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Does contraception mean more stable bg's for you?

Antje77

Guru
Retired Moderator
Messages
21,099
Location
Friesland (the Netherlands)
Type of diabetes
LADA
Treatment type
Insulin
I'm considering asking for the pill, or preferably the one injected every 3 months to save me from having to take it every day.

The reason is that around the start of my period I suddenly need way less insulin (which I like) but not always and not consistently (which I don't like), and it seems to be getting less consistent, which could be attributed to my age (or the colour of my socks), being 43.
It seems to follow some pattern though: More pain and blood, lower bg's and less insulin; less complaints, not that much of a difference, which is what makes me think it could have something to do with my age.
Not a clue if my periods are regular, I don't keep track. (Tried but it didn't work out.)

The main problem is getting more hypos means less hypo-awareness. I don't mind recognising a hypo at 3.6, but today and yesterday I hit 3.3 and 3.2 before noticing. My hypo awareness will settle itself again but these stupid periods are a bit of a hazard.

I was thinking skipping the periods altogether by means of the pill could be helpful (not to mention attractive for other reasons) but I'd like some more information and experiences from others on that before asking my GP for it. Won't seem so nice anymore if it turns out I'll only need more insulin on the pill.

So my question is how starting or stopping hormonal contraception affected your blood sugars, and if they were more stable on the pill.
Links to relevant literature are welcome as well :)

I'm a late onset T1 on a flexible basal/bolus regime, diagnosed almost 4 years ago.

Thanks in advance!
 
Hi @Antje77 I have been meaning to do some research into this for a while, I suffer quite badly most months with insulin resistance before I am due on, insulin ratios can increase by a third and I am still running into the teens, it's one week a month, which is a big impact on my control as well as my mental health, I tried asking my doctor about it but only got the advice of a part hysterectomy which seemed like an extreme way of managing it, needless to say I walked away and every time I mention it to a consultant I get, well let's review your ratios, to me it's more about controlling my hormones in a way that will lessen the impact on my resistance and therefore give me an easier ride each month.

As I understand it Progesterone increases insulin resistance but Estrogen reduces your insulin sensitivity.
 
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