32 said:
Hi I’m new having diabetes only for a 2 months , my reading is 14.2 how do I get it lower
Click to expand...

Exercise
Take in more water , less carbohydrates foods
More basal insulin and less boils insulin. Since the basal insulin stays in your body for 24 hours or 48 hours (depending on which insulin brand you use) it will slowly be reducing your BG after the bolus you injected has finished working and has left your system. So the basal is more like a back up
 
Little Angel said:
Exercise
Take in more water , less carbohydrates foods
More basal insulin and less boils insulin. Since the basal insulin stays in your body for 24 hours or 48 hours (depending on which insulin brand you use) it will slowly be reducing your BG after the bolus you injected has finished working and has left your system. So the basal is more like a back up
Click to expand...

OP can only do less carbs if OP knew how to carb count and adjust insulin for it. Basal is different for everyone, it should be only enough to keep you level throughout the day and night, too much can cause hypos. Basal doesn’t reduce your BG, it stays stable, if you are high, your BG will stay high despite basal and it should be corrected carefully with another bolus. Or in cases like if you go to bed on a good number, your basal should keep you at a similar number when you wake up.
 
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