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Type 1 Diabetes
Do your insulin ratios change much?
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<blockquote data-quote="mentat" data-source="post: 437650" data-attributes="member: 86670"><p>Wow, thanks for the fantastic replies everyone! If anyone else has experience with brittle diabetes I'd very much like some feedback.</p><p></p><p>@noblehead: Yep, after all these replies I'm going to take it to my endo and make sure she fully understands what I'm going through. In the past when I've raised the issue the hook didn't catch, so to speak - I have a feeling my fantastic A1c and the fact I don't telephone every 5 days for help means the endo couldn't possibly imagine I have brittle diabetes.</p><p></p><p></p><p>@cp: I get what you mean about both short- and long-acting changing together, but I don't think this contributes to the problem. I essentially tune the Lantus according to my fasting (pre breakfast) glucose, and it's a very well-behaved reading. It's not usually affected by my bedtime reading the night before. Basically all four of my dosages seem to have a "correct" place, and I'm very good at tracking it, I've had a lot of practice. It just moves a **** lot.</p><p></p><p>I've tried fasting for 24 hours a few times (I love it! So liberating!), each time my sugars are very stable all day.</p><p></p><p>With regards to absorption issues, I don't see how that could lead to such massive changes in my total daily dosage.</p><p></p><p></p><p>@pumppimp: Thanks!! I think you may be right! I've been suspecting hormones might be contributing. I wish I could measure the **** things. At least an endo is a specialist in hormones...</p><p></p><p></p><p>@SamJB: Diabetes made me give up my PhD <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite3" alt=":(" title="Frown :(" loading="lazy" data-shortname=":(" /> But maybe now I'll start an even better one, or something else entirely!</p><p></p><p>And reducing carbs - thanks for the suggestion, you're dead right. To keep my original post simple, I didn't mention that I switched to a ketogenic diet 3 months ago. It's helped reduce the impact of the problem - but the problem hasn't gone away.</p><p></p><p></p><p>@iHs: Splitting my dose is something I may try, but I don't think it will help. Like I said above, when I fast my sugars are very stable. Different ratios for different size meals is a plausible answer, but doesn't apply in my case: even if I eat the same thing every day my insulin needs vary over time.</p></blockquote><p></p>
[QUOTE="mentat, post: 437650, member: 86670"] Wow, thanks for the fantastic replies everyone! If anyone else has experience with brittle diabetes I'd very much like some feedback. @noblehead: Yep, after all these replies I'm going to take it to my endo and make sure she fully understands what I'm going through. In the past when I've raised the issue the hook didn't catch, so to speak - I have a feeling my fantastic A1c and the fact I don't telephone every 5 days for help means the endo couldn't possibly imagine I have brittle diabetes. @cp: I get what you mean about both short- and long-acting changing together, but I don't think this contributes to the problem. I essentially tune the Lantus according to my fasting (pre breakfast) glucose, and it's a very well-behaved reading. It's not usually affected by my bedtime reading the night before. Basically all four of my dosages seem to have a "correct" place, and I'm very good at tracking it, I've had a lot of practice. It just moves a **** lot. I've tried fasting for 24 hours a few times (I love it! So liberating!), each time my sugars are very stable all day. With regards to absorption issues, I don't see how that could lead to such massive changes in my total daily dosage. @pumppimp: Thanks!! I think you may be right! I've been suspecting hormones might be contributing. I wish I could measure the **** things. At least an endo is a specialist in hormones... @SamJB: Diabetes made me give up my PhD :( But maybe now I'll start an even better one, or something else entirely! And reducing carbs - thanks for the suggestion, you're dead right. To keep my original post simple, I didn't mention that I switched to a ketogenic diet 3 months ago. It's helped reduce the impact of the problem - but the problem hasn't gone away. @iHs: Splitting my dose is something I may try, but I don't think it will help. Like I said above, when I fast my sugars are very stable. Different ratios for different size meals is a plausible answer, but doesn't apply in my case: even if I eat the same thing every day my insulin needs vary over time. [/QUOTE]
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