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Doesn't make sense?

db89 said:
LADA is just a term for slower onset Type 1 is it not?
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Yes, ultimately the two conditions are the same - certainly with regards to how they are eventually treated. As I mentioned to the OP, insulin resistance or "double diabetes" can be a factor in those with LADA (or whatever name you'd like to give it). So that was my angle:)

I'm probing the realms of insulin resistance being a factor in the OP's elevated BG's.
 
db89 said:
LADA is just a term for slower onset Type 1 is it not? I'm honeymooning at the moment; my ratios and basal needs decreased after a couple of months and I have erratic times where they don't quite work one way or the other.

Didn't @wiserkurtious have a honeymoon with no insulin at all?
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Hi Db89, yes, from what I've read ever
GrantGam said:
As far as I'm aware, they are both the same yes:)

Some of those who have LADA/slow on-set diabetes/T1.5/the list goes on... have an element of insulin resistance as well. It's not uncommon (in every type of diabetes I may add) for the severity of the insulin resistance to vary. It may be that you have become that bit more insulin resistant?

You said you are LCHF, how many carbs do you eat per day? Even better, are you aware of your I:C ratio?
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I don't eat the same thing every day, but usually 80 carbs/day. My I:C ratio is twice as much in the morning as it is for the rest of the day, so not really sure. Given your questions, what are you thinking in respect of my original post?
 
Robbins said:
Hi Db89, yes, from what I've read ever

I don't eat the same thing every day, but usually 80 carbs/day. My I:C ratio is twice as much in the morning as it is for the rest of the day, so not really sure. Given your questions, what are you thinking in respect of my original post?
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So the upper end of your total daily bolus dose (going from the information you provided) is 16u. As you're eating an average of 80g carbs per day we can assume that your I:C ratio is roughly 1:5 for breakfast and lunch? And you've said that your I:C ratio doubles in the morning, so we can say you're 1:2.5 for breakfast - both of those ratios would suggest a fair amount of insulin resistance.

So as far as I can see, there are two main possibilities:

-You're insulin sensitivity is changing. I have no explanation as for why this may be the case, but it's certainly a possibility - as it is for all diabetics. Insulin requirements change all the time.

-Your basal dose is too low. As @noblehead and others have suggested, doing a basal rate test is highly advisable; as a correctly set basal dose is the foundations of good control. If your basal dose is too low, then you may be compensating for this with extra bolus insulin. This may be why you're finding that your correction doses are doing very little.

I hope some of this makes sense and that you get to the bottom of your problem soon:)
 
Basal testing is always a cornerstone of getting the best control possible.

your individual dose requirement will be individual to you, and can only be determined by you in conjunction with your Health care team.

anybody else posting their dose should be regarded as evidence that you should properly test and arrive at your own dose.
 
Hey all, me back again. So I've carried out some Basal testing, and my levels don't waiver more than about 1.5mmol, so is a bit inconclusive.
I have managed to get things back on track for a few days (between 5 - 8), and then I'll have a night where I shoot into the teens for no apparent reason and I'm having correction doses at 3 in the morning.
As such, I'm starting to err more toward the theory that I'm coming to the end of the Honeymoon Period. I've heard people on here refer to it being like a Car that's on it's last legs, spluttering to an end, or something along those lines.
I'm wondering if this could be the case now, and would like to know from those on here who have experienced it, if it was similar for them, how did they manage it, and any tips that may help :)
 
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